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prosthodontic applications of
lasers in dental laboratory
Sherif Sultan, BDS, MSc, PhD, Fixed10/21/2019 1
1- laser optical laboratory scanners(
laser is used as a light source)
• laser scanner: is a 3D scanner measuring the distance
to an object surface by triangulation mechanism
• Most dental optical scanners are triangulation or
confocal scanners. In case of triangulation, a light
source, typically a laser, shines onto an object and its
reflection is captured by a sensor that is positioned
slightly off-angle to the angle of the incident light. As
the next laser beam is reflected by an adjacent location
at a different distance to the light source, it is recorded
in a different location on the sensor array. It is this
difference that is used to compute the difference in
distance to the original source, and by inference the
topography of the surface being scanned.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
2
Components of any CAD/CAM systems
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
3
How a triangulation scanner works.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
4
• in case of confocal scanners, the device
consists of sensors that are preprogrammed
for a set distance that can register only light
reflected from that precise distance. The light
source here is red light not laser.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
5
2- Resin polymerization of 3D printed
casts.
• Virtual casts may be generated from data
captured directly intraorally or by a scan of a
solid model of the dentition obtained through a
conventional impression technique in the dental
laboratory with a laboratory scanner.
• These digital data can be used to generate solid
working casts by an additive process in which
incremental layers of resin are
polymerized by a laser.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
6
CAM(computer aided manufacturing
• CAM refers to the use of computer software to program
the machinery that is responsible for the milling or
printing of intermediate and final restorations.
• CAM is separate from the actual design of restorations—it
is the communication between the CAD software and the
milling units. This involves the selection of where on the
block of material a crown should be milled, how thick the
layers of wax should be during wax printing, and so on.
• CAM manufacturing techniques are:-
• subtractive.
• Additive.
• Combination(subtractive then additive).
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
7
 Additive
manufacturing
includes:-
8
• 3D Printing .
• laser sintering or
laser melting.
• Rapid prototyping
• Layered
manufacturing
• Stereo-lithography
3-New Technologies for Base Metal Alloys
(laser deposition or LENS technology)
• Optomec (http://www.optomec.com) developed laser deposition, or
LENS (laser-engineered net shaping), technology in which a high-power
laser in an argon environment is used for melting elemental or alloy
powders, which are directed onto a small area of a substrate through
special nozzles to build up, layer by layer, a complex part in a raster
(horizontal lines)pattern.
• This technique enables functionally graded titanium alloy compositions
to be created with controlled microstructures and mechanical
properties for orthopedic applications. However,
further development of the LENS system is needed for clinical usage in
prosthodontics, because dental restorations are much smaller than
orthopedic implants.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
9
Definitions
• Selective laser melting: SLM; an additive CAM continuous
layering buildup process in which elemental metal or alloy
powder deposition is closely followed by laser melting to
create a finished shape under computer control.
• Selective laser sintering: SLS; an additive CAM technique by
sintering plastics, glass, or ceramics into 3D structures.
• generally sintering means densification.
• But in PFM RESTORATIONS, Sintering is the process of firing
the compacted ceramic powder at high temperature to
ensure optimal densification. This occurs by pore
elimination and viscous flow when the firing temperature is
reached.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
10
• In laser sintering/melting dental technology, developed
by several companies (BEGO, Phenix Systems and
Heraeus Kulzer), a high power laser is used to
selectively fuse particles lying on a powder bed and
build a complex part layer by layer.
• This is used with Biocompatible Co-Cr alloys, titanium
and a gold-platinum alloys.
• As a result of further developments in laser sintering,
this technology may replace the dental casting
technology that has served the profession well for the
past century.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
11
4- Metal 3D printing
5- Laser sintering of dry milled partially
sintered Co-Cr alloy blanks
• Amann Girrbach (well known dental
manufacturing company, AG) introduced Ceramill
Sintron partially sintered Co-Cr alloy blanks that
can be readily dry-milled by means of a milling
machine and subsequently final sintered in a
special furnace with an argon atmosphere.
• Both the milling machine and the furnace can be
obtained from the manufacturer, which claims
that the process yields restorations and
frameworks with homogeneous and distortion-
free structures.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
12
6- Laser Welding (e.g:- laser star and I -
weld laser welding devices
• Laser welding is the joining of metal components through the
use of heat generated with a laser beam.
• Laser assembly of FDPs has been reported to have higher
strength and reduced corrosion in comparison with
conventional soldering, although laser-welded connectors
seem as susceptible to fatigue failure and may be less suitable
for joining noble-metal alloys than for base-metal alloys. Laser
welding is a practical way to join cast or milled titanium or
cobalt-chromium components (i.e., if these are to be used for
implant-supported prosthesis frameworks).
• RIGID CONNECTORS, Rigid connections in metal can be made
by casting, milling, laser sintering, soldering, or welding.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
13
• Manual laser welding systems are an essential tool for today's
modern dental laboratory. An excellent alternative to
conventional soldering procedures, manual laser welding
systems assist dental laboratory technicians in fabrication and
reconstructive repair procedures, including new cast clasp
assembly, loops and posts for tooth additions, cast extensions
for existing partials, new wrought wire single-arm clasping, as
well as many other common laboratory welding services. The
state-of-the-art, free-moving concept allows operators to
benefit from pin-point accuracy and localized heat, which
produces excellent seam welds and eliminates thermal
expansion on passive fit bridgework, implant bars and frames,
and other common dental prosthetic connections. E.g:-
LaserStar welding systems are suitable for most dental alloys
including titanium.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
14
Laser welding. Individual titanium components are carefully aligned in the
laser welding unit. The joining procedure is monitored with high
magnification video.
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
15
Laser welding applications
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
16
1. Welding connector
1. Extending a margin
• 3- welding implants
• 4- repairing porosity
• or hole in a crown
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
17
10/21/2019
Sherif Sultan, BDS,MSc,PhD,Fixed
Prothodontics
18

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Prosthodontic applications of lasers in dental laboratory

  • 1. prosthodontic applications of lasers in dental laboratory Sherif Sultan, BDS, MSc, PhD, Fixed10/21/2019 1
  • 2. 1- laser optical laboratory scanners( laser is used as a light source) • laser scanner: is a 3D scanner measuring the distance to an object surface by triangulation mechanism • Most dental optical scanners are triangulation or confocal scanners. In case of triangulation, a light source, typically a laser, shines onto an object and its reflection is captured by a sensor that is positioned slightly off-angle to the angle of the incident light. As the next laser beam is reflected by an adjacent location at a different distance to the light source, it is recorded in a different location on the sensor array. It is this difference that is used to compute the difference in distance to the original source, and by inference the topography of the surface being scanned. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 2
  • 3. Components of any CAD/CAM systems 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 3
  • 4. How a triangulation scanner works. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 4
  • 5. • in case of confocal scanners, the device consists of sensors that are preprogrammed for a set distance that can register only light reflected from that precise distance. The light source here is red light not laser. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 5
  • 6. 2- Resin polymerization of 3D printed casts. • Virtual casts may be generated from data captured directly intraorally or by a scan of a solid model of the dentition obtained through a conventional impression technique in the dental laboratory with a laboratory scanner. • These digital data can be used to generate solid working casts by an additive process in which incremental layers of resin are polymerized by a laser. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 6
  • 7. CAM(computer aided manufacturing • CAM refers to the use of computer software to program the machinery that is responsible for the milling or printing of intermediate and final restorations. • CAM is separate from the actual design of restorations—it is the communication between the CAD software and the milling units. This involves the selection of where on the block of material a crown should be milled, how thick the layers of wax should be during wax printing, and so on. • CAM manufacturing techniques are:- • subtractive. • Additive. • Combination(subtractive then additive). 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 7
  • 8.  Additive manufacturing includes:- 8 • 3D Printing . • laser sintering or laser melting. • Rapid prototyping • Layered manufacturing • Stereo-lithography
  • 9. 3-New Technologies for Base Metal Alloys (laser deposition or LENS technology) • Optomec (http://www.optomec.com) developed laser deposition, or LENS (laser-engineered net shaping), technology in which a high-power laser in an argon environment is used for melting elemental or alloy powders, which are directed onto a small area of a substrate through special nozzles to build up, layer by layer, a complex part in a raster (horizontal lines)pattern. • This technique enables functionally graded titanium alloy compositions to be created with controlled microstructures and mechanical properties for orthopedic applications. However, further development of the LENS system is needed for clinical usage in prosthodontics, because dental restorations are much smaller than orthopedic implants. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 9
  • 10. Definitions • Selective laser melting: SLM; an additive CAM continuous layering buildup process in which elemental metal or alloy powder deposition is closely followed by laser melting to create a finished shape under computer control. • Selective laser sintering: SLS; an additive CAM technique by sintering plastics, glass, or ceramics into 3D structures. • generally sintering means densification. • But in PFM RESTORATIONS, Sintering is the process of firing the compacted ceramic powder at high temperature to ensure optimal densification. This occurs by pore elimination and viscous flow when the firing temperature is reached. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 10
  • 11. • In laser sintering/melting dental technology, developed by several companies (BEGO, Phenix Systems and Heraeus Kulzer), a high power laser is used to selectively fuse particles lying on a powder bed and build a complex part layer by layer. • This is used with Biocompatible Co-Cr alloys, titanium and a gold-platinum alloys. • As a result of further developments in laser sintering, this technology may replace the dental casting technology that has served the profession well for the past century. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 11 4- Metal 3D printing
  • 12. 5- Laser sintering of dry milled partially sintered Co-Cr alloy blanks • Amann Girrbach (well known dental manufacturing company, AG) introduced Ceramill Sintron partially sintered Co-Cr alloy blanks that can be readily dry-milled by means of a milling machine and subsequently final sintered in a special furnace with an argon atmosphere. • Both the milling machine and the furnace can be obtained from the manufacturer, which claims that the process yields restorations and frameworks with homogeneous and distortion- free structures. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 12
  • 13. 6- Laser Welding (e.g:- laser star and I - weld laser welding devices • Laser welding is the joining of metal components through the use of heat generated with a laser beam. • Laser assembly of FDPs has been reported to have higher strength and reduced corrosion in comparison with conventional soldering, although laser-welded connectors seem as susceptible to fatigue failure and may be less suitable for joining noble-metal alloys than for base-metal alloys. Laser welding is a practical way to join cast or milled titanium or cobalt-chromium components (i.e., if these are to be used for implant-supported prosthesis frameworks). • RIGID CONNECTORS, Rigid connections in metal can be made by casting, milling, laser sintering, soldering, or welding. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 13
  • 14. • Manual laser welding systems are an essential tool for today's modern dental laboratory. An excellent alternative to conventional soldering procedures, manual laser welding systems assist dental laboratory technicians in fabrication and reconstructive repair procedures, including new cast clasp assembly, loops and posts for tooth additions, cast extensions for existing partials, new wrought wire single-arm clasping, as well as many other common laboratory welding services. The state-of-the-art, free-moving concept allows operators to benefit from pin-point accuracy and localized heat, which produces excellent seam welds and eliminates thermal expansion on passive fit bridgework, implant bars and frames, and other common dental prosthetic connections. E.g:- LaserStar welding systems are suitable for most dental alloys including titanium. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 14
  • 15. Laser welding. Individual titanium components are carefully aligned in the laser welding unit. The joining procedure is monitored with high magnification video. 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 15
  • 16. Laser welding applications 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 16 1. Welding connector 1. Extending a margin
  • 17. • 3- welding implants • 4- repairing porosity • or hole in a crown 10/21/2019 Sherif Sultan, BDS,MSc,PhD,Fixed Prothodontics 17