COMPARATIVE ASSESSMENT OF THE MANUFACTURING TIME OF DENTAL PROSTHESES CREATED USING TRADITIONAL AND DIGITAL TECHNOLOGIES
Abstract and keywords
Abstract (English):
Subject. Modern digital technologies allow us to significantly automate the process of creating prosthetic devices. First, digital images of the patient's dental rows are obtained, then the future prosthesis is virtually modeled and made using a subtractive method using CAD/CAM, or an additive method using a 3D-printer. Objective ― conducting a comparative assessment of the time spent by an orthopedic dentist and a dental technician for the production of artificial dental crowns obtained using digital and traditional technologies. Methodology. The patients were divided into four groups according to the method of manufacturing temporary artificial crowns-from a composite material Protemp 4 using a silicone key, using the CAD/CAM-system KaVo ARCTIC from polymethylmethacrylate VITA CAD-Temp multicolor, using a 3D-printer Asiga Max UV from a biologically compatible photopolymer material NextDent C&B MFH and a laboratory method of cold plastic polymerization. For statistical analysis of the results obtained, the Kraskel―Wallis H-test and the Mann―Whitney W-test were used. In total, 40 medicinal artificial crowns were made, 10 in each group. Results. Based on the data obtained, it was found that for the manufacture of a dental artificial crown using the 3D-printer Asiga Max UV dentist orthopedist and dental technician should spend 38.8 ± 4.104 minutes, using CAD/CAM KaVo ARCTICA-29.0 ± 3.162 minutes, using the laboratory method ― 71.6 ± 4.502 and using a silicone key ― 62.8 ± 5.613. Conclusions. The obtained data allowed us to conclude that the production of a temporary artificial crown with the use of modern digital technologies (CAD/CAM-systems, intraoral laser scanning and 3D-printer) requires less time compared to traditional methods of manufacturing a prothesis (p<0.0166667).

Keywords:
digital technologies in dentistry, digital impressions, CAD/CAM, intraoral scanner, 3D printing, 3D printer, dental prostheses
References

1. Alieva, S. S. (2019). Rezul'taty krayevoy adaptatsii monolitnykh koronok iz dioksida tsirkoniya [Results of edge adaptation of monolithic zirconia crowns]. Problemy stomatologii [Actual problems in dentistry], 15, 3, 133-138. (In Russ.)

2. Vokulova, Yu. A. (2017). Razrabotka i vnedreniye tsifrovykh tekhnologiy pri ortopedicheskom lechenii s primeneniyem nes"yemnykh protezov zubov : avtoref. dis. ... kand. med. nauk : 14.01.14 [Development and implementation of digital technologies in orthopedic treatment with the use of non-removable dentures : autoref. dis. ... cand. med. sciences : 14.01.14]. Nizhny Novgorod, 22. (In Russ.)

3. Zhulev, E. N., Vokulova, Y. A. (2016). Izucheniye razmernoy tochnosti vnutrennego prileganiya iskusstvennykh koronok k kul'te opornogo zuba i tsifrovykh ottiskov v eksperimente [Study precision internal fit of artificial crowns to the cult of the reference tooth and the dimensional accuracy of digital impressions in the experiment]. Kubanskiy nauchnyy meditsinskiy vestnik [Kubanskii Nauchnyi Meditsinskii Vestnik], 6, 58-62. (In Russ.)

4. Zhulev, E. N., Vokulova, Y. A. (2020). Izucheniye razmernoy tochnosti iskusstvennykh koronok, izgotovlennykh s pomoshch'yu CAD/CAM sistemy i 3D printera [Studying the dimensional accuracy of artificial crowns made using a cad/cam system and a 3D printer]. Znanstvena misel [Znanstvena misel], 40, 20- 25. (In Russ.)

5. Karyakin, N. N., Gorbatov, R. O. (2019). 3D-pechat' v meditsine [3D printing in medicine]. Moscow : GEOTAR-Media, 240. (In Russ.)

6. Markskors, R. (2007). Nes"yemnyye stomatologicheskiye restavratsii [Non-removable dental restoration]. Moscow : Informatsionnoe agentstvo Newdent, 368. (In Russ.)

7. Mirzoeva, M. S. (2017). Ispol'zovaniye skanirovaniya v ortopedicheskoy stomatologii : obzor literatury [Applic atio n of scanning techologies in orthopedic dentistry: a review]. Problemy stomatologii [Actual problems in dentistry], 13, 1, 31-34. (In Russ.)

8. Naumovich, S. S., Razorenov, A. N. (2016). SAD/CAM sistemy v stomatologii: sovremennoye sostoyaniye i perspektivy razvitiya [CAD/CAM systems in dentistry: current state and perspectives of development]. Sovremennaya stomatologiya [Modern dentistry], 4, 2-9. (In Russ.)

9. Lebedenko, I. YU., Arutyunov, S. D., Ryahovskij, A. N. (2016). Ortopedicheskaya stomatologiya : natsional'noye rukovodstvo [Orthopedic dentistry : national guide]. Moscow : GEOTAR-Media, 158. (In Russ.)

10. Petrikas, O. A., Trapeznikov, D. V., Maslov, A. N., Petrikas, I. V. (2018). Izucheniye prochnosti na izgib akrilovykh i bis-akrilovykh materialov dlya provizornykh protezov posle ikh pochinki [The flexural strength evaluation of the acrylic and bis-acrylic provisional materials after repair]. Problemy stomatologii [Actual problems in dentistry], 14, 2, 104-108. (In Russ.)

11. Rozenshtil', S. F., Lend, M. R., Fudzhimoto, YU. (2010). Ortopedicheskoye lecheniye nes"yemnymi protezami [Orthopedic treatment with fixed prostheses]. Moscow : Medpress, 940. (In Russ.)

12. Ryahovskij, A. N. (2010). Tsifrovaya stomatologiya [Digital dentistry]. Moscow : Avantis LLC, 282. (In Russ.)

13. Smit, B., Hou, L., ed. Novikov, E. Yu. (2010). Koronki i mostovidnyye protezy v ortopedicheskoy stomatologii [Crowns and bridges in orthopedic dentistry]. Moscow : Medpress-inform, 344. (In Russ.)

14. Stomatov, A. V., Stomatov, D. V., Ivanov, P. V., Marchenko, V. V., Piitsky, E. V., Umarataev, S. U. (2020). Sravnitel'naya kharakteristika provizornykh koronok, izgotovlennykh po metodu CAD/CAM frezerovaniya i 3D-pechati [Application of 3D technologies in orthopedic dentistry]. Stomatologiya dlya vsekh [Dentistry for all], 2, 45-49. (In Russ.)

15. Shustova, V. A., Shustov, M. A. (2016). Primeneniye 3D-tekhnologiy v ortopedicheskoy stomatologii [Application of 3D technologies in orthopedic dentistry]. St. Petersburg : SpetsLit, 159. (In Russ.)

16. Massironi, D., Paschetta, R., Romeo, D. (2008). Tochnost' i estetika. Klinicheskiye i zubotekhnicheskiye etapy protezirovaniya zubov [Precision and dental aesthetics. Clinical and laboratory procedures]. Moscow : Azbuka publishing House, 464. (In Russ.)

17. Fradeani, M., Barduchchi, D. (2010). Esteticheskaya reabilitatsiya nes"yemnymi ortopedicheskimi konstruktsiyami [Aesthetic rehabilitation in fixed prosthodontics]. 2, Moscow : Azbuka publishing House, 600. (In Russ.)

18. Dawood, A. et al. (2015). 3D printing in dentistry. Br Dent J, 219, 11, 521-529. DOI: 10.1038 / sj.bdj.2015.914

19. Gunpreet, O. et al. (2018). 3D Printing-Encompassing the Facets of Dentistry. Front Bioeng Biotechnol, 6, 172. DOI: 10.3389 / fbioe.2018.00172

20. Garcia, J. et al. (2018). 3D printing materials and their use in medical education: a review of current technology and trends for the future. BMJ Simul Technol Enhanc Learn, 14, 1, 27-40. doihttps://doi.org/10.1136/bmjstel-2017-000234

21. Chung, Y. J. (2018). 3D Printing of Resin Material for Denture Artificial Teeth: Chipping and Indirect Tensile Fracture Resistance. Materials (Basel), 11, 10, E1798. DOI: 10.3390 / ma11101798

22. Hui-Fang, Y., Jianjiang, Z., Yong, W. (2015). 3D printing technology in oral medicine in the field of application. China Medical Equipment, 30 (5), 63-65. DOI: 10.7502 / j.issn.1674-3962.2016.05.08

23. Birnbaum, N., Aaronson, H. (2008). Dental impressions using 3D digital scanners: virtual becomes reality. Compend Contin Educ Dent, 29, 8, 498-505.

24. Lee, W.-S., Lee, D.-H., Lee, K.-B. (2017). Evaluation of internal fit of interim crown fabricated with CAD/CAM milling and 3D printing system. J Adv Prosthodont, 9, 265-270. DOI: 10.4047 / jap.2017.9.4.265

25. Flugge, T. et al. (2013). Precision of intraoral digital dental impressions with iTero and extraoral digitization with the iTero and a model scanner. American Journal of Orthodontics and Dentofacial Orthopedics, 144, 3, 471-478. DOI: 10.1016 / j.ajodo.2013.04.017

26. Patzelt, S. et al. (2014). The time efficiency of intraoral scanners: an in vitro comparative study. J Am Dent Assoc, 145, 6, 542-551.


Login or Create
* Forgot password?