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Evaluation of removable partial denture frameworks fabricated using 3 different techniques.

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The completely digital method for fabricating removable partial dentures (RPDs) proved superior to traditional analog and combined approaches. Digital fabrication offers the best clinical acceptability for RPD frameworks.

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Area of Science:

  • Dentistry
  • Biomaterials Engineering
  • Digital Health

Background:

  • Advancements in CAD-CAM technologies enable new RPD fabrication methods.
  • The clinical acceptability of digital versus analog RPD fabrication pathways requires investigation.

Purpose of the Study:

  • To compare the quality of RPD frameworks produced by analog, combined analog-digital, and fully digital methods.
  • To determine the most clinically acceptable fabrication pathway for RPDs.

Main Methods:

  • Fabricated three RPD frameworks per participant using analog, combined, and digital techniques.
  • Evaluated framework quality via a clinician survey assessing seven parameters.
  • Utilized polyvinyl siloxane impressions, stone casts, laboratory scanning, intraoral scanning, 3Shape CAD software, and selective laser melting.

Main Results:

  • The completely digital method was significantly superior to the analog method (P<.001).
  • Intraoral scanning demonstrated significantly better results than the combined method (P<.001).
  • The analog method outperformed the combined method (P=.008).

Conclusions:

  • The combined analog-digital pathway was the least clinically acceptable fabrication method.
  • The completely digital fabrication method was deemed the most clinically acceptable for RPDs.