Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
The future of Dentistry is going to be in Aesthetics, Efficiency, Accuracy and Technology. Here is a complete analysis of CAD/CAM and its materials in Dentistry. Focused on the CEREC System.
A new CAD/CAM-based procedure has the potential to revolutionize the way complete dentures are manufactured.
The term "Digital Denture" describes an integrated manufacturing process for CAD/CAM-based complete denture prosthetics. The Digital Denture process was presented to the public for the first time at IDS 2015. Key elements of this process include innovative devices, software programs and coordinated materials geared towards the needs of dental technicians and clinicians. Especially designed software programs streamline complex working steps, i.e. the setup of denture teeth. Digital Denture results in accurately fitting CAD/CAM denture bases and reduces the active working time required for accomplishing complete dentures.
EnvisionTEC 3D printers are known for accuracy, surface finish, reliability and speed. Our machines also deliver extreme flexibility with the power to print multiple materials.
Contact Engineering Technique – an all India distributors of EnvisionTEC 3D Printers. http://www.enggtechnique.com/3D-Printers
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The future of Dentistry is going to be in Aesthetics, Efficiency, Accuracy and Technology. Here is a complete analysis of CAD/CAM and its materials in Dentistry. Focused on the CEREC System.
A new CAD/CAM-based procedure has the potential to revolutionize the way complete dentures are manufactured.
The term "Digital Denture" describes an integrated manufacturing process for CAD/CAM-based complete denture prosthetics. The Digital Denture process was presented to the public for the first time at IDS 2015. Key elements of this process include innovative devices, software programs and coordinated materials geared towards the needs of dental technicians and clinicians. Especially designed software programs streamline complex working steps, i.e. the setup of denture teeth. Digital Denture results in accurately fitting CAD/CAM denture bases and reduces the active working time required for accomplishing complete dentures.
EnvisionTEC 3D printers are known for accuracy, surface finish, reliability and speed. Our machines also deliver extreme flexibility with the power to print multiple materials.
Contact Engineering Technique – an all India distributors of EnvisionTEC 3D Printers. http://www.enggtechnique.com/3D-Printers
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
A New Proposal: a Digital Flow for the Construction of a Haas-Inspired Rapid ...Davide Decesari
A New Proposal: a Digital Flow for the Construction
of a Haas-Inspired Rapid Maxillary Expander
(HIRME)
Mauro Cozzani 1, Salima Antonini 1,*, Daniela Lupini 2, Davide Decesari 3, Fabrizio Anelli 4 and
Tiziana Doldo 5
applications of 3d printing in dental prosthodonticsahmedgamal968279
applications of 3d printing in dental prosthodontics including the history of 3d printers and types of 3d printers and different applications of 3d printers in dentistry and different and recent martials used with this technique
CAD CAM DENTURES IN PROSTHODONTICS : Dental advancementsDr Naveen Gokul R
Dr NAVEEN GOKUL R, BDS
This document explores the innovative integration of Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) technology in the field of prosthodontics, particularly in the fabrication of dentures. It discusses the evolution of traditional denture-making techniques and the benefits offered by CAD/CAM systems in terms of precision, customization, efficiency, and patient satisfaction. Additionally, it highlights the impact of CAD/CAM dentures on clinical workflows, prosthetic design, material selection, and patient outcomes. Through a comprehensive review of current research and clinical applications, this document aims to provide insights into the transformative role of CAD/CAM technology in modern prosthodontics.
Introduction:
The field of prosthodontics has witnessed remarkable technological advancements in recent years, with CAD/CAM systems revolutionizing the way dentures are designed and manufactured. Traditional methods of denture fabrication often involved multiple manual steps, leading to inconsistencies in fit, aesthetics, and functionality. CAD/CAM technology has overcome these limitations by enabling digital workflows that streamline the entire process, from initial impression-taking to final prosthesis delivery. This document explores the evolution of CAD/CAM dentures, their advantages over conventional techniques, and their implications for both clinicians and patients.
Evolution of CAD/CAM Dentures:
Historically, the fabrication of dentures relied heavily on manual techniques, such as hand waxing, flasking, and processing. While these methods served their purpose, they were labor-intensive, time-consuming, and prone to errors. The introduction of CAD/CAM technology revolutionized the field by introducing digital workflows that optimize every stage of the denture-making process. Initially used for crown and bridge restorations, CAD/CAM systems were later adapted for removable prosthodontics, including complete and partial dentures. Today, CAD/CAM dentures represent the pinnacle of precision and customization in prosthodontic care.
Benefits of CAD/CAM Dentures:
CAD/CAM dentures offer numerous advantages over traditional fabrication techniques. One of the primary benefits is enhanced precision, as digital impressions and virtual design tools enable clinicians to achieve optimal fit and aesthetics. Moreover, CAD/CAM systems facilitate greater customization, allowing for individualized tooth morphology, occlusal schemes, and gingival contours. This level of personalization enhances patient comfort and satisfaction while minimizing the need for adjustments post-insertion. Additionally, CAD/CAM technology enables efficient chairside or laboratory-based production, reducing turnaround times and enhancing productivity for dental practices.
Clinical Applications and Workflow Integration:
The integration of CAD/CAM technology into clinical practice
CAD CAM in dentistry / international orthodontics training centerIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Digital Removable Complete Denture—an Overview.pptxNishu Priya
There is a great responsibility for a dentist and a dental technologist to fabricate high-quality removable complete
dentures. Factors, such as a meticulous diagnosis and treatment planning, a personal communication between the
involved persons, and a profound knowledge of the clinical and technical possibilities, should lead to an easy, simple,
cost-effective, and highly satisfying denture fabrication workflow.
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
AN OVERVIEW OF THE CEREC 3D CAD/CAM SYSTEM / dental implant courses by Indian...Indian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
surgical guide fabrication for implant retained mandibular over denture / den...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Robotics in Dentistry: The Next Generation Technology- DentalReachhindol1996
With the advancements in technology, robots are being used in every sector of science because of their ability to do precise work without exhaustion and it has made its way into dentistry as well. This short review of literature discusses the application of dental robotics ranging from patient robots to the robots used in endodontics, oral surgery, implantology, prosthodontics & orthodontics.
Multi-source connectivity as the driver of solar wind variability in the heli...Sérgio Sacani
The ambient solar wind that flls the heliosphere originates from multiple
sources in the solar corona and is highly structured. It is often described
as high-speed, relatively homogeneous, plasma streams from coronal
holes and slow-speed, highly variable, streams whose source regions are
under debate. A key goal of ESA/NASA’s Solar Orbiter mission is to identify
solar wind sources and understand what drives the complexity seen in the
heliosphere. By combining magnetic feld modelling and spectroscopic
techniques with high-resolution observations and measurements, we show
that the solar wind variability detected in situ by Solar Orbiter in March
2022 is driven by spatio-temporal changes in the magnetic connectivity to
multiple sources in the solar atmosphere. The magnetic feld footpoints
connected to the spacecraft moved from the boundaries of a coronal hole
to one active region (12961) and then across to another region (12957). This
is refected in the in situ measurements, which show the transition from fast
to highly Alfvénic then to slow solar wind that is disrupted by the arrival of
a coronal mass ejection. Our results describe solar wind variability at 0.5 au
but are applicable to near-Earth observatories.
A brief information about the SCOP protein database used in bioinformatics.
The Structural Classification of Proteins (SCOP) database is a comprehensive and authoritative resource for the structural and evolutionary relationships of proteins. It provides a detailed and curated classification of protein structures, grouping them into families, superfamilies, and folds based on their structural and sequence similarities.
Cancer cell metabolism: special Reference to Lactate PathwayAADYARAJPANDEY1
Normal Cell Metabolism:
Cellular respiration describes the series of steps that cells use to break down sugar and other chemicals to get the energy we need to function.
Energy is stored in the bonds of glucose and when glucose is broken down, much of that energy is released.
Cell utilize energy in the form of ATP.
The first step of respiration is called glycolysis. In a series of steps, glycolysis breaks glucose into two smaller molecules - a chemical called pyruvate. A small amount of ATP is formed during this process.
Most healthy cells continue the breakdown in a second process, called the Kreb's cycle. The Kreb's cycle allows cells to “burn” the pyruvates made in glycolysis to get more ATP.
The last step in the breakdown of glucose is called oxidative phosphorylation (Ox-Phos).
It takes place in specialized cell structures called mitochondria. This process produces a large amount of ATP. Importantly, cells need oxygen to complete oxidative phosphorylation.
If a cell completes only glycolysis, only 2 molecules of ATP are made per glucose. However, if the cell completes the entire respiration process (glycolysis - Kreb's - oxidative phosphorylation), about 36 molecules of ATP are created, giving it much more energy to use.
IN CANCER CELL:
Unlike healthy cells that "burn" the entire molecule of sugar to capture a large amount of energy as ATP, cancer cells are wasteful.
Cancer cells only partially break down sugar molecules. They overuse the first step of respiration, glycolysis. They frequently do not complete the second step, oxidative phosphorylation.
This results in only 2 molecules of ATP per each glucose molecule instead of the 36 or so ATPs healthy cells gain. As a result, cancer cells need to use a lot more sugar molecules to get enough energy to survive.
Unlike healthy cells that "burn" the entire molecule of sugar to capture a large amount of energy as ATP, cancer cells are wasteful.
Cancer cells only partially break down sugar molecules. They overuse the first step of respiration, glycolysis. They frequently do not complete the second step, oxidative phosphorylation.
This results in only 2 molecules of ATP per each glucose molecule instead of the 36 or so ATPs healthy cells gain. As a result, cancer cells need to use a lot more sugar molecules to get enough energy to survive.
introduction to WARBERG PHENOMENA:
WARBURG EFFECT Usually, cancer cells are highly glycolytic (glucose addiction) and take up more glucose than do normal cells from outside.
Otto Heinrich Warburg (; 8 October 1883 – 1 August 1970) In 1931 was awarded the Nobel Prize in Physiology for his "discovery of the nature and mode of action of the respiratory enzyme.
WARNBURG EFFECT : cancer cells under aerobic (well-oxygenated) conditions to metabolize glucose to lactate (aerobic glycolysis) is known as the Warburg effect. Warburg made the observation that tumor slices consume glucose and secrete lactate at a higher rate than normal tissues.
Slide 1: Title Slide
Extrachromosomal Inheritance
Slide 2: Introduction to Extrachromosomal Inheritance
Definition: Extrachromosomal inheritance refers to the transmission of genetic material that is not found within the nucleus.
Key Components: Involves genes located in mitochondria, chloroplasts, and plasmids.
Slide 3: Mitochondrial Inheritance
Mitochondria: Organelles responsible for energy production.
Mitochondrial DNA (mtDNA): Circular DNA molecule found in mitochondria.
Inheritance Pattern: Maternally inherited, meaning it is passed from mothers to all their offspring.
Diseases: Examples include Leber’s hereditary optic neuropathy (LHON) and mitochondrial myopathy.
Slide 4: Chloroplast Inheritance
Chloroplasts: Organelles responsible for photosynthesis in plants.
Chloroplast DNA (cpDNA): Circular DNA molecule found in chloroplasts.
Inheritance Pattern: Often maternally inherited in most plants, but can vary in some species.
Examples: Variegation in plants, where leaf color patterns are determined by chloroplast DNA.
Slide 5: Plasmid Inheritance
Plasmids: Small, circular DNA molecules found in bacteria and some eukaryotes.
Features: Can carry antibiotic resistance genes and can be transferred between cells through processes like conjugation.
Significance: Important in biotechnology for gene cloning and genetic engineering.
Slide 6: Mechanisms of Extrachromosomal Inheritance
Non-Mendelian Patterns: Do not follow Mendel’s laws of inheritance.
Cytoplasmic Segregation: During cell division, organelles like mitochondria and chloroplasts are randomly distributed to daughter cells.
Heteroplasmy: Presence of more than one type of organellar genome within a cell, leading to variation in expression.
Slide 7: Examples of Extrachromosomal Inheritance
Four O’clock Plant (Mirabilis jalapa): Shows variegated leaves due to different cpDNA in leaf cells.
Petite Mutants in Yeast: Result from mutations in mitochondrial DNA affecting respiration.
Slide 8: Importance of Extrachromosomal Inheritance
Evolution: Provides insight into the evolution of eukaryotic cells.
Medicine: Understanding mitochondrial inheritance helps in diagnosing and treating mitochondrial diseases.
Agriculture: Chloroplast inheritance can be used in plant breeding and genetic modification.
Slide 9: Recent Research and Advances
Gene Editing: Techniques like CRISPR-Cas9 are being used to edit mitochondrial and chloroplast DNA.
Therapies: Development of mitochondrial replacement therapy (MRT) for preventing mitochondrial diseases.
Slide 10: Conclusion
Summary: Extrachromosomal inheritance involves the transmission of genetic material outside the nucleus and plays a crucial role in genetics, medicine, and biotechnology.
Future Directions: Continued research and technological advancements hold promise for new treatments and applications.
Slide 11: Questions and Discussion
Invite Audience: Open the floor for any questions or further discussion on the topic.
Nutraceutical market, scope and growth: Herbal drug technologyLokesh Patil
As consumer awareness of health and wellness rises, the nutraceutical market—which includes goods like functional meals, drinks, and dietary supplements that provide health advantages beyond basic nutrition—is growing significantly. As healthcare expenses rise, the population ages, and people want natural and preventative health solutions more and more, this industry is increasing quickly. Further driving market expansion are product formulation innovations and the use of cutting-edge technology for customized nutrition. With its worldwide reach, the nutraceutical industry is expected to keep growing and provide significant chances for research and investment in a number of categories, including vitamins, minerals, probiotics, and herbal supplements.
Observation of Io’s Resurfacing via Plume Deposition Using Ground-based Adapt...Sérgio Sacani
Since volcanic activity was first discovered on Io from Voyager images in 1979, changes
on Io’s surface have been monitored from both spacecraft and ground-based telescopes.
Here, we present the highest spatial resolution images of Io ever obtained from a groundbased telescope. These images, acquired by the SHARK-VIS instrument on the Large
Binocular Telescope, show evidence of a major resurfacing event on Io’s trailing hemisphere. When compared to the most recent spacecraft images, the SHARK-VIS images
show that a plume deposit from a powerful eruption at Pillan Patera has covered part
of the long-lived Pele plume deposit. Although this type of resurfacing event may be common on Io, few have been detected due to the rarity of spacecraft visits and the previously low spatial resolution available from Earth-based telescopes. The SHARK-VIS instrument ushers in a new era of high resolution imaging of Io’s surface using adaptive
optics at visible wavelengths.
Richard's entangled aventures in wonderlandRichard Gill
Since the loophole-free Bell experiments of 2020 and the Nobel prizes in physics of 2022, critics of Bell's work have retreated to the fortress of super-determinism. Now, super-determinism is a derogatory word - it just means "determinism". Palmer, Hance and Hossenfelder argue that quantum mechanics and determinism are not incompatible, using a sophisticated mathematical construction based on a subtle thinning of allowed states and measurements in quantum mechanics, such that what is left appears to make Bell's argument fail, without altering the empirical predictions of quantum mechanics. I think however that it is a smoke screen, and the slogan "lost in math" comes to my mind. I will discuss some other recent disproofs of Bell's theorem using the language of causality based on causal graphs. Causal thinking is also central to law and justice. I will mention surprising connections to my work on serial killer nurse cases, in particular the Dutch case of Lucia de Berk and the current UK case of Lucy Letby.
Miyazaki a review of dental cad-cam current status and future perspectives from 20 years of experience
1. Dental Materials Journal 2009; 28(1): 44-56
Review
A review of dental CAD/CAM: current status and future perspectives from
20 years of experience
Takashi MIYAZAKI, Yasuhiro HOTTA, Jun KUNII, Soichi KURIYAMA and Yukimichi TAMAKI
Showa University School of Dentistry, 1-5-8 Hantanodai, Shinagawa-ku, Tokyo 142-8555, Japan
Corresponding author, Takashi Miyazaki; E-mail: miyazaki@dent.showa-u.ac.jp
In this article, we review the recent history of the development of dental CAD/CAM systems for the fabrication of crowns
and fixed partial dentures (FPDs), based on our 20 years of experience in this field. The current status of commercial dental
CAD/CAM systems developed around the world is evaluated, with particular focus on the field of ceramic crowns and
FPDs. Finally, we discuss the future perspectives applicable to dental CAD/CAM. The use of dental CAD/CAM systems is
promising not only in the field of crowns and FPDs but also in other fields of dentistry, even if the contribution is presently
limited. CAD/CAM technology will contribute to patients’ health and QOL in the aging society.
Key words: CAD/CAM, Crowns and fixed partial dentures, Digitizing, Network, Zirconia
Received Sep 26, 2008: Accepted Dec 2, 2008
INTRODUCTION
In dentistry, we have a long history of contributing
to the needs of patients by offering dental restorative
and prosthetic devices such as inlays, onlays, crowns,
fixed partial dentures (FPDs), and removable
dentures, to recover patients’ oral function and
maintain their health. In contrast with other ordinal
industrial products, such dental devices were
originally tailor-made to the patient’s individual
condition. During the 20th
century, both dental
materials and dental technologies for the fabrication
of dental devices progressed remarkably. The lost-
wax precision casting of gold alloys, dough modeling
and curing of acrylic resins, and powder sintering of
dental porcelains were originally developed for
dentistry and are well established as conventional
dental laboratory technologies. There is no doubt
that high quality dental devices can be routinely
fabricated through the collaboration of dentists and
dental technicians. Nevertheless, dental laboratory
work still remains to be labor-intensive and
experience-dependent.
Owing to the increased demand for safe and
esthetically pleasing dental materials, new high-
strength ceramic materials have been recently
introduced as materials for dental devices1, 2)
. Since
these materials have proved to be inimical to
conventional dental processing technology, new
sophisticated processing technologies and systems
have been anticipated for introduction into dentistry.
One solution to this is the introduction of computer-
aided design and computer-aided manufacturing
(CAD/CAM) technology.
In relation to the rapid progress being made in
computer-assisted processing technology in various
industries since the 1970s, research and development
of dental CAD/CAM systems has been actively
pursued worldwide since the 1980s, including in
Japanese academies3-13)
. Recently, commercial dental
CAD/CAM systems have been introduced for specific
fields such as all-ceramic restorations. In this article,
we describe the recent history of the development of
dental CAD/CAM systems for the fabrication of
crowns and FPDs, based on our 20 years of
experience in this field. We also summarize the
current state of commercial dental CAD/CAM
systems that have been developed around the world,
with particular focus on the field of ceramic crowns
and FPDs. Finally, we discuss the future perspectives
applicable to dental CAD/CAM.
A BRIEF HISTORY OF DENTAL CAD/CAM
When we started research and development in the
1980s, the design and processing of dental devices
using CAD/CAM technology was generally believed
to be simpler and easier than for industrial products.
However, in reality, dental CAD/CAM is neither
simple nor easy for the following reasons:
1) Total cost, operation time, and manipulation of
the systems for processing dental devices using
CAD/CAM technology should be at the levels
found in conventional systems, or be superior,
to replace the conventional individual tailor-
made restorations and ensure that new
systems are practical in daily laboratory work
and clinical practice.
2) Morphology of the abutment teeth, related
adjacent teeth, and related opponent teeth
2. Dent Mater J 2009; 28(1): 44-56 45
should be accurately digitized prior to
designing the restoration to adjust crowns and
FPDs to abutment teeth and dentitions.
However, it was difficult to recognize the
delicate margin prepared by dentists using the
compact digitizers available at that time.
Therefore, the development of an accurate and
compact digitizer and related sophisticated
software was necessary for high-precision
digitizing of complex and delicate targets.
3) Numerical representation of the shape of
crowns and FPDs is complex in comparison
with the typical industrial products that are
expressed using functional equations. In
addition, because the restorations not only
have to be adjusted for abutment teeth but
must also harmonize with adjacent and
opposing teeth, once again, the development of
sophisticated CAD software of restorations was
necessary.
4) Accurate processing, including mechanical
milling of sharp corners and delicate margins
of crowns and FPDs, was difficult with brittle
ceramic materials. Therefore, the development
of a stiff processing machine and sophisticated
software to control the tool path were
necessary. In addition, the size of the machine
needed to be limited for installation in a
normal dental laboratory office.
In dentistry, the major developments of dental
CAD/CAM systems occurred in the 1980s. There
were three pioneers in particular who contributed to
the development of the current dental CAD/CAM
systems.
Dr. Duret was the first in the field of dental
CAD/CAM development4)
. From 1971 he began to
fabricate crowns with the functional shape of the
occlusal surface using a series of systems that started
with an optical impression of the abutment tooth in
the mouth, followed by designing an optimal crown
considering functional movement, and milling a
crown using a numerically controlled milling
machine. Later he developed the Sopha® System,
which had an impact on the later development of
dental CAD/CAM systems in the world.
The second is Dr. Moermann, the developer of
the CEREC® system3)
. He attempted to use new
technology in a dental office clinically at the chair-
side of patients. He directly measured the prepared
cavity with an intra-oral camera, which was followed
by the design and carving of an inlay from a ceramic
block using a compact machine set at chair-side. The
emergence of this system was really innovative
because it allowed same-day ceramic restorations.
When this system was announced, it rapidly spread
the term CAD/CAM to the dental profession.
The third is Dr. Andersson, the developer of the
Procera® system7)
. At the beginning of the 1980s,
nickel-chromium alloys were used as a substitute for
gold alloys because of the drastic increase of gold
prices at that time. However, metal allergies became
a problem, especially in Northern Europe, and a
transition to allergy-free titanium was proposed.
Since the precision casting of titanium was still
difficult at that time, Dr. Andersson attempted to
fabricate titanium copings by spark erosion and
introduced CAD/CAM technology into the process of
composite veneered restorations8)
. This was the
application of CAD/CAM in a specialized procedure
as part of a total processing system. This system
later developed as a processing center networked
with satellite digitizers around the world for the
fabrication of all-ceramic frameworks. Such
networked production systems are currently being
introduced by a number of companies worldwide.
Meanwhile, a number of Japanese universities
started research and development of dental CAD/
CAM systems in the latter half of the 1980s9-13)
and
several CAD/CAM systems have been available on
the domestic Japanese market. However, there was
the unfortunate situation in Japan that, even though
there was abundant research on dental CAD/CAM
at universities and companies during the past 20
years, dental service was largely provided by the
health insurance system, which have resisted the
routine application of dental CAD/CAM in clinics.
Nevertheless, considering the globalization of dental
services, it appears promising that dental CAD/CAM
will obtain approval for the application of all-ceramic
crowns and FPDs in Japan in the near future.
AN OVERVIEW OF DENTAL CAD/CAM
A variety of CAD/CAM systems have been applied to
the total process for fabricating restorations. An
overview of the current dental CAD/CAM systems
used for the fabrication of crowns and FPDs is given
in Fig. 1.
After the abutment teeth are prepared, the
mainstream work-flow for conventional metal
restorations is first obtained by taking an impression
followed by model production, wax up, and then
casting. When this work is performed with the aid of
computer-assisted technology, abutment teeth are
directly digitized inside the oral cavity instead of
taking conventional impressions. Restorations are
designed on a computer monitor using CAD software
based on the digitized data as a virtual wax-up.
Finally, restorations are processed by a computer-
assisted processing machine, usually a milling
machine. This process was investigated and
practically developed by the pioneer Dr. Duret.
However, direct digitizing of abutment teeth in a
mouth with a camera for crowns and FPDs was
3. Dent Mater J 2009; 28(1): 44-5646
technically difficult because of the restricted
measuring conditions in the mouth, including the
presence of adjacent teeth, gingiva, and saliva, which
made accurate recognition of the margin of an
abutment difficult. This has been a critical limitation
of the system to fabricate final precision restorations.
On the other hand, Dr. Moermann succeeded in
his efforts to produce a ceramic inlay restoration
using computer-assisted technology. Digitizing of the
inlay cavity was performed directly in the mouth
using a compact intra-oral camera, which was
technically less difficult compared with crown
abutments. Design and fabrication of the ceramic
inlays were performed using a compact machine set
at the chair-side in a dental office.
Currently, a stone model of crowns and FPDs is
first produced, as was done with conventional
methods, and this serves as the starting point for the
CAD/CAM process to ensure digitizing accuracy.
After the stone model is digitized, restorations can be
designed on the monitor and fabricated by various
processing machines. Dental laboratory technicians
can use this system as a laboratory tool. This flow is
most commonly followed by the current commercial
dental CAD/CAM systems available for crown and
FPD restorations. There are also systems that
complete the wax up, as in the conventional method,
and then digitize the wax patterns followed by
automatic processing.
Recently, networked CAD/CAM systems that
were originally based on the Procera® system have
garnered attention, especially for the fabrication of
high-strength ceramic frameworks. The role of
digitizing a stone model and that of CAD/CAM
processing are separated in this system. Data for the
abutment that are digitized at the satellite office are
transferred via the internet to a processing center
based anywhere in the world. Frameworks fabricated
at the center are then delivered to the satellite office
to complete the restorations by layering porcelains.
This is an application of CAD/CAM technology to a
specialized field within a total process. This
application holds promise for the fabrication of
zirconia frameworks.
DIGITIZING
Most of the current commercial CAD/CAM systems
Fig. 1 An overview of current dental CAD/CAM systems
using for the fabrication of crown-bridge
restorations.
Fig. 2 Currently available digitizing method using a contact probe.
Contact probe
Procera
(Nobel Biocare Germany GmbH, Germany)
4. Dent Mater J 2009; 28(1): 44-56 47
Fig. 4 Currently available digitizing method using a line laser beam or interference stripe with a CCD camera.
Fig. 3 Currently available digitizing method using a laser displacement gauge.
Point laser
PSD sensor
GN-1 (GC Co., Japan)
CEREC inLab (Sirona Dental of system GmbH, Germany)
Line laser beam
or
Interference stripe
CCD camera
Hint-Els DentaCAD system
(Hint-Els GmbH, Germany)
DECSY SCAN (Digital Process LTD., Japan)
5. Dent Mater J 2009; 28(1): 44-5648
available for the fabrication of crowns and FPDs use
a stone model as their starting point. The surface of
a stone model is measured using various measuring
tools to obtain the digital data that represent the
morphology of the target tooth. These measuring
tools are called digitizers and scanners. A variety of
methods of digitizing have been investigated and
developed. The methods currently available for
practical use are a contact probe14)
(Fig. 2), a laser
displacement gauge (Fig. 3) and a line laser beam
with a CCD camera (fig. 4).
When a fine-tipped probe is used as the contact
probe, even if it is very precise, it takes time to scan
the entire model surface. A laser displacement gauge
is relatively inexpensive and measurement takes less
time than with a contact probe. However, because
the reflected light of the projected laser beam is
recognized by a PSD sensor, the precision decreases
with the effects of diffusion. Corner precision was
particularly difficult to obtain15,16)
. When a line laser
is used, the scanning time is greatly reduced, but the
resolution of the CCD camera affects the precision.
Since none of the methods allowed for measurements
of undercuts of tooth, multi-axial control of the stage
of the stone model and the projection beam was
needed. As described later, small digitizers that could
be used separately in both a dental office and a
laboratory networked to the processing machine and
the processing center are very popular.
APPLICATION OF CAD/CAM AT THE DENTAL CHAIR-
SIDE IN A CLINIC
Dr. Moermann succeeded in his efforts to develop a
CEREC® system that would simply produce a
ceramic inlay restoration at the dental chair-side in a
short time. However, the occlusal surface of the inlay
had to be prepared by manual grinding3)
. On the
other hand, marginal fit of the prepared inlay was
initially unsatisfactory because of limits to the
camera’s digitizing accuracy. Nevertheless, this
system has gained acceptance in clinics when used
with recently developed adhesive composite luting
materials, and has helped increase popularity of
CAD/CAM within the dental profession.
The CEREC® system has been continually
improved in terms of both apparatus and software.
Numerous reports have been published on this
system, with satisfactory long-term results17-19)
. A
recent iteration of the system can fabricate not only
original inlays and onlays, but also crowns and the
cores/frameworks of FPDs in both clinical and
laboratory settings.
APPLICATION OF CAD/CAM FOR THE FABRICATION
OF CROWN-BRIDGE RESTORATIONS IN A DENTAL
LABORATORY
Spurred on by Dr. Duret’s developments, research
and development has been actively conducted to
fabricate crowns and FPDs with the anatomical
shape of the occlusal surface using CAD/CAM
technologies. Unfortunately, there are few published
reports regarding the development of both software
and hardware for the currently available systems
because of corporate trade secrets related to the
rapid progress and model-changes for commercial
products. Judging from the latest exhibitions at IDS
in 2006, the final development goal for the current
systems all seem to be heading in a similar direction.
Therefore, in this section, our research strategies
over the past 20 years of developing a dental CAD/
CAM will be described.
In 1985, we initially applied CAD/CAM
technology to several steps and parts of a total
fabrication system for removable prostheses
using numerically-controlled electric discharge
machining20-24)
. Then in 1990, we started research
and development into the direct application of CAD/
CAM technology for crowns and FPDs. At that time,
there were already several CAD/CAM systems
developed or under development to fabricate crowns
and FPDs practically. However, it took considerable
time to reproduce the digitized data three-dimension-
ally using computer graphics (CG) and to design an
appropriate crown on a monitor by undertaking the
so-called virtual wax-up operation. We succeeded in
developing software to automatically design crown
morphology in a short time instead of the time
consuming CG process on the monitor. In addition,
the structural mechanics of an optimally shaped
crown was also evaluated (Fig. 5). On the other hand,
CAD/CAM systems in development at that time
appear to have consisted of three components:
measuring equipment (digitizer/scanner), relatively
large processing machine, and a large computer
workstation to realize the CG of digitizing images
related to the CAD process. Installation of these
large systems at regular dental offices and
laboratories in Japan was limited not only because of
the price but also space limitations. Furthermore,
even if the advantage of production using a computer
was emphasized by the developer, essential quality
data such as the fit of the restorations were lacking
at presentations and in publications. Therefore, we
established the following development strategies and
started the development of a small and integrated
CAD/CAM machine for a dental use25-32)
.
1) Developing an operator-friendly CAD/CAM
system as a supplemental tool for dental
laboratories.
6. Dent Mater J 2009; 28(1): 44-56 49
2) Devising a compact and integrated machine
that could be installed in regular Japanese
laboratories.
3) Providing and displaying the operation using a
personal computer instead of an expensive and
large workstation.
4) Developing simple but high-performance
measuring equipment.
5) Providing an operator-friendly CAD process by
fully automating the design of crowns and
FPDs including the occlusal surface.
6) Fabrication of high-precision crowns and FPDs
using both metallic and ceramic materials.
As shown in Fig. 6, an initial prototype of a compact
and integrated CAD/CAM machine was developed in
1994. The device used a touch screen and could even
be operated by those with limited keyboard skills. It
incorporated a small laser displacement gauge and a
milling device that allowed measurement and
processing to take place in the same chamber. This
machine was probably the world’s first integrated
dental CAD/CAM machine. A second machine was
exhibited at the Japan Dental Show held during the
1995 general meeting of the Japanese Association for
Dental Science. We investigated the accuracy of
digitizing and the milled products. After a series of
modifications of both the hardware and the software,
a smaller, third-generation machine was developed
in 1996 and data were collected to facilitate the
release of the system into the market. Finally, in
1999, this machine was marketed under the product
name DECSY®29)
. Its basic specifications and
development philosophy have not changed.
It was operated by touching an LCD monitor.
The site and type of restoration and material to be
used were selected on-screen. Working models
separated beforehand from a dedicated tray were
placed on the measurement stage. When the button
to start measurement was pressed, the measurement
started automatically. Then, an occlusal record
obtained in the oral cavity beforehand by FGP was
placed on the occlusal surface of the model and
measurement was performed again.
Once the measurement of the working model was
completed with essentially a one-button operation
and without any graphical imaging of the shape of
abutment teeth, the design of crowns and FPDs was
implemented automatically in principle by sophisti-
cated software within 1 min. In addition, software to
expedite minor corrections of the crown morphology
was also developed and installed in the system.
Therefore, crown morphology could be customized as
desired by the operator.
After the design of the restorations was
completed, data for processing were calculated auto-
matically. The size of the block was selected on the
monitor depended on the size of the restorations.
Fig. 5 An optimally shaped crown designed and fabricated under the evaluation of structural mechanics.
7. Dent Mater J 2009; 28(1): 44-5650
Processing was started automatically by milling the
set block using a tool for rough machining (dia. 3.0
mm) and another for finishing (dia. 1.6 mm). The
machine could change tools automatically and invert
the work-piece automatically to mill both the outer
and inner sides of the crown. In addition to titanium,
ceramic materials that could be machined and
ground, such as crystalline glass ceramics and
porcelain, could be processed in 60-90 min. Once
the completed restoration was separated from the
remainder used as a grip by the device, final
polishing was performed as is done with conventional
methods.
Fitting tests performed for ceramic crowns with
three different materials showed the cement
thickness of the margin was 10-30 μm and that of
the axial portion and occlusal surface were at the
level of thickness designed by CAD, providing an
excellent fit25)
. There was no significant difference in
fit between the materials tested, guaranteeing a
reproducible and reliable fit.
We continued to develop compact and high-
performance measuring machines and released the
DECSY Scan® in 2003. This machine consisted of a
line laser and CCD camera that allowed higher-
precision measurement at higher speeds.
Measurements for an abutment and adjunct teeth
that would take about 15 min. with the conventional
DECSY® were reduced to only 2 min. with the
DECSY Scan®. In addition, the projection of the line
laser and imaging with the CCD camera were
performed at an angle, and the measurement took
place as the model itself was rotated. Therefore, the
precision of margin measurement was drastically
improved. Furthermore, digitized data currently
being gathered with this machine could be
transferred to DECSY® via a network for processing
to increase the productivity. In Japan, single crowns
of leucite-reinforced glass ceramics fabricated by the
DECSY® system have been gaining increasing
popularity in clinics. They offered all-ceramic crowns
with excellent esthetics, fit, and mechanical
durability with the combination of adhesive resin
cements at a reasonable price for the patients.
APPLICATION OF CAD/CAM FOR OUTSOURCING
DENTAL LABORATORY WORK USING NETWORKS
High strength ceramics have been developed as the
core/framework material for all-ceramic restorations
because of their improved esthetics and the eventual
biological incompatibility risks of metals used for
conventional porcelain-fused to metal restorations
(PFM)1, 33)
. Because of the improved mechanical
properties, especially flexural strength and fracture
toughness, lithium disilicate (Empress II ®), glass-
infiltrated alumina (InCeram Alumina®), glass-
infiltrated alumina with partially stabilized zirconia
Fig. 6 Initial prototype of a compact and integrated CAD/CAM machine developed in 1994.
Touch screen
Small laser displacement gauge
Milling device
8. Dent Mater J 2009; 28(1): 44-56 51
(In-Ceram Zirconia®), densely sintered high-purity
alumina (Procera®) and yttria-stabilized tetragonal
zirconia polycrystal materials (Cercon®, DCS-
Precident®, and Lava®) have been used as framework
materials for all-ceramic FPDs 34-42)
.
Since the design and fabrication of the
framework for high-strength ceramics were
technically sensitive and inimical to conventional
dental laboratory technology, new technologies using
CAD/CAM combined with a networked machining
center, i.e. outsourcing the framework fabrication
using a network, have been introduced positively in
recent years.
The Procera system was the world’s first
practical application of outsourced fabrication of
densely sintered high-purity alumina cores for all-
ceramic crowns using a network between individual
dental laboratories worldwide and a processing
center in Sweden and the USA7, 43)
. A compact
measuring machine was installed in the dental
laboratory and once a stone model was measured, the
digitized data were sent to the processing center via
the Internet. A processing center was effectively a
factory that made dental restorative and prosthetic
devices. Using a large, and computer-controlled
processing machine, the processing center efficiently
CAD/CAM system
(Manufacture)
Dizitizing
Method
Restoration type Material Central
Machining
center
In Veneer Cr Br Resin Titanium Gold Ceramic Alumina Zirconia
Etkon®
(Etkon AG)
PSD/
Laser ○ ○ ○ ○ ○ ○ ○ ○
Everest®
(KaVo electrotechnical
work GmbH)
CCD/
White
light
○ ○ ○ ○ ○ ○ ○ Available
Lava®
(3M ESPE Dental AG)
CCD/
White
light
○ ○ ○ ○ ○ Available
Pro 50, WaxPro®
(SYNOVAD)
CCD/
Color
light
○ ○ ○ ○ ○ ○ ○
Procera®
(Nobel Biocare
Germany GmbH)
Touch
Probe
○ ○ ○ ○ ○ ○ ○ ○
Hint ELs DentaCAD
system®
(Hint-ELs GmbH)
CCD/
White
light
○ ○ ○ ○ ○ Available
KATANA system®
(Noritake dental
supply co.,LTD)
CCD/
Laser ○ ○ ○ Available
Cercon smart
ceramics®
(DeguDent GmbH)
CCD/
Laser ○ ○ ○ Available
CEREC3®/inLab®
(Sirona Dental of
system GmbH)
CCD/
Laser ○ ○ ○ ○ ○ ○ Available
DCS Dental®
(DSC Dental AG)
PSD/
Laser ○ ○ ○ ○ ○ ○ ○ ○ Available
ZENO® Tec System
(Wieland Dental &
Technik GmbH)
CCD/
Laser ○ ○ ○ ○ ○ ○ Available
Table 1 Main dental CAD/CAM systems in the world available for zirconia
9. Dent Mater J 2009; 28(1): 44-5652
produces frameworks of crowns and FPDs and
delivers them back to the laboratory that ordered
them. In the laboratory, the esthetic restorations
were completed by layering compatible porcelain on
the framework.
Yttria-stabilized tetragonal zirconia polycrystals
(Y-TZP), which have greater fracture resistance than
conventional ceramics, are gaining increasing
attention as a framework material for FPDs.
Currently, most of the commercially available CAD/
CAM systems in the world use Y-TZP to fabricate the
frameworks of FPDs 39-47)
. (Table 1)
There are two types of zirconia blocks currently
available for distinct CAD/CAM applications. The
first application is the use of fully sintered dense
blocks for direct machining using a dental CAD/CAM
system with a grinding machine with higher
stiffness. The second application is the use of
partially sintered blocks for CAD/CAM fabrication
followed by post-sintering to obtain a final product
with sufficient strength. The former has the
advantage of a superior fit because no shrinkage is
involved in the process, but has a disadvantage of
inferior machinability associated with the wear of the
tool. In addition, micro-crack formation on the
material during the milling procedure might
deteriorate mechanical durability46, 50)
. The latter has
the advantage of easy machinability without wear on
the tools or chipping of the material. However,
because of the extensive sintering shrinkage during
the post-sintering process, the fit of the frameworks
must be compensated for by the dimensional
adjustment of CAD procedures involving the
frameworks46, 47)
. Through the use of a network, this
system reduces labor from that needed with a
conventional CAD/CAM system and completed final
restorations in an individual dental laboratory.
The digitizing technology and software we
developed for the Decsy Scan was applied to a new
system for the fabrication of zirconia frameworks.
This is currently available for clinics as the
KATANA® system (Fig. 7). In this system, Y-TZP
green blocks are available for milling. The size of the
framework is increased by the CAD process to
compensate for any prospective shrinkage that might
occur during final sintering at 1350-1400°C. We have
already investigated the marginal and internal fits of
the frameworks with the KATANA system, and found
satisfactory fits within clinically acceptable levels53)
.
There were also reports on the marginal fit of
zirconia frameworks fabricated by different
commercial systems that also suggested satisfactory
fits54-56)
. However, we also found sintering shrinkage
of the bulky pontic during the post sintering
processes that degraded the fit of the final
frameworks. Therefore, we suggest delicate
dimensional adjustment during the CAD process and
management to prevent distortion of the long
framework is necessary to guarantee the fit of CAD/
CAM fabricated zirconia frameworks.
Fig. 7 The KATANA® system currently available for clinics.
10. Dent Mater J 2009; 28(1): 44-56 53
ADVANTAGES OF CAD/CAM USE
The advantages of using CAD/CAM technology for
the fabrication of crowns and FPDs can be
summarized as: 1) application of new materials,
2) reduced labor, 3) cost effectiveness and 4) quality
control.
Materials and their processing technology have
been intimately related to the fabrication of dental
restorative and prosthetic devices throughout the
history of dentistry. When new materials are
introduced as candidates for the material of dental
devices, the application of conventional technology is
first tested. We sometimes overcome difficulties of
processing new materials and succeed in routinely
introduce new materials. However, high-strength
ceramics that were expected to be the new materials
for FPDs frameworks have been difficult to process
using conventional dental laboratory technologies.
Therefore, this challenged us to apply CAD/CAM
processing, particularly at a processing center with
large facilities. Overall, CAD/CAM technology was
useful and effective in compensating for changes in
dimensions that come with processing chalky
material and post-treatment to obtain fit of crowns
and FPDs to abutment teeth.
Conventional dental laboratory technologies are
traditionally labor-intensive. On the other hand, the
application of CAD/CAM technology, even within the
total processing system, should reduce the labor
involved. When a ceramic molar crown with leucite-
reinforced porcelain were produced with DECSY®, for
example, it took 4 min for the measurement, 1 min
for the design, 2 min for the conversion of the
processing data, and 90 min for the follow-on
processing with ceramics. This total processing time
was much shorter than that of conventional powder
build-up and baking of porcelain. In addition, the
operator attended the machine for only 5-6 min and
most of the process was performed automatically by
the CAD/CAM machine. Therefore, labor was vastly
reduced using CAD/CAM machine. Furthermore,
systems of outsourcing of some specialized procedures
to a processing center using network connections
allows for further reduction of labor time.
Conventional porcelain dental laboratory
processing with powder build-up and baking required
a degree of proficiency both in terms of reproducing
natural esthetics and shaping because of the
extensive sintering shrinkage during baking at high
temperatures. Since productivity was ineffective, the
cost of conventional porcelain restorations for the
patients was also necessarily high. On the other
hand, when porcelain crowns are milled from a
prefabricated porcelain block using a CAD/CAM
machine, for example, the cost of a block is
inexpensive because of mass-production. In addition,
even with regard to particular esthetic requirements,
milled crowns could be completed merely by staining,
using a conventional and simple method. This not
only reduces labor costs, but provides financial
advantages for the owners of dental laboratories and
dental offices and, in turn, for patients. Furthermore,
production of all-ceramic FPDs using a zirconia
framework fabricated by a CAD/CAM process could
provide even more financial benefits to owners of
dental laboratories because they can invest in small
measuring machines and not in large expensive
facilities; thus they could concentrate on conventional
porcelain processing.
The use of CAD/CAM technology can not only
shape restorations by milling, but also allows for
quality control of the dental devices by designing
optimal shapes based on material characteristics by
CAD; thus preventing degradations such as residual
strain due to the effects of processing, and ultimately
providing reproducible processing.
When milling a prefabricated ceramic block, the
quality of which has been confirmed beforehand by
the manufacturer, there are almost no internal
defects in the milled products, whereas conventional
powder build-up and baked porcelain products
usually contain internal porosity.
According to clinical and in vitro studies using
finite element and fractographic analyses, the
primary causes of failure reported for all-ceramic
FPDs differed from those reported for the metal-
ceramic FPDs. Fractures of ceramic FPDs tended to
occur in the connector areas because of the
concentrated stress57-61)
. Therefore, the design of the
connector, particularly the dimensions, must be made
independently depending on the type of ceramic
material used for the framework. CAD better
guarantees the durability and reduces the risk of
fracture.
Processing data can be saved and followed up
during the functional period for the device. Even if
evidence is required to predict the prognosis of
restorations during the functional period, these
features detailed here have not been available with
the conventional production systems in general use.
Therefore, quality control of dental restorative and
prosthetic devices using CAD/CAM technology will
be a factor with increasing importance in the future
with an aging society because such restorative and
prosthetic devices will need to function for longer
periods as part of the body.
A FUTURE PERSPECTIVE FOR DENTAL CAD/CAM
There are no doubts that treatment technologies and
materials in dentistry have progressively advanced
over the past 50 years, especially in the field of
restorative dentistry and prosthodontics. Some
11. Dent Mater J 2009; 28(1): 44-5654
opinion leaders in dentistry have stated that dental
service in these fields has reached its peak at the
moment and that there is no need to develop higher
technology in the future. However, we have an
objection to this opinion. Restoring a patient’s quality
of life (QOL) through dental service is becoming more
and more important to fostering the health of people
in an aging society. We have to offer more
comfortable and higher quality dental services to all
patients to maintain their oral function and restore
their QOL. Therefore, positive application of new
materials and novel technology is essential for dental
service in the future. We believe that CAD/CAM
technology will contribute greatly to the healthy
aging of patients.
As already mentioned in this article, there are
several directions to apply CAD/CAM systems in
dentistry. Among them, introduction of CAD/CAM
systems directly into clinics is promising. Patients
desire shorter treatment times and early functional
recovery for the sake of convenience. Dentists are
expected to offer esthetic tooth-colored restorations
with one appointment and at reasonable cost for
their patients. CAD/CAM technology applied at the
chair-side has the potential to deliver this service.
Compact, but high-precision, intraoral measurement
systems available for use directly in the mouth at the
chair-side must be developed. Additionally, tooth-
colored materials that satisfy sophisticated esthetics,
with excellent machinability, and the required
mechanical characteristics are of course necessary to
make this application popular.
Besides the demand for esthetic restorations, the
demand for comfortable high-quality FPDs and
removable dentures is also increasing in the aging
society. These devices have traditionally been
fabricated in dental laboratories but not at chair-
side. We still need to collaborate with dental
technicians to fabricate these devices. Considering
the expected functional lifetime of these devices as
part of the body, innovations in both materials and
technologies for the fabrication of FPDs are needed
to satisfy stringent safety and quality assurance
standards. Structural design analyses during CAD
process is promising and is expected to be a powerful
tool for the design of dental ceramic frameworks of
FPDs including the design of the connecting area to
decrease the risk of fracture during function. To
provide more sophisticated dental services using
restorative and prosthetic devices, future devices are
expected to be designed and fabricated with improved
function related to jaw movements. The analysis of
multiple-axis mandible movements for the purpose of
recovering oral function of patients has already been
widely investigated in prosthodontics. However, at
the moment, CAD software only establishes static
morphological reproduction of crowns and FPDs.
Production of dynamic occlusal morphology of CAD
process is still challenging but must be made
practical in the near future to offer dental devices for
the recovery of oral function.
In addition to the successful application of CAD/
CAM technology to the fabrication of FPDs, CAD/
CAM technology is also expected to be applied for the
fabrication of removable partial denture
frameworks62,63)
, orthodontic devices and implant
superstructures. Therefore, the application of CAD/
CAM technology is promising for the delivery of high
quality devices in all fields of dentistry. Additionally,
dental CAD/CAM should also be available in
educational settings and as training tools for daily
dental practice, with explanatory materials for
patients, diagnostic materials, and for simulations of
surgical procedures64, 65)
.
As shown in industrial fields, establishing global
standardization of dental CAD/CAM systems will
help make this new technology popular and replace
conventional dental laboratory technology. We must
not forget that CAD/CAM technology should be used
to accumulate data for both fabrication and the
functional period as these will be used to formulate
evidence-based guidelines for dental devices. Such
guidelines are anticipated but still are difficult to
develop when using only conventional technology.
CONCLUSION
In this article, we reviewed the current state and
future perspectives of the application of dental CAD/
CAM systems, particularly in the field of the
fabrication of crowns and FPDs restorations, from a
perspective based on our 20 years of experience in
this field. The application of dental CAD/CAM
systems is promising, not only in the field of crowns
and FPDs, but also in other fields of dentistry, even
if its contribution is limited at present. We feel proud
that we have been using dental restorative and
prosthetic devices to recover and maintain the oral
function and health of patients. There is no doubt
that the application of CAD/CAM technology in
dentistry provides innovative, state-of-the-art dental
service, and contributes to the health and QOL of
people in aging societies Therefore, we in the field of
dentistry must not procrastinate in implementing
new technology for the benefit of our patients.
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