Journal List > J Korean Acad Prosthodont > v.58(1) > 1142243

Cho and Lee: The treatment of an edentulous patient with conventional complete denture and CAD/CAM complete denture

Abstract

In patients with fully edentulous jaw, treatment of complete dentures should be carried out in many stages when following the conventional methods. Therefore there were disadvantages such as multiple visits to dental clinic is inevitable. In addition, errors caused by polymerization shrinkage, which happens during the fabrication of denture, and difficulties in reproduction of damaged or lost denture were considered as disadvantages. But nowadays, computer-aided design and computer-aided manufacturing (CAD/CAM) system is widely used in dentistry and it has begun to expand its spectrum in manufacturing complete dentures. Using CAD/CAM system to fabricate complete dentures can reduce the number of patient's visit and clinical chair time, since taking impression, recording jaw relation, and selection of artificial teeth are performed at the same time during the first visit, and delivering of dentures during the second visit is possible. In addition, because 3D-Printing technology is used, errors by polymerization shrinkage can be reduced. Among the companies that fabricate complete dentures using CAD/CAM system, DENTCA CAD/CAM denture (DENTCA Inc., Los Angeles, CA, USA) is the most commercialized company. In this case, we treated patients of complete dentures using conventional complete denture method and DENTCA CAD/CAM denture system in the same patient. We would like to report this case because we have achieved good results not only in functional aspects of pronunciation, chewing, and swallowing but also in aesthetic aspects.

Figures and Tables

Fig. 1

Initial panoramic radiograph.

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Fig. 2

(A) Taking first impression, (B) Taking wash impression.

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Fig. 3

(A) Separating the posterior part of upper tray, (B) Separating the posterior parts of lower tray.

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Fig. 4

Center pin in the lower tray.

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Fig. 5

Jaw gauge used to determine the vertical dimension.

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Fig. 6

(A) Gothic arch tracing with the EZ-tracer, (B) Bite registration, (C) Jaw relation record.

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Fig. 7

Lip Ruler used to measure length of upper lip.

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Fig. 8

Digital scanning, Teeth setup, Festooning.

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Fig. 9

(A) Try-in dentures, (B) Checking the occlusion in the patient's mouth.

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Fig. 10

(A) Occlusal view of maxillary complete dentures (Left: DENTCA CAD/CAM denture, Right: Conventional denture), (B) Occlusal view of mandibular complete dentures (Left: DENTCA CAD/CAM denture, Right: Conventional denture), (C) Frontal view of maxillary and mandibular complete dentures (Left: DENTCA CAD/CAM denture, Right: Conventional denture).

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Fig. 11

Denture delivery. (A) Frontal view of DENTCA CAD/CAM denture, (B) Frontal view of Conventional denture.

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Fig. 12

Survey for patient satisfaction.

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Fig. 13

(A) Occlusal view of maxillary complete dentures (Left: DENTCA CAD/CAM denture, Right: Conventional denture), (B) Occlusal view of mandibular complete dentures (Left: DENTCA CAD/CAM denture, Right: Conventional denture), (C) Denture delivery. (A) Frontal view of DENTCA CAD/CAM denture, (B) Frontal view of Conventional denture.

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ORCID iDs

Sungyoon Cho
https://orcid.org/0000-0001-6029-0837

Joonseok Lee
https://orcid.org/0000-0002-3709-1386

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