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Digital dentures: A protocol based on intraoral scans.

Lucio Lo Russo1, Angelo Salamini2, Giuseppe Troiano3

  • 1Associate Professor of Oral Diseases, Department of Clinical and Experimental Medicine, School of Dentistry, University of Foggia, Foggia, Italy.

The Journal of Prosthetic Dentistry
|April 26, 2020
PubMed
Summary

This study presents an integrated digital workflow for fabricating complete dentures using intraoral scans, eliminating the need for physical casts. This approach enhances patient comfort, clinic efficiency, and optimizes tooth arrangement through facial scan integration.

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Area of Science:

  • Dental prosthetics
  • Digital dentistry
  • Computer-aided manufacturing

Background:

  • Traditional complete denture fabrication relies on physical casts, which can be time-consuming and prone to inaccuracies.
  • Existing digital techniques for dentures often address specific tasks but lack a comprehensive, integrated workflow.
  • Intraoral scanning offers potential benefits in patient comfort, clinical efficiency, and laboratory workflow.

Purpose of the Study:

  • To describe a complete, integrated digital workflow for fabricating complete dentures.
  • To demonstrate the fabrication process starting solely from intraoral scans, without physical casts.
  • To incorporate facial scan data into the digital denture design for optimized tooth arrangement.

Main Methods:

  • Utilized intraoral scanners to capture precise digital impressions of the edentulous arches.
  • Developed a digital workflow integrating intraoral scans with partial and complete facial scans.
  • Employed digital design software for complete denture fabrication, optimizing tooth positioning based on facial morphology.

Main Results:

  • Successfully fabricated complete dentures using a fully digital workflow from intraoral scans.
  • Eliminated the need for conventional physical casts in the complete denture fabrication process.
  • Demonstrated improved tooth arrangement and esthetics through the integration of facial scan data.

Conclusions:

  • An integrated digital workflow utilizing intraoral scans is feasible for complete denture fabrication.
  • This digital approach offers advantages in efficiency, accuracy, and patient-centered outcomes.
  • Incorporating facial scans enhances the esthetic optimization of digital complete dentures.