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使用CAD/CAM技术设计与制作全口义齿。

Design and fabrication of complete dentures using CAD/CAM technology.

作者信息

Han Weili, Li Yanfeng, Zhang Yue, Lv Yuan, Zhang Ying, Hu Ping, Liu Huanyue, Ma Zheng, Shen Yi

机构信息

Department of Stomatology, First Affiliated Hospital of Chinese PLA General Hospital Department of Stomatology, Beijing Shen Yi Denture Processing Center, Beijing, China.

出版信息

Medicine (Baltimore). 2017 Jan;96(1):e5435. doi: 10.1097/MD.0000000000005435.

DOI:10.1097/MD.0000000000005435
PMID:28072686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5228646/
Abstract

The aim of the study was to test the feasibility of using commercially available computer-aided design and computer-aided manufacturing (CAD/CAM) technology including 3Shape Dental System 2013 trial version, WIELAND V2.0.049 and WIELAND ZENOTEC T1 milling machine to design and fabricate complete dentures.The modeling process of full denture available in the trial version of 3Shape Dental System 2013 was used to design virtual complete dentures on the basis of 3-dimensional (3D) digital edentulous models generated from the physical models. The virtual complete dentures designed were exported to CAM software of WIELAND V2.0.049. A WIELAND ZENOTEC T1 milling machine controlled by the CAM software was used to fabricate physical dentitions and baseplates by milling acrylic resin composite plates. The physical dentitions were bonded to the corresponding baseplates to form the maxillary and mandibular complete dentures.Virtual complete dentures were successfully designed using the software through several steps including generation of 3D digital edentulous models, model analysis, arrangement of artificial teeth, trimming relief area, and occlusal adjustment. Physical dentitions and baseplates were successfully fabricated according to the designed virtual complete dentures using milling machine controlled by a CAM software. Bonding physical dentitions to the corresponding baseplates generated the final physical complete dentures.Our study demonstrated that complete dentures could be successfully designed and fabricated by using CAD/CAM.

摘要

本研究的目的是测试使用包括3Shape Dental System 2013试用版、威兰德V2.0.049和威兰德ZENOTEC T1铣床在内的商用计算机辅助设计和计算机辅助制造（CAD/CAM）技术来设计和制作全口义齿的可行性。利用3Shape Dental System 2013试用版中可用的全口义齿建模过程，在由物理模型生成的三维（3D）数字无牙颌模型基础上设计虚拟全口义齿。将设计好的虚拟全口义齿导出到威兰德V2.0.049的CAM软件中。使用由该CAM软件控制的威兰德ZENOTEC T1铣床，通过铣削丙烯酸树脂复合板来制作物理牙列和基托。将物理牙列粘结到相应的基托上，形成上颌和下颌全口义齿。通过包括生成3D数字无牙颌模型、模型分析、人工牙排列、修整缓冲区域和咬合调整等几个步骤，使用该软件成功设计出虚拟全口义齿。根据设计好的虚拟全口义齿，使用由CAM软件控制的铣床成功制作出物理牙列和基托。将物理牙列粘结到相应的基托上，制成最终的物理全口义齿。我们的研究表明，使用CAD/CAM可以成功设计和制作全口义齿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/cc3de03afc86/medi-96-e5435-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/a3a2fba1596f/medi-96-e5435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/5483e22b98eb/medi-96-e5435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/cfcdead4248c/medi-96-e5435-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/879931dd65a0/medi-96-e5435-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/c4ad38baa204/medi-96-e5435-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/c67e566d7bb7/medi-96-e5435-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/cc3de03afc86/medi-96-e5435-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/a3a2fba1596f/medi-96-e5435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/5483e22b98eb/medi-96-e5435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/cfcdead4248c/medi-96-e5435-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/879931dd65a0/medi-96-e5435-g004.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/5228646/cc3de03afc86/medi-96-e5435-g007.jpg

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