Intro to Digital Dentistry Flashcards
What is Digital Dentistry?
*The use of dental technology or device
that incorporates digital or computer-
controlled components in contrast to
that of mechanical or electrical alone
CAD:
Computer Aided Design
The use of computer programs to create
two- or three-dimensional (2D or 3D)
graphical representations of physical
objects.
CAM :
Computer Aided
Manufacturing /Milling
The use of computer software to control
machine tools and related machinery in
the manufacturing of work pieces.
WHAT CAN WE DO WITH CAD/CAM?
(6)
*Single tooth restorations on natural teeth
* Multi-unit restorations on natural teeth
* 3-unit bridges
* Implant restorations
* RPD Frameworks
* Complete Dentures
*Single tooth restorations on natural teeth
(4)
ØCrowns
ØInlays
ØOnlays
ØVeneers
- Implant restorations
(4)
ØCustom abutments
ØCement retained crowns
ØTitanium milled bars for full arch restorations
ØMulti-unit frameworks for implant bridges
Why use CAD/CAM?
(8)
*Application of new materials
*Better cost effectiveness (some have estimated the savings in lab bills to range from 60%-70%)
*Reduction in labor
*Faster production process
*Precise dimensions
*Minimizing wastage of material
*Reducing energy consumption
* Better quality control
BENEFITS OF
DIGITAL
TECHNOLOGY
The multilevel quality
improvement afforded
through digital
technology is
recognized in workflow
and efficiency, record
keeping, data fidelity
and therapeutics.
LONGEVITY’OF’RESTORATIONS’
‘’Posterior’singleFtooth’restora4ons’fabricated’from’intraoral’scans’by’
using’CAD/CAM’technology’have’acceptable’results’for’
(4)
shade,’contour,’
marginal’adapta4on’and’occlusion’“
Survival rates:
—% after up to 17 years of clinical service
—% in 5.5 years vs —% for gold
—% in 5 years, —% in 10
—% in 9 years
88.7
88.8, 93.3
97, 90
98.4
Pre-requisite of Digital Imaging
(3)
*Digital Camera.
*Software.
*Production Unit.
CEREC® Bluecam System
(4)
*Inlays/ Onlays.
*Visible Blue Light (LEDs).
*Powder is required.
*Digital on-screen ArRculaRon.
CEREC Generation Comparison: CEREC Omnicam
Imaging Technique
3 D scan in color
Powder Usage
Area of Application
Advantages
Continuous data acquisition
Y
N
Single tooth, quadrant, and full
mouth
*Powder free.
*Easy handling
*Precise 3D image in natural
color.
CEREC Generation Comparison: CEREC Bluecam
Imaging Technique
3 D scan in color
Powder Usage
Area of Application
Advantages
Multiple shots joined together
N
Y
Single tooth, quadrant (full mouth
is possible)
*High precision.
*Rapid scan in powder coated
surfaces.
*Easy to use.
*Data Acquisition:
(2)
*Direct.
*Indirect.
*Accessibility to STL Files:
(2)
*Open.
*Close.
*Production of final restoration:
(3)
*Chair-side Production.
*Laboratory Production.
*Centralized Production Centers.
*DIRECT:
The data are directlyobtained from the patient’smouth via intra oral scanner.
*INDIRECT:
The data are indirectlyobtained in the lab either from an impression or a stone
cast.
*OPENFILES:
Are not dependent on the manufacturer, can be used with any
software to fabricate the final restoration.
*CLOSEFILES:
The data are controlled and manipulated by the owner
(manufacturer).
CAD / CAM Production Concepts In Dentistry
(3)
Chair-side Production
Laboratory Production
Centralized Production
CONVENTIONAL:
Initial Cost:
Additional Cost
- PVS + Registration Material ~
$17. - Trays, Dispensers, and Stone/
Shipping.
DIGITAL:
Ini$al Cost:
Addi$onal Cost:
*Scanner $20,000 -$30,000.
*Milling unit $110,000 -
$120,000.
- Electronic Lab
PrescripCons, Blocks, Burs,
and Maintenance.
