Eficacia del flujo de trabajo digital: resultados preliminaries
DOI:
https://doi.org/10.33448/rsd-v11i8.30598Palabras clave:
Prótesis fija sobre implantes; Escáner intraoral; CAD CAM.Resumen
Objetivo: El objetivo de este estudio observacional fue evaluar la efectividad del flujo de trabajo digital completo en la fabricación de prótesis implantosoportadas atornilladas con respecto a su ajuste pasivo. Materiales y Métodos: Este estudio presenta un resultado preliminar, parte del proyecto aprobado por el Comité de Ética del Centro Universitário José Campos Andrade (UNIANDRADE) bajo el número 3.367.320. La muestra estuvo compuesta por 9 pacientes que tenían áreas parcialmente edéntulas con 2 a 3 implantes cicatrizados, seleccionados en la clínica de la Faculdade Ilapeo de acuerdo con los criterios de inclusión. Todos fueron rehabilitados con prótesis parciales múltiples atornilladas sobre implantes metalocerámicas. Los pilares se seleccionaron de acuerdo con las características de los tejidos periimplantarios. Las estructuras se fresaron en cromo-cobalto y se recubrieron. El ajuste pasivo de la infraestructura se utilizó como criterio para evaluar la eficacia del flujo de trabajo digital completo a través de los criterios de la prueba de Sheffield. Se utilizaron modelos impresos para aplicar la cerámica de recubrimiento. Resultados: Este resultado preliminar presenta 14 prótesis fijas tipo tornillo implantosoportadas, instaladas en nueve pacientes. Todas las infraestructuras mostraron un resultado positivo según los criterios de evaluación. Conclusiones: Con base en los resultados preliminares presentados, parece justo concluir que el flujo de trabajo digital completo muestra la efectividad necesaria para la obtención de prótesis parciales atornilladas implantosoportadas múltiples metal cerámicas, ya que se observó un predominio de prótesis que presentaron ajuste pasivo.
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Abduo, J. (2014). Fit of CAD/CAM implant frameworks: a comprehensive review. The Journal of oral implantology, 40(6), 758-766. https://doi.org/10.1563/AAID-JOI-D-12-00117
Abduo, J., Bennani, V., Waddell, N., Lyons, K., & Swain, M. (2010). Assessing the fit of implant fixed prostheses: a critical review. The International journal of oral & maxillofacial implants, 25(3), 506-515.
Abduo, J., Lyons, K., Bennani, V., Waddell, N., & Swain, M. (2011). Fit of screw-retained. The International journal of prosthodontics, 24(3), 207-220.
Abduo, J., & Swain, M. (2012). Influence of vertical misfit of titanium and zirconia frameworks on peri-implant strain. The International journal of oral & maxillofacial implants, 27(3), 529-536.
Aragón, M. L., Pontes, L. F., Bichara, L. M., Flores-Mir, C., & Normando, D. (2016). Validity and reliability of intraoral scanners compared to conventional gypsum models measurements: a systematic review. European journal of orthodontics, 38(4), 429-434. https://doi.org/10.1093/ejo/cjw033
Berejuk, H. M., Shimizu, R. H., Sartori, I. A. M., Valgas, L., & Tiossi, R. (2014). Vertical microgap and passivity of fit of three-unit implant-supported frameworks fabricated using different techniques. The International journal of oral & maxillofacial implants, 29(5), 1064-1070. https://doi.org/10.11607/jomi.3421
Brånemark, P. I. (1983). Osseointegration and its experimental background. The Journal of prosthetic dentistry, 50(3), 399-410. https://doi.org/10.1016/s0022-3913(83)80101-2
Cesar, P. F., Marinho, R. M. M., & Souza, R. O. A. (2018). Fraturas em cerâmica: Qual a melhor resposta. PróteseNews, 5(3), 268-272.
Fluegge, T., Att, W., Metzger, M., & Nelson, K. (2017). A Novel Method to Evaluate Precision of Optical Implant Impressions with Commercial Scan Bodies - An Experimental Approach. Journal of prosthodontics: official journal of the American College of Prosthodontists, 26(1), 34-41. https://doi.org/10.1111/jopr.12362
Fontoura, D. C., Barros, V. M., Magalhães, C. S., Vaz, R. R., & Moreira, A. N. (2018). Evaluation of Vertical Misfit of CAD/CAM Implant-Supported Titanium and Zirconia Frameworks. The International journal of oral & maxillofacial implants, 33(5), 1027-1032. https://doi.org/10.11607/jomi.6320
Gjelvold, B., Chrcanovic, B. R., Korduner, E. K., Collin-Bagewitz, I., & Kisch, J. (2016). Intraoral digital impression technique compared to conventional impression technique. A randomized clinical trial. Journal of prosthodontics: official journal of the American College of Prosthodontists, 25(4), 282-287. https://doi.org/10.1111/jopr.12410
Jemt, T. (1991). Failures and complications in 391 consecutively inserted fixed prostheses supported by Brånemark implants in edentulous jaws: a study of treatment from the time of prosthesis placement to the first annual checkup. The International journal of oral & maxillofacial implants, 6(3), 270-276.
Jemt, T., Bäck, T., & Petersson, A. (1999). Precision of CNC-milled titanium frameworks for implant treatment in the edentulous jaw. The International journal of prosthodontics, 12(3), 209-215.
Jemt, T., & Lekholm, U. (1998). Measurements of bone and frame-work deformations induced by misfit of implant superstructures. A pilot study in rabbits. Clinical oral implants research, 9(4), 272-280. https://doi.org/10.1034/j.1600-0501.1998.090408.x
Jemt, T., & Lie, A. (1995). Accuracy of implant-supported prostheses in the edentulous jaw: analysis of precision of fit between cast gold-alloy frameworks and master casts by means of a three-dimensional photogrammetric technique. Clinical oral implants research, 6(3), 172-180. https://doi.org/10.1034/j.1600-0501.1995.060306.x
Joda, T., Ferrari, M., Gallucci, G. O., Wittneben, J. G., & Brägger, U. (2017). Digital technology in fixed implant prosthodontics. Periodontology 2000, 73(1), 178-192. https://doi.org/10.1111/prd.12164
Joda, T., Zarone, F., & Ferrari, M. (2017). The complete digital workflow in fixed prosthodontics: a systematic review. BMC Oral Health, 17(1), 124. https://doi.org/10.1186/s12903-017-0415-0
Joda, T., & Brägger, U. (2015). Time-Efficiency Analysis Comparing Digital and Conventional Workflows for Implant Crowns: A Prospective Clinical Crossover Trial. The International journal of oral & maxillofacial implants, 30(5), 1047-1053. https://doi.org/10.11607/jomi.3963
Kapos, T., & Evans, C. (2014). CAD/CAM technology for implant abutments, crowns, and superstructures. The International Journal of Oral & Maxillofacial Implants, 29 Suppl, 117-136. https://doi.org/10.11607/jomi.2014suppl.g2.3
Karl, M., Graef, F., Schubinski, P., & Taylor, T. (2012). Effect of intraoral scanning on the passivity of fit of implant-supported fixed dental prostheses. Quintessence international (Berlin, Germany: 1985), 43(7), 555-562.
Mangano, F., Gandolfi, A., Luongo, G., & Logozzo, S. (2017). Intraoral scanners in dentistry: a review of the current literature. BMC oral health, 17(1), 149. https://doi.org/10.1186/s12903-017-0442-x
Miyazaki, T., Hotta, Y., Kunii, J., Kuriyama, S., & Tamaki, Y. (2009). A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dental Materials Journal, 28(1), 44-56. https://doi.org/10.4012/dmj.28.44
Moreno, A., Giménez, B., Özcan, M., & Pradíes, G. (2013). A clinical protocol for intraoral digital impression of screw-retained CAD/CAM framework on multiple implants based on wavefront sampling technology. Implant dentistry, 22(4), 320-325. https://doi.org/10.1097/ID.0b013e3182980fe9
Oteiza-Galdón, B., Martínez-González, A., & Escuder, Á. V. (2020). Analysis of fit on implants of chrome cobalt versus titanium frameworks made by cad/cam milling. Journal of clinical and experimental dentistry, 12(10), e951-e957. https://doi.org/10.4317/jced.57817
Prasad, S., & Monaco Jr, E. A. (2009). Repairing an implant titanium milled framework using laser welding technology: a clinical report. The Journal of prosthetic dentistry, 101(4), 221-225. https://doi.org/10.1016/S0022-3913(09)00037-7
Rodrigues, M. A., Luthi, L. F., Takahashi, J. M., Nobilo, M. A., & Henriques, G. E. (2014). Strain gauges's analysis on implant-retained prosthesis' cast accuracy. Indian journal of dental research: official publication of Indian Society for Dental Research, 25(5), 635-640. https://doi.org/10.4103/0970-9290.147113
Russo, L. L., Caradonna, G., Biancardino, M., De Lillo, A., Troiano, G., & Guida, L. (2019). Digital versus conventional workflow for the fabrication of multiunit fixed prostheses: A systematic review and meta-analysis of vertical marginal fit in controlled in vitro studies. The Journal of prosthetic dentistry, 122(5), 435-440. https://doi.org/10.1016/j.prosdent.2018.12.001
Rutkunas, V., Larsson, C., Vult von Steyern, P., Mangano, F., & Gedrimiene, A. (2020). Clinical and laboratory passive fit assessment of implant-supported zirconia restorations fabricated using conventional and digital workflow. Clinical implant dentistry and related research, 22(2), 237-245. https://doi.org/10.1111/cid.12885
Samra, A. P. B., Morais, E. C. C., Mazur, R. F., & Vieira, S. R. (2016). CAD/CAM in dentistry – a critical review. Revista Odonto Ciência, 31(3), 140-144. https://doi.org/10.15448/1980-6523.2016.3.21002
Sartori, I. A., Ribeiro, R. F., Francischone, C. E., & Mattos, M. de (2004). In vitro comparative analysis of the fit of gold alloy or commercially pure titanium implant-supported prostheses before and after electroerosion. The Journal of prosthetic dentistry, 92(2), 132-138. https://doi.org/10.1016/j.prosdent.2004.04.001
Sawase, T., & Kuroshima, S. (2020). The current clinical relevancy of intraoral scanners in implant dentistry. Dental materials journal, 39(1), 57-61. https://doi.org/10.4012/dmj.2019-285
Schwarz, M. S. (2000). Mechanical complications of dental implants. Clinical oral implants research, 11(Suppl 1), 156-158. https://doi.org/10.1034/j.1600-
2000.011s1156.x
Siqueira, R., Galli, M., Chen, Z., Mendonça, G., Meirelles, L., Wang, H. L., & Chan, H. L. (2021). Intraoral scanning reduces procedure time and improves patient comfort in fixed prosthodontics and implant dentistry: a systematic review. Clinical oral investigations, 25(12), 6517-6531. https://doi.org/10.1007/s00784-021-04157-3
Skalak, R. (1983). Biomechanical considerations in osseointegrated prostheses. The Journal of prosthetic dentistry, 49(6), 843-848. https://doi.org/10.1016/0022-3913(83)90361-x
Song, S., Zheng, Z., Yang, L-Y., & Gao, X. (2019). Effect of materials and superstructure designs on the passive fit of implant-supported fixed prostheses. [Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi]. West China journal of stomatology, 37(1), 37-41. https://doi.org/10.7518/hxkq.2019.01.007
Souza, R. O. A. (2017). Novos Materiais Restauradores Livres de Metal. PróteseNews, 4(5), 554-564.
Spazzin, A. O., Bacchi, A., Trevisani, A., Farina, A. P., & Santos, M. B. (2016). Fit Analysis of Different Framework Fabrication Techniques for Implant-Supported Partial Prostheses. The International journal of prosthodontics, 29(4), 351-353. https://doi.org/10.11607/ijp.4542
Spitznagel, F. A., Boldt, J., & Gierthmuehlen, P. C. (2018). CAD/CAM ceramic restorative materials for natural teeth. Journal of dental research, 97(10), 1082-1091. https://doi.org/10.1177/0022034518779759
Standardization IOf. (1994). ISO 5725-1:1994. Accuracy (Trueness and Precision) of Measurement Methods and Results – Part 1: General Principles and Definitions: International Organization for Standardization Geneva, Switzerland. https://www.iso.org/obp/ui/#iso:std:iso:5725:-1:ed-1:v1:en
Stawarczyk, B., Frevert, K., Ender, A., Roos, M., Sener, B., & Wimmer, T. (2016). Comparison of four monolithic zirconia materials with conventional ones: contrast ratio, grain size, four-point flexural strength and two-body wear. Journal of the mechanical behavior of biomedical materials, 59, 128-138. https://doi.org/10.1016/j.jmbbm.2015.11.040
Stawarczyk, B., Keul, C., Eichberger, M., Figge, D., Edelhoff, D., & Lümkemann, N. (2017a). Three generations of zirconia: from veneered to monolithic. Part I. Quintessence international (Berlin, Germany: 1985), 48(5), 369-380. https://doi.org/10.3290/j.qi.a38057
Stawarczyk, B., Keul, C., Eichberger, M., Figge, D., Edelhoff, D., & Lümkemann, N. (2017b). Three generations of zirconia: from veneered to monolithic. Part II. Quintessence international (Berlin, Germany: 1985), 48(6), 441-450. https://doi.org/10.3290/j.qi.a38157
Strub, J. R., Rekow, E. D., & Witkowski, S. (2006). Computer-aided design and fabrication of dental restorations: current systems and future possibilities. Journal of the American Dental Association (1939), 137(9), 1289-1296. https://doi.org/10.14219/jada.archive.2006.0389
Taşın, S., Turp, I., Bozdağ, E., Sünbüloğlu, E., & Üşümez, A. (2019). Evaluation of strain distribution on an edentulous mandible generated by cobalt-chromium metal alloy fixed complete dentures fabricated with different techniques: An in vitro study. The Journal of prosthetic dentistry, 122(1), 47-53. https://doi.org/10.1016/j.prosdent.2018.10.034
Tian, Y., Chen, C., Xu, X., Wang, J., Hou, X., Li, K., Lu, X., Shi, H., Lee, E. S., & Jiang, H. B. (2021). A review of 3D printing in dentistry: Technologies, affecting factors, and applications. Scanning (Article ID 9950131). https://doi.org/10.1155/2021/9950131
Tonin, B. S. H., Peixoto, R. F., Fu, J., Freitas, B. N., Mattos, M. G. C., & Macedo, A. P. (2021). Evaluation of misfit and stress distribution in implant-retained prosthesis obtained by different methods. Brazilian Dental Journal, 32(5), 67-76. https://doi.org/10.1590/0103-6440202104453
Uribarri, A., Bilbao-Uriarte, E., Segurola, A., Ugarte, D., & Verdugo, F. (2019). Marginal and internal fit of CAD/CAM frameworks in multiple implant-supported restorations: Scanning and milling error analysis. Clinical implant dentistry and related research, 21(5), 1062-1072. https://doi.org/10.1111/cid.12839
Yilmaz, B., Alshahrani, F. A., Kale, E., & Johnston, W. M. (2018). Effect of feldspathic porcelain layering on the marginal fit of zirconia and titanium complete-arch fixed implant-supported frameworks. The Journal of prosthetic dentistry, 120(1), 71-78. https://doi.org/10.1016/j.prosdent.2017.11.003
Yuzbasioglu, E., Kurt, H., Turunc, R., & Bilir, H. (2014). Comparison of digital and conventional impression techniques: evaluation of patients’ perception, treatment comfort, effectiveness and clinical outcomes. BMC Oral Health, 14, 10. https://doi.org/10.1186/1472-6831-14-10
Zervas, P. J., Papazoglou, E., Beck, F. M., & Carr, A. B. (1999). Distortion of three-unit implant frameworks during casting, soldering, and simulated porcelain firings. Journal of prosthodontics: official journal of the American College of Prosthodontists, 8(3), 171-179. https://doi.org/10.1111/j.1532-849x.1999.tb00032.x
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Derechos de autor 2022 Adriana Traczinski; João Paulo Lavagnoli Manfrinato; Paulo Afonso Tassi Junior; Ivete Aparecida de Mattias Sartori
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