Kattadiyil Mathew T, AlHelal Abdulaziz, Goodacre Brian J
Professor and Director, Advanced Specialty Education Program in Prosthodontics, School of Dentistry, Loma Linda University, Loma Linda, Calif.
Faculty, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
J Prosthet Dent. 2017 Jun;117(6):721-728. doi: 10.1016/j.prosdent.2016.12.006. Epub 2017 Feb 20.
Computer-engineered complete dentures (CECDs) have significant potential as shown by recent reports of outcomes and specific applications. An understanding of complications and quality assessment factors associated with CECDs from compiled data is lacking in published reports.
The purpose of this systematic review was to determine the clinical complications and quality assessments related to CECDs.
Electronic searches of publications in English from January 1984 to September 2016 were performed in MEDLINE and Cochrane databases, with the results enriched by manual searches and citation mining to address 2 population intervention comparison outcome (PICO) questions: what are the clinical complications associated with CECDs, and what are the quality assessments with CECDs?
A review of 5 selected articles (limited data) on CECDs revealed patient dissatisfaction related to overall outcome (25.49%), inadequate retention (20.73%), and esthetic concerns (15.09%) as common complications. Quality assessment factors that were used to report complications were identified.
Patient dissatisfaction, inadequate retention, and inadequate esthetics were the most common complications with CECDs. The addition of a trial placement option for CECDs could result in a better clinical outcome, reducing the incidence of other complications related to occlusal vertical dimension, centric relationship, tooth arrangement, and esthetics, improving patient satisfaction, and reducing remakes. The difficulty in reading the digital preview for an objective assessment before fabrication is a unique but not a common, complication for CECDs.
计算机辅助设计制作的全口义齿（CECDs）潜力巨大，近期的疗效及特定应用报告已有所体现。已发表的报告中缺乏对CECDs相关并发症及质量评估因素的综合数据理解。
本系统评价的目的是确定与CECDs相关的临床并发症及质量评估。
在MEDLINE和Cochrane数据库中对1984年1月至2016年9月期间的英文出版物进行电子检索，并通过手工检索和引文挖掘丰富结果，以解决两个人群干预比较结局（PICO）问题：与CECDs相关的临床并发症有哪些，以及CECDs的质量评估有哪些？
对5篇关于CECDs的选定文章（数据有限）进行综述发现，患者对总体结局不满意（25.49%）、固位不足（20.73%）和美观问题（15.09%）是常见并发症。确定了用于报告并发症的质量评估因素。
患者不满意、固位不足和美观欠佳是CECDs最常见的并发症。增加CECDs的试戴选项可能会带来更好的临床效果，降低与咬合垂直距离、正中关系、牙齿排列和美观相关的其他并发症的发生率，提高患者满意度，并减少义齿重制。在制作前难以通过数字预览进行客观评估是CECDs特有的但并不常见的并发症。
