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数字化可摘局部义齿的系统评价。第二部分:CAD/CAM 框架、人工牙和基托。

A systematic review of digital removable partial dentures. Part II: CAD/CAM framework, artificial teeth, and denture base.

机构信息

Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.

出版信息

J Prosthodont Res. 2022 Jan 11;66(1):53-67. doi: 10.2186/jpr.JPR_D_20_00117. Epub 2021 Jan 26.


DOI:10.2186/jpr.JPR_D_20_00117
PMID:33504722
Abstract

PURPOSE: This study comprehensively reviewed the current status of the digital workflow of removable partial dentures (RPDs) and summarized information about the fabrication methods and material properties of the dental framework, artificial teeth, and denture base. STUDY SELECTION: We performed a systematic review of the literature published in online databases from January 1980 to April 2020 regarding RPD fabrication and materials used in the related digital technology. We selected eligible articles, retrieved information regarding digital RPDs, and conducted qualitative/quantitative analyses. In this paper, the computer-aided design/computer-aided manufacturing (CAD/CAM) framework, artificial teeth, and denture base materials are reported. RESULTS: A variety of materials, such as cobalt-chromium alloy, titanium, zirconia, and polyether ether ketone, are used for dental CAD/CAM frameworks. The mechanical strength of the metal materials used for the CAD/CAM framework was superior to that of the cast framework. However, the fitness and surface roughness of the framework and clasp fabricated using a selective laser melting (SLM) method were not superior to those obtained via cast fabrication. Most material properties and the surface roughness of poly methyl methacrylate (PMMA) discs used for digital RPDs were superior to those of heat-cured PMMA. CONCLUSION: The use of a CAD/CAM framework and PMMA disc for digital RPDs offers numerous advantages over conventional RPDs. However, technical challenges regarding the accuracy and durability of adhesion between the framework and denture base remain to be solved. In digital fabrication, human technical factors influence the quality of the framework.

摘要

目的:本研究全面综述了可摘局部义齿(RPD)数字化流程的现状,并总结了牙科支架、人工牙和义齿基托的制作方法和材料性能的相关信息。

研究选择:我们对 1980 年 1 月至 2020 年 4 月期间在线数据库中发表的有关 RPD 制作和相关数字技术中使用材料的文献进行了系统综述。我们选择了合格的文章,检索了有关数字 RPD 的信息,并进行了定性/定量分析。本文报告了计算机辅助设计/计算机辅助制造(CAD/CAM)支架、人工牙和义齿基托材料。

结果:多种材料,如钴铬合金、钛、氧化锆和聚醚醚酮,被用于牙科 CAD/CAM 支架。CAD/CAM 支架中使用的金属材料的机械强度优于铸造支架。然而,选择性激光熔化(SLM)方法制造的 CAD/CAM 支架和卡环的适配性和表面粗糙度并不优于铸造制造。数字 RPD 中使用的聚甲基丙烯酸甲酯(PMMA)盘的大多数材料性能和表面粗糙度均优于热固性 PMMA。

结论:与传统 RPD 相比,CAD/CAM 支架和 PMMA 盘在数字 RPD 中的应用具有诸多优势。然而,在准确性和支架与义齿基托之间的附着力耐久性方面仍存在技术挑战。在数字化制作中,人为技术因素会影响支架的质量。

相似文献

[1]
A systematic review of digital removable partial dentures. Part II: CAD/CAM framework, artificial teeth, and denture base.

J Prosthodont Res. 2022-1-11

[2]
A systematic review of digital removable partial dentures. Part I: Clinical evidence, digital impression, and maxillomandibular relationship record.

J Prosthodont Res. 2022-1-11

[3]
Novel fully digital workflow for removable partial denture fabrication.

J Prosthodont Res. 2019-6-20

[4]
Fit Accuracy of Removable Partial Denture Frameworks Fabricated with CAD/CAM, Rapid Prototyping, and Conventional Techniques: A Systematic Review.

Biomed Res Int. 2021

[5]
A Digital Workflow for the Fabrication of a Milled Removable Partial Denture.

Int J Environ Res Public Health. 2022-7-13

[6]
Fabrication of a removable partial denture combining conventional and digital techniques.

J Prosthet Dent. 2021-4

[7]
[Advances in computer aided design and computer aided manufacturing of removable partial denture].

Zhonghua Kou Qiang Yi Xue Za Zhi. 2021-5-9

[8]
Evaluation of removable partial denture frameworks fabricated using 3 different techniques.

J Prosthet Dent. 2019-4-1

[9]
Accuracy of CAD-CAM systems for removable partial denture framework fabrication: A systematic review.

J Prosthet Dent. 2021-2

[10]
A digital cast-free clinical workflow for oral rehabilitation with removable partial dentures: A dental technique.

J Prosthet Dent. 2019-8-2

引用本文的文献

[1]
Evaluation of Non-dental open source software in comparison to dental software in construction of digitally designed partial dentures frameworks.

Sci Rep. 2025-7-28

[2]
Digital versus conventional surveying for partially edentulous arches: an evaluation of accuracy and time efficiency.

J Adv Prosthodont. 2025-6

[3]
Fit accuracy assessment of removable partial denture frameworks produced by direct metal laser sintering - a clinical trial.

Clin Oral Investig. 2025-4-18

[4]
A comprehensive narrative review exploring the current landscape of digital complete denture technology and advancements.

Heliyon. 2025-1-10

[5]
A Digital Approach for a Complete Rehabilitation with Fixed and Removable Prostheses: A Technical Procedure.

Dent J (Basel). 2024-12-25

[6]
Analysis of Peri-Implantitis Photothermal Therapy Effect According to Laser Irradiation Location and Angle: A Numerical Approach.

Biomedicines. 2024-9-1

[7]
Evaluation of Surface Roughness of Acrylic Denture Bases Polished Using Algishine, a Novel Polishing Material: An In Vitro Study.

Cureus. 2024-7-6

[8]
Effect of Reinforcement Bar on Trueness of Printed Titanium Kennedy I Removable Partial Denture Frameworks by Selective Laser Melting.

Int Dent J. 2025-4

[9]
Evaluation of Shear Bond Strengths of 3D Printed Materials for Permanent Restorations with Different Surface Treatments.

Polymers (Basel). 2024-6-27

[10]
Accuracy of Mandibular Removable Partial Denture Frameworks Fabricated by 3D Printing and Conventional Techniques.

Materials (Basel). 2024-6-27

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