Abstract

The objective was to compare the adaptation between the major connectors of removable partial dentures derived from intraoral digital impressions and extraoral digital impressions. Twenty-four volunteers were enrolled. Each volunteer received an intraoral digital impression and one extraoral digital impression digitized from conventional gypsum impression. A software was used to create the major connectors on digital impression datasets. After all the virtual major connectors designed from Group intraoral digital impressions (Group I) and Group extraoral digital impressions (Group E) were directly fabricated by 3D printing technique, the adaptation of the final major connectors in volunteers’ mouths were measured. The adaptation ranged from 159.87 to 577.99 μm in Group I while from 120.83 to 536.17 μm in Group E. The adaptation of major connectors in Group I were found better at the midline palatine suture while the adaptation of major connectors in Group E were found better at the two sides of the palatal vault. In both groups, the highest accuracy in adaptation was revealed at the anterior margin of the major connectors. It is feasible to manufacture the major connectors by digital impression and 3D printing technique. Both the adaptation of the two kinds of digital impressions were clinical acceptable.

Highlights

  • CAD/CAM technique provides a new way with economized manpower and improved efficiency to manufacture dental restorations

  • From the intraoral or extraoral digital impression datasets showed good adaptation as the results obtained by traditional casting method[16,17], which supported that digital impressions and CAD/CAM techniques could be an alternative choice for the conventional fabrication of removable partial dentures (RPDs) frameworks

  • At Point M1, L1, R2, L2, R3 and L3, the silicon layers were thicker in Group intraoral digital impressions (Group I) than Group extraoral digital impressions (Group E) (p < 0.05), meaning the adaptation of major connectors derived from intraoral digital impressions was worse than that from extraoral digital impressions in these areas with adaptation difference of 44.11 μm to 286.85 μm

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Summary

Introduction

CAD/CAM (computer aided designed/computer aided manufactured) technique provides a new way with economized manpower and improved efficiency to manufacture dental restorations. Comparing much progress of CAD/CAM techniques for teeth-supported restorations with digital impressions, development for removable partial dentures (RPDs) is relatively slow It is more complicated because RPDs frameworks may cover a wider range of dentitions and soft tissues that covered by major connectors. From the intraoral or extraoral digital impression datasets showed good adaptation as the results obtained by traditional casting method[16,17], which supported that digital impressions and CAD/CAM techniques could be an alternative choice for the conventional fabrication of RPD frameworks. Available studies on RPD frameworks manufactured by intraoral digital impression combined with CAD/CAM techniques are still limited[17,22] This in vivo study was designed as a self-controlled experiment. The null hypothesis was that: (1) it was feasible to manufacture the major connectors of RPDs by intraoral digital impressions and 3D printing techniques; (2) there was no significant difference in adaptation measurement between the major-connectors fabricated from the two different digital impression data

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