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An update on computer-engineered complete dentures: A systematic review on clinical outcomes
Mathew T Kattadiyil1, Abdulaziz AlHelal2
1Professor and Director, Advanced Specialty Education Program in Prosthodontics, School of Dentistry, Loma Linda University, Loma Linda, Calif.
Computer-engineered complete dentures (CECDs) show improved retention and reduced chair time compared to conventional dentures. Digital archiving offers rapid fabrication, highlighting CECDs as a promising advancement in dental prosthetics.
Area of Science:
- Dental Prosthetics
- Digital Dentistry
- Biomaterials Engineering
Background:
- Increasing reports on computer-engineered complete dentures (CECDs).
- Lack of systematic reviews on clinical outcomes and applications of CECDs.
- Need to evaluate the efficacy and utility of advanced denture technologies.
Purpose of the Study:
- To systematically review the clinical outcomes of CECDs.
- To identify specific applications and advantages of CECDs.
- To synthesize current evidence on computer-engineered prosthodontics.
Main Methods:
- Systematic review of English literature (1984-2016).
- Searches in MEDLINE and Cochrane databases.
- Hand searches and citation mining to address PICO questions on outcomes and applications.
Main Results:
- Milled CECDs demonstrated significantly better retention than conventional dentures.
- CECDs resulted in reduced clinical time for fabrication and delivery.
- Digital archiving capability enables rapid data retrieval and prosthesis reproduction.
Conclusions:
- CECDs show a positive trend in clinical outcomes.
- Improved retention and reduced clinical time are key advantages.
- Patient selection may influence favorable outcomes; digital archiving is a significant benefit.
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