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Abstract
In edentulous patient, not only mastication and pronunciation but also esthetics are compromised. By restoring an edentulous patient with complete dentures, masticatory function and esthetics can be rehabilitated. The advantages of the dentures using CAD/CAM are that they can be reconstructed ubiquitously with stored data, and the strength and density of CAD/CAM material are clinically acceptable. In this clinical report, interocclusal record was taken in a conventional manner and then two lab processing procedures were performed: conventional method and CAD/CAM method. Two types of processing procedures were compared and evaluated. Fair clinical results were obtained in both ways, satisfying the patient.
Keywords: Complete denture, CAD/CAM, Denture base, Interocclusal record, Esthetics
Figures and Tables
 | Fig. 1Pre-operative extraoral photographs. (A) Frontal view without denture, (B) Frontal view with denture, (C) Lateral view without denture, (D) Lateral view with denture.
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 | Fig. 2Intraoral photographs showing inflammatory tissue. (A) Maxilla, (B) Mandible.
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 | Fig. 3Old denture analysis. (A) Frontal view with denture, (B) Lateral view with denture, (C, D) Comparison of old denture with diagnostic casts.
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 | Fig. 4Patient satisfaction survey (OHIP-14) for existing dentures.
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 | Fig. 5Final impression taking (C, D) with individual tray (A, B) and fabrication of definitive cast (E, F).
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 | Fig. 6Definitive denture tooth setup.
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 | Fig. 7Definitive conventional complete denture. (A) Frontal view, (B, C) Lateral view.
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 | Fig. 8Scanning definitive casts (A, B), wax rim (C, D), bite rim (E), and align scanned casts using Exocad Software (F).
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 | Fig. 9Design of complete denture using Exocad program. (A) Anterior teeth setup using upper wax rim, (B) Whole denture teeth setup, (C) Artificial gum formation.
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 | Fig. 10Fabricating virtual denture base using Meshmixer program. (A) Upper teeth STL file, (B) give offset to upper teeth, (C) Subtract offset upper teeth from upper denture STL file, (D) Upper denture base having cement gap.
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 | Fig. 11Design of accurate denture margin using Meshmixer program. (A) definitive cast STL file, (B) inverted cast STL file, (C) Upper denture base having cement gap, (D) Superimpose upper inverted cast and upper denture base STL file, (E) Connect margin of two STL files.
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 | Fig. 12Definitive CAD/CAM complete denture. (A) Frontal view, (B, C) Lateral view.
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Table 1
Time comparison of Conventional denture and CAD/CAM denture