-
The Journal of Prosthetic Dentistry Sep 2023Digital workflows for digital complete denture fabrication have a variety of clinical and laboratory procedures, but their outcomes and associated complications are... (Review)
Review
STATEMENT OF PROBLEM
Digital workflows for digital complete denture fabrication have a variety of clinical and laboratory procedures, but their outcomes and associated complications are currently unknown.
PURPOSE
The purpose of this systematic review was to evaluate the clinical and laboratory procedures for digital complete dentures, their outcomes, and associated complications.
MATERIAL AND METHODS
Electronic literature searches were conducted on PubMed/Medline, Embase, and Web of Science for studies published from January 2000 to September 2022 and screened by 2 independent reviewers. Information on digital complete denture procedures, materials, their outcomes, and associated complications was extracted.
RESULTS
Of 266 screened studies, 39 studies were included. While 26 assessed definitive complete dentures, 7 studies assessed denture bases, 2 assessed trial dentures, and 4 assessed the digital images only. Twenty-four studies used border molded impression technique, 3 studies used a facebow record, and 7 studies used gothic arch tracing. Only 13 studies performed trial denture placement. Twenty-one studies used milling, and 17 studies used 3D printing for denture fabrication. One study reported that the retention of maxillary denture bases fabricated from a border-molded impression (14.5 to 16.1 N) was statistically higher than the retention of those fabricated from intraoral scanning (6.2 to 6.6 N). The maximum occlusal force of digital complete denture wearers was similar across different fabrication procedures. When compared with the conventional workflow, digital complete dentures required statistically shorter clinical time with 205 to 233 minutes saved. Up to 37.5% of participants reported loss of retention and up to 31.3% required a denture remake. In general, ≥1 extra visit and 1 to 4 unscheduled follow-up visits were needed. The outcomes for patient satisfaction and oral health-related quality of life were similar between conventional, milled, and 3D-printed complete dentures.
CONCLUSIONS
Making a border-molded impression is still preferred for better retention, and trial denture placement is still recommended to optimize the fabrication of definitive digital complete dentures.
PubMed: 37689573
DOI: 10.1016/j.prosdent.2023.07.027 -
Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi... Dec 2022This work aimed to synthesize a novel injectable alginate impression material and evaluate its accuracy.
OBJECTIVES
This work aimed to synthesize a novel injectable alginate impression material and evaluate its accuracy.
METHODS
Certain proportions of sodium alginate, trisodium phosphate dodecahydrate, potassium fluorotitanate, diatomaceous earth, and other ingredients were dissolved in water and mixed evenly with a planetary centrifugal mixer to obtain a certain viscosity base paste. Certain proportions of calcium sulfate hemihydrate, magnesium oxide, glycerin, and polyethylene glycol (PEG) 400 were mixed evenly with a planetary centrifugal mixer to obtain the reactor paste with the same viscosity as the base paste. The base and reactor pastes were poured into a two-cylinder cartridge at a 2∶1 volume ratio. A gun device was used to accomplish mixing by compressing materials into a mixing tip. The samples were divided into three groups: injectable alginate impression materials (IA group) as the experimental group, and Jeltrate alginate impression materials (JA group) and Silagum-putty/light addition silicone rubber impression materials (SI group) as the two control groups.
RESULTS
Scanning electron microscopy (SEM) showed that the injectable alginate impression materials had a denser structure and fewer bubbles than the commercial alginate impression material. The accuracy of the three kinds of impression materials was evaluated by 3D image superposition. The deviations between the three test group models and the standard model (trueness) were 49.58 μm±1.453 μm (IA group), 54.75 μm±7.264 μm (JA group), and 30.92 μm±1.013 μm (SI group). The deviations of the models within each test group (precision) were 85.79 μm±8.191 μm (IA group), 97.65 μm±11.060 μm (JA group), and 56.51 μm±4.995 μm (SI group). Significant differences in trueness and precision were found among the three kinds of impression materials (<0.05).
CONCLUSIONS
The accuracy of the new injectable alginate impression material was better than that of the traditional powder-type alginate impression material but worse than that of the addition silicone rubber impression materials. The novel injec-table alginate impression material demonstrated good operation performance and impression accuracy, showing broad application prospect.
Topics: Alginates; Silicone Elastomers; Dental Impression Materials; Powders
PubMed: 36416318
DOI: 10.7518/hxkq.2022.06.006 -
Journal of Clinical and Diagnostic... Oct 2015Utility of various dental materials ranging from diagnosis to rehabilitation for the management of oral diseases are not devoid of posing a potential risk of inducing... (Review)
Review
INTRODUCTION
Utility of various dental materials ranging from diagnosis to rehabilitation for the management of oral diseases are not devoid of posing a potential risk of inducing allergic reactions to the patient, technician and dentist. This review aims to develop a systematic approach for the selection and monitoring of dental materials available in the market thereby giving an insight to predict their risk of inducing allergic reactions.
MATERIALS AND METHODS
Our data included 71 relevant articles which included 60 case reports, 8 prospective studies and 3 retrospective studies. The source of these articles was Pub Med search done with the following terms: allergies to impression materials, sodium hypochlorite, Ledermix paste, zinc oxide eugenol, formaldehyde, Latex gloves, Methyl methacrylate, fissure sealant, composites, mercury, Nickel-chromium, Titanium, polishing paste and local anaesthesia. All the relevant articles and their references were analysed. The clinical manifestations of allergy to different dental materials based on different case reports were reviewed.
RESULTS
After reviewing the literature, we found that the dental material reported to cause most adverse reactions in patients is amalgam and the incidence of oral lichenoid reactions adjacent to amalgam restorations occur more often than other dental materials.
CONCLUSION
The most common allergic reactions in dental staff are allergies to latex, acrylates and formaldehyde. While polymethylmethacrylates and latex trigger delayed hypersensitivity reactions, sodium metabisulphite and nickel cause immediate reactions. Over the last few years, due to the rise in number of patients with allergies from different materials, the practicing dentists should have knowledge about documented allergies to known materials and thus avoid such allergic manifestations in the dental clinic.
PubMed: 26557634
DOI: 10.7860/JCDR/2015/15640.6589 -
Journal of Pharmacy & Bioallied Sciences Jul 2023The current study examined the accuracy of casts generated using direct impression processes with and without splints for multiple dental implants utilizing two...
A Comparative Study to Assess Accuracy of Casts Prepared using Direct Impression Technique with and without Splinting of Multiple Dental Implants Utilising Two Different Splinting and Impression Materials.
BACKGROUND
The current study examined the accuracy of casts generated using direct impression processes with and without splints for multiple dental implants utilizing two different splinting materials and impression materials.
MATERIALS AND METHODS
Dental replacement base intensity alleviating acrylic tar was used to create a reference model of a mandible with four inserts (Uniti, Equinox, D-3.7 mm, and L-13 mm) in the front. Polyether and polyvinyle siloxane impression materials were used to make impressions of the reference model utilizing direct non-splinted and splinted techniques.
RESULTS
Polyether impression material was found to produce more accurate impressions than polyvinyl siloxane, and impressions made using transfer copings splinted with pattern resins were found to be more accurate than those made using either unsplinted copings or copings splinted with light-cured wax resin.
CONCLUSIONS
All six impression techniques resulted in casts that were different from the reference model. Next, the polyether-splinted (SPR) technique is the nonsplinted technique employing polyether and polyvinyle siloxane imprint materials, and then, the splinted techniques using polyether and polyvinyle siloxane and produced the most accurate casts in comparison with the reference model.
PubMed: 37694030
DOI: 10.4103/jpbs.jpbs_271_23 -
Indian Journal of Dental Research :... Oct 20233D printing technology is replacing manual fabrication in all fields. 3D-printed impression trays should be assessed as they could replace conventional impression trays... (Comparative Study)
Comparative Study
BACKGROUND
3D printing technology is replacing manual fabrication in all fields. 3D-printed impression trays should be assessed as they could replace conventional impression trays in the future.
AIM
In-vitro comparison and evaluation of the dimensional stability and retention strength of impressions to custom impression trays fabricated using conventional method and additive technology.
MATERIALS AND METHODS
A maxillary edentulous auto-polymerizing acrylic resin model served as the master model. Two moulds were prepared from the master model in order to obtain 12 casts. One cast was scanned for 3D printing digital light processing (DLP) and fused deposition modelling (FDM) 24 impression trays using polylactic acid (PLA). Twelve casts were used to fabricate light cure impression trays. Polyvinyl-siloxane impressions were made on the master model using 36 impression trays and 18 trays each were used to assess dimensional stability and retention strength.
RESULTS
In dimensional stability analysis, one sample t-test revealed a statistically significant difference between each group and the master model followed by a one-way ANOVA. There were significant differences, but the difference was less with FDM trays (P < 0.05). In retention strength analysis, one-way Analysis of variance (ANOVA) revealed statistically significant difference between each group and post-hoc test revealed specific difference, the highest with FDM trays (P < 0.05).
CONCLUSION
Dimensional changes were observed at 30 minutes and 72 hours. Lesser dimensional changes were observed when impressions were made using FDM trays followed by DLP and light cure trays. The mean retention strength seen in descending order was FDM, followed by DLP and light cure trays. The best retention strength was noticed when impressions were made using FDM trays.
Topics: Dental Impression Technique; Dental Impression Materials; Printing, Three-Dimensional; Polyvinyls; Siloxanes; Humans; In Vitro Techniques; Models, Dental; Materials Testing
PubMed: 38739826
DOI: 10.4103/ijdr.ijdr_519_23 -
Journal of Pharmacy & Bioallied Sciences May 2019To study the associations of dermatoglyphic pattern and the dental archform among the young adult population.
AIM
To study the associations of dermatoglyphic pattern and the dental archform among the young adult population.
MATERIALS AND METHODS
The sample consisted of 150 randomly selected patients, within the age ranging from 15 to 25 years. The fingerprint patterns of the study subjects were recorded with a rolling impression technique using blue printer ink and the archform was assessed from the cast prepared from the impression of their lower dental arches. The data obtained were subjected to statistical analysis using SPSS software. The fingerprint patterns for each digit were analyzed and correlated with archform using appropriate statistical tests (chi-square test).
RESULTS
Although no fingerprint pattern was found to be specific for a particular dental archform, increased frequencies of whorls in subjects with square or ovoid archform, high frequencies of ulnar loop pattern with ovoid or tapered archform, and radial loop finger ridge pattern in those with tapered archform were observed.
CONCLUSION
Dermatoglyphic analysis can be used as an indicator for determining the dental archform at an early stage, thereby aiding in the orthodontic treatment of malocclusion aiming to establish favorable occlusion and long-term stability.
PubMed: 31198355
DOI: 10.4103/JPBS.JPBS_15_19 -
Biocontrol Science 2021Dental materials are inevitably contaminated with oral microorganisms. To prevent transmission of infectious diseases, impressions need to be disinfected. In the present...
Dental materials are inevitably contaminated with oral microorganisms. To prevent transmission of infectious diseases, impressions need to be disinfected. In the present study, we examined the disinfection effects on impression materials and biofilm removal by sodium dichloroisocyanurate (SDIC). Exponentially growing Streptococcus mutans, Escherichia coli, Staphylococcus aureus and Candida albicans, and dental plaque bacteria were suspended in phosphate buffered saline (PBS) and exposed for 1, 5 and 10 min to 1 mL of the 10 ppm, 100 ppm, 1,000 ppm, and 10,000 ppm SDIC solutions. The bactericidal effect was evaluated by colony forming units of each microorganisms. Moreover, the effect of SDIC solution on S. mutans biofilm was examined. Bactericidal effects of SDIC solutions on oral bacteria on dental impression surfaces were assessed and the surface quality of dental casts after immersion in SDIC solution for 30 min was observed under a scanning electron microscope. The number of all bacterial strains, including plaque bacteria, were significantly decreased by SDIC solution treatment in a dose-dependent manner. Significant S. mutans biofilm removing activity of SDIC was observed in 1,000 and 10,000 ppm solution. The number of oral bacteria adhering to the surfaces of impressions markedly decreased following 10-min immersion in the 1,000 ppm SDIC solution. The 30-min immersion of dental impression in the 1,000 ppm SDIC solution did not adversely affect the surface roughness of dental casts. The results indicate that SDIC Solution is useful to deactivate oral bacteria on dental impression.
Topics: Anti-Bacterial Agents; Biofilms; Dental Impression Materials; Disinfection; Streptococcus mutans; Triazines
PubMed: 33716245
DOI: 10.4265/bio.26.17 -
Cureus Sep 2022Introduction The current gold standard is a conventional impression made with various impression materials and trays and results in a gypsum cast. With the development...
Introduction The current gold standard is a conventional impression made with various impression materials and trays and results in a gypsum cast. With the development of milling and printing materials in dentistry, especially zirconia, a digital model has become increasingly important. Objectives To compare the accuracy of the conventional impression scan (CIS), gypsum cast scan (GCS), and digital impression scan (DIS) to obtain a full-arch digital model. Materials and methods A resin reference cast was fabricated. It was scanned by an extra-oral scanner to measure its accuracy as a reference scanner. Eight conventional impressions of the reference cast were taken by polyvinyl siloxane and scanned. After that, they were poured with type IV dental stones and scanned too. The reference cast was scanned by an intraoral scanner eight separate times. Digital models within each group were superimposed individually to measure precision. In addition, each model from each group was superimposed on one model from the reference scanner precision group to measure trueness. Results The reference scanner showed the highest accuracy among groups with a precision of 1.5±0.8 µm and a trueness of 5.5±1.9 µm (P<0.006), while precision values of gypsum cast were 8.1±1.7 µm and trueness values were 9.3±2.6 µm (P<0.012). Conventional impressions showed a precision of 14.06±2.01 µm and a trueness of 16.15±2.07 µm (P<0.012). Digital impressions were the least accurate among the groups, as precision values were 38.22±15.23 μm and trueness values were 35.19±8.7 μm (P<0.006). Conclusion The gypsum cast scans showed the highest accuracy, followed by the conventional impression scans, and finally the digital impression scans, with no clinical significance.
PubMed: 36249650
DOI: 10.7759/cureus.29055 -
Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi... Oct 2022This investigation aimed to develop a novel hydrophilic and antibacterial silicone rubber impression material for dental application.
OBJECTIVES
This investigation aimed to develop a novel hydrophilic and antibacterial silicone rubber impression material for dental application.
METHODS
The basic formula of the new silicone rubber was determined on a preliminary study, and 6% polyether modified silicone oil was added as wetting agent to provide the hydrophilicity. No-vel nano-antibacterial inorganic fillers containing quaternary ammonium salt with long chain alkyl were incorporated into the hydrophilic silicone rubber impression materials at a mass fraction of 0%, 1%, 2%, 3%, 4%, or 5%. A commercial silicone rubber impression material was used as control. The mechanical properties, wettability, detail reproducibility, dimensional stability, and mixing time of silicone rubber materials were measured. Thin-film adhesion method and cell counting kit-8 method were used to detect the antibacterial property and cytotoxicity. Scanning electron microscopy (SEM) was chosen to observe the micromorphology of the novel silicone rubber.
RESULTS
When the content of antibacterial filler exceeded 4%, the mechanical properties of the new silicone rubber decreased significantly (<0.05). Compared with those of the control group, the contact angle and linear size change rate of different groups had no significant change at different time nodes, and the detail reproducibility was intact (>0.05). The addition of antibacterial fillers had no significant effect on the mixing time (>0.05). Adding 4% antibacterial fillers could result in the antibacterial rate of 95.26%, showing good antibacterial properties. No significant difference was found in the cytotoxicity of all groups (>0.05). The SEM pictures of the cross section of the silicone rubber sample showed that the fillers had good compatibility with the silicone rubber matrix and distributed in the matrix evenly.
CONCLUSIONS
A novel silicone rubber impression material containing 6% polyether modified silicone oil could obtain promising hydrophilic and antibacterial properties after being added with 4% antibacterial inorganic fillers.
PubMed: 38596974
DOI: 10.7518/hxkq.2022.05.006 -
Journal of Clinical and Experimental... Aug 2020This systematic review aimed to evaluate the efficiency and accuracy of digital impression techniques for implant-supported restorations, and to assess their economic... (Review)
Review
BACKGROUND
This systematic review aimed to evaluate the efficiency and accuracy of digital impression techniques for implant-supported restorations, and to assess their economic feasibility.
MATERIAL AND METHODS
Two independent electronic database searches were conducted in the Pubmed/MedLine, Cochrane Library, and Lilacs databases complimented by a manual search, selecting relevant clinical and studies published between 1st January 2009 and 28st February 2019. All type of studies ( and ) were included in this systematic review.
RESULTS
Twenty-seven studies (8 and 19 studies) fulfilled the inclusion criteria. No meta-analysis was performed due to a large heterogeneity of the study protocols. The passive fit of superstructures on dental implants presented similar results between digital and conventional impression techniques. The studies considered that several factors influence the accuracy of implant impression taking: distance and angulation between implants, depth of placement, type of scanner, scanning strategy, characteristics of scanbody, and operator experience. Regarding the economic viability of intraoral scanning systems, only one study reported any benefit in comparison with conventional techniques.
CONCLUSIONS
Digital impressions of dental implants can be considered a viable alternative in cases of one or two contiguous dental implants. However, more studies are needed to evaluate the accuracy of digital techniques in full-arch implant-supported restorations. Intraoral scanner, dental implant, prosthesis, misfit, systematic review.
PubMed: 32913577
DOI: 10.4317/jced.57025