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全口义齿制作中数字工作流程与传统方法的比较评估

Comparative Evaluation of the Digital Workflow and Conventional Method in Manufacturing Complete Removal Prostheses.

作者信息

Dib Zakkour Sara, Dib Zakkour Juan, Guadilla Yasmina, Montero Javier, Dib Abraham

机构信息

Dental Clinic Dib Bucodental S.L., 37770 Guijuelo, Spain.

Dental Clinic of the Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain.

出版信息

Materials (Basel). 2023 Oct 30;16(21):6955. doi: 10.3390/ma16216955.

Abstract

The aging population in developed countries has increased the number of edentulous patients and, therefore, the need for prosthetic rehabilitation to improve their quality of life. Complete dentures are the main treatment option in these cases. The use of CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) in dentistry has improved clinical protocols and outcomes, achieving a reduction in work time and economic costs for the patients. The main objective of this review was to compare the characteristics of conventional and digital dentures, attempting to determine whether the use of new technologies represents an improvement in the properties of removable complete dentures. A bibliographic review was carried out in the PubMed/MEDLINE, Cochrane Library, Scielo, and Embase databases. With the initial search, 157 articles were obtained. After applying the inclusion and exclusion criteria, 64 publications were selected for this bibliographic review. The different conclusions of the studies consulted were compared regarding fit and retention, fracture resistance, surface roughness, biocompatibility, and aesthetics, taking into account the different methods of prostheses fabrication. In general, digital prostheses have shown better mechanical properties and, consequently, better biocompatibility and aesthetics than conventional prostheses. However, the obtained results were very heterogeneous, preventing a supported conclusion.

摘要

发达国家人口老龄化导致无牙患者数量增加,因此需要进行修复性康复治疗以提高他们的生活质量。全口义齿是这些病例的主要治疗选择。牙科中计算机辅助设计/计算机辅助制造(CAD/CAM)的应用改善了临床方案和治疗效果,减少了患者的工作时间和经济成本。本综述的主要目的是比较传统义齿和数字化义齿的特点,试图确定新技术的使用是否能改善可摘全口义齿的性能。在PubMed/MEDLINE、Cochrane图书馆、Scielo和Embase数据库中进行了文献综述。通过初步检索,获得了157篇文章。在应用纳入和排除标准后,选择了64篇出版物进行本次文献综述。考虑到假体制作的不同方法,比较了所查阅研究在贴合度和固位力、抗折性、表面粗糙度、生物相容性和美观性方面的不同结论。总体而言,数字化假体比传统假体表现出更好的机械性能,因此具有更好的生物相容性和美观性。然而,所获得的结果非常不一致,无法得出有依据的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcba/10650844/db2860219500/materials-16-06955-g001.jpg

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