CDA Journal - June 2021: New Trends in Prosthodontics

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digital dentures C D A J O U R N A L , V O L 4 9 , Nº 6

Computer-Engineered Complete Dentures: Where Are We Now? A Review Sarah Bukhari, BDS, MS; Abdulaziz A. Alzaid, BDS, MS; Raneem Alduraiby, BDS; Periklis Proussaefs, DDS, MS; and Mathew T. Kattadiyil, BDS, MDS, MS

abstract Background: Computer-engineered complete dentures (CECDs) or digital dentures have become a popular option for treating completely edentulous patients. CECDs are fabricated using additive or subtractive methods of manufacturing after the digitizing and designing process. The advantages and disadvantages of CECDs have been reported in the literature. The purpose of this review article was to evaluate the current status of CECDs by conducting a search of related literature. Types of studies reviewed: An electronic search of the English language literature was conducted using PubMed/MEDLINE database from January 1990 to July 2020. Fifty-six articles were reviewed in-depth and variables related to CECDs studied such as accuracy, adaptation, retention, properties, patient satisfaction, number of post insertion adjustments, surface treatment and denture teeth. Results: CECDs continue to be studied vigorously as evidenced by reports in the scientific literature. Milled CECDs are mostly reported to have superior adaptation, flexural strength, modulus of elasticity, fracture toughness, color stability and require less clinical chairtime for fabrication. Practical implications: Despite numerous advantages associated with CECDs, there is no clear scientific evidence yet that they offer a significant improvement in patient satisfaction and quality of life when compared to conventional CDs. Key words: Computer-engineered complete denture, CECD, milled dentures, printed dentures, digital dentures

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