Journal List > J Korean Acad Prosthodont > v.53(1) > 1034825

Park, Cho, Shin, and Choi: The treatment of an edentulous patient with DENTCA™ CAD/CAM Denture

Abstract

Nowadays, CAD/CAM is broadly used in dentistry for inlays, crowns, implant abutments and its spectrum is expanding to complete dentures. Utilizing CAD/CAM to fabricate complete dentures is expected to decrease chair time and the number of visits, thus decreasing total fabrication time, expenses and errors caused during fabrication processes. One of the systems using CAD/CAM, DENTCA CAD/CAM denture (DENTCA Inc. Los Angeles, USA) scans edentulous impressions, designs dentures digitally, fabricates try-in dentures by 3D printing and converts them into final dentures. Patients can wear final dentures after only 2 - 3 visits with satisfying adaptation. This case report introduces a 71-year-old male patient who visited to consult remaking of existing old dentures. Residual teeth with bad prognosis and root remnants were extracted and the patient used reformed existing mandibular denture for 2 months. And then DENTCA system started. One-step border molding was done using conventional tray of adequate size provided by DENTCA system and wash impression was taken. Gothic arch tracing was completed based on the vertical dimension of existing dentures. Both maxillary and mandibular trays were placed to the resultant centric relation and bite registration was taken. Then DENTCA scanned the bite registration, arranged the teeth, completed the festooning and fabricated the try-in dentures by 3D printing. The try-in dentures were positioned, occlusal plane and occlusal relations were evaluated. The try-in dentures were converted to final dentures. To create bilateral balanced occlusion, occlusal adjustment was done after clinical remounting using facebow transfer. The result was satisfactory and it was confirmed by patient and operator.

REFERENCES

1. Miyazaki T, Hotta Y, Kunii J, Kuriyama S, Tamaki Y. A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dent Mater J. 2009; 28:44–56.
crossref
2. Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods of obtaining required morphological data. J Prosthet Dent. 2012; 107:34–46.
crossref
3. Maeda Y, Minoura M, Tsutsumi S, Okada M, Nokubi T. A CAD/CAM system for removable denture. Part I: Fabrication of complete dentures. Int J Prosthodont. 1994; 7:17–21.
4. Kawahata N, Ono H, Nishi Y, Hamano T, Nagaoka E. Trial of duplication procedure for complete dentures by CAD/CAM. J Oral Rehabil. 1997; 24:540–8.
crossref
5. Sun Y, Lu¨ P, Wang Y. Study on CAD&RP for removable complete denture. Comput Methods Programs Biomed. 2009; 93:266–72.
6. Inokoshi M, Kanazawa M, Minakuchi S. Evaluation of a complete denture trial method applying rapid prototyping. Dent Mater J. 2012; 31:40–6.
crossref
7. Kattadiyil MT, Goodacre CJ, Baba NZ. CAD/CAM complete dentures: a review of two commercial fabrication systems. J Calif Dent Assoc. 2013; 41:407–16.
8. Kanazawa M, Inokoshi M, Minakuchi S, Ohbayashi N. Trial of a CAD/CAM system for fabricating complete dentures. Dent Mater J. 2011; 30:93–6.
crossref

Fig. 1.
4 sizes of DENTCA tray.
jkap-53-19f1.tif
Fig. 2.
(A) Taking first impression, (B) Taking Wash impression.
jkap-53-19f2.tif
Fig. 3.
(A) Separating the posterior part of upper tray, (B) Separating the posterior parts of lower tray.
jkap-53-19f3.tif
Fig. 4.
Center pin in the lower tray.
jkap-53-19f4.tif
Fig. 5.
Vertical dimension determination with the vertical gauge.
jkap-53-19f5.tif
Fig. 6.
(A) EZ-tracer, (B) Gothic arch tracing, (C) Bite registration, (D) Jaw relation record.
jkap-53-19f6.tif
Fig. 7.
Determination of upper lip length.
jkap-53-19f7.tif
Fig. 8.
(A) Impression scanning, (B) Arch detection (C) Teeth setup, (D) Festooning.
jkap-53-19f8.tif
Fig. 9.
(A) Try-in denture, (B) Checking the occlusal plane.
jkap-53-19f9.tif
Fig. 10.
(A) Facebow transfer for clinical remounting, (B) Frontal view of final dentures, (C) Occlusal view of maxillary denture (D) Occlusal view of mandibular denture.
jkap-53-19f10.tif
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