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CAD-CAM complete digital dentures: An improved clinical and laboratory workflow
Francesco Grande1, Lorenzo Pavone2, Fabrizio Molinelli3
1PhD student, Department of Mechanical and Aerospace Engineering, Polytechnic University of Turin, Turin, Italy; and Research Assistant, Department of Prosthodontics, University of Ferrara, Ferrara, Italy.
The Journal of Prosthetic Dentistry
|December 29, 2024
Summary
This study introduces a new workflow for creating complete dentures using computer-aided design and manufacturing (CAD-CAM). This digital approach combines analog and digital methods to improve the fabrication process and clinical results.
Area of Science:
- Dentistry
- Biomaterials Engineering
- Digital Health
Background:
- Complete dentures are crucial for restoring function and aesthetics in edentulous patients.
- Traditional denture fabrication can be time-consuming and prone to errors.
- Advancements in digital technologies offer potential improvements in efficiency and accuracy.
Purpose of the Study:
- To present a novel clinical workflow for complete denture fabrication utilizing computer-aided design and computer-aided manufacturing (CAD-CAM) technology.
- To detail a streamlined process integrating digital and analog techniques for enhanced denture production.
- To achieve improved clinical outcomes through optimized planning and fabrication.
Main Methods:
- A 3-step clinical and 2-phase laboratory workflow was developed.
- The technique involves computer-aided design (CAD) for planning and computer-aided manufacturing (CAM) for milling.
- Prefabricated teeth were incorporated into the CAD-CAM milled complete denture bases.
Main Results:
- The workflow successfully produced two complete denture bases using CAD-CAM milling.
- The integration of digital and analog procedures was demonstrated.
- The method aims to maximize the benefits of both digital and analog materials and techniques.
Conclusions:
- The presented CAD-CAM workflow offers a novel approach to complete denture fabrication.
- This integrated digital and analog technique has the potential to enhance the efficiency and predictability of denture construction.
- Further clinical evaluation is warranted to confirm improved patient outcomes.

