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A new digital denture procedure: a first practitioners appraisal.

Guillaume Bonnet1,2, Cindy Batisse1,2, Marion Bessadet1,2

  • 1Université Clermont Auvergne, CROC, F-63000, Clermont-Ferrand, France.

BMC Oral Health
|December 22, 2017
PubMed
Summary

Digital complete removable dental prostheses offer efficiency and standardized results, simplifying the practitioner's role. However, current digital denture software requires further improvements for routine clinical adoption.

Keywords:
Cad-camComplete dentureDigital dentureMilling

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Area of Science:

  • Digital dentistry
  • Prosthodontics
  • Dental technology

Background:

  • Complete removable dentures are transitioning to digital workflows, primarily benefiting laboratory stages.
  • Conventional impression techniques remain essential for measuring oral mucosa depressibility, which optical scanners cannot capture.
  • This study evaluates the first fifteen digitally designed complete removable dental prostheses.

Purpose of the Study:

  • To describe the clinical and laboratory procedures for digitally designed complete removable dental prostheses.
  • To assess practitioners' appraisal of a digital denture system.
  • To identify the benefits and limitations of digital complete denture fabrication.

Main Methods:

  • Utilized the Wieland® Digital Denture® system, featuring a five-axis milling machine, laboratory scanner, and design software.
  • Performed fifteen complete denture rehabilitations using the described digital workflow.
  • Incorporated intraoral recording and template creation for functional validation.

Main Results:

  • Digital design simplifies the practitioner's role with streamlined intraoral recording and fewer sessions.
  • The digital workflow allows for precise mounting assemblies and reduces base deformation risks.
  • Templates enable functional validation of masticatory and phonatory functions before final prosthesis delivery.
  • Limitations were noted in scanning capabilities and software application scope.

Conclusions:

  • Digital denture design software demonstrates efficiency and aids in standardizing clinical outcomes.
  • Further software enhancements are necessary for widespread routine implementation in clinical practice.