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Murali Srinivasan, Porawit Kamnoedboon, Gerald John McKenna, Lea Angst, Martin Schimmel, Mutlu Özcan, Frauke Müller
OBJECTIVES: This review compared Computer-aided designand Computer-aided manufactured (CAD-CAM) and conventionally constructed removable complete dentures (CDs). DATA: Seventy-three studies reporting on CAD-CAM (milled/3D-printed) CDs were included in this review. The most recent literature search was performed on 15/03/2021. SOURCES: Two investigators searched electronic databases [PubMed (MEDLINE), Embase, CENTRAL], online search engines (Google) and research portals. Hand searches were performed to identify literature not available online. STUDY SELECTION: Studies on CAD-CAM CDs were included if they reported on trueness of fit, biocompatibility, mechanical, surface, chemical, color , microbiological properties, time-cost analysis, and clinical outcomes. Inter-investigator reliability was assessed using kappa scores. Meta-analyses were performed on the extracted data . RESULTS: The kappa score ranged between 0.897-1.000. Meta-analyses revealed that 3D-printed CDs were more true than conventional CDs (p = 0.039). Milled CDs had a higher flexural-strength than conventional and 3D-printed CDs (p < 0.0001). Milled CDs had a higher flexural-modulus than 3D-printed CDs (p < 0.0001). Milled CDs had a higher yield-strength than injection-molded (p = 0.004), and 3D-printed CDs (p = 0.001). Milled CDs had superior toughness (p < 0.0001) and surface roughness characteristics (p < 0.0001) than other CDs . Rapidly-prototyped CDs displayed poor color-stability compared to other CDs (p = 0.029). CAD-CAM CDs d displayed better retention than conventional CDs (p = 0.015). Conventional CDs had a higher strain at yield point than milled CDs (p < 0.0001), and had superior esthetics than 3D-printed (p < 0.0001). Fabrication of CAD-CAM CDs required less chairside time (p = 0.037) and lower overall costs (p < 0.0001) than conventional CDs. CONCLUSIONS: This systematic review concludes that CAD-CAM CDs offer a number of improved mechanical/surface properties and are not inferior when compared to conventional CDs. CLINICAL SIGNIFICANCE: CAD-CAM CDs should be considered for completely edentulous patients whenever possible, since this technique offers numerous advantages including better retention, mechanical and surface properties but most importantly preserves a digital record. This can be a great advantage for older adults with limited access to dental care.
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Srinivasan, M., Kamnoedboon, P., McKenna, G. J., Angst, L., Schimmel, M., Özcan, M., & Müller, F. (2021). CAD-CAM removable complete dentures: A systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes. Journal of Dentistry, 113, 103777. https://doi.org/10.1016/j.jdent.2021.103777
Srinivasan, Murali, et al. "CAD-CAM removable complete dentures: A systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes." Journal of Dentistry, vol. 113, 2021, pp. 103777, https://doi.org/10.1016/j.jdent.2021.103777.
Srinivasan, Murali, Porawit Kamnoedboon, Gerald John McKenna, Lea Angst, Martin Schimmel, Mutlu Özcan, and Frauke Müller. "CAD-CAM removable complete dentures: A systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes." Journal of Dentistry 113 (2021): 103777. https://doi.org/10.1016/j.jdent.2021.103777.
Srinivasan M., Kamnoedboon P., McKenna G. J. [и др.] CAD-CAM removable complete dentures: A systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes // Journal of Dentistry. — 2021. — Vol. 113. — P. 103777. — URL: https://doi.org/10.1016/j.jdent.2021.103777
@article{srinivasan2021cadcam,
title = {{CAD-CAM removable complete dentures: A systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes}},
author = {Murali Srinivasan and Porawit Kamnoedboon and Gerald John McKenna and Lea Angst and Martin Schimmel and Mutlu Özcan and Frauke Müller},
journal = {Journal of Dentistry},
year = {2021},
volume = {113},
pages = {103777},
doi = {10.1016/j.jdent.2021.103777},
url = {https://doi.org/10.1016/j.jdent.2021.103777}
}TY - JOUR AU - Srinivasan, Murali AU - Kamnoedboon, Porawit AU - McKenna, Gerald John AU - Angst, Lea AU - Schimmel, Martin AU - Özcan, Mutlu AU - Müller, Frauke TI - CAD-CAM removable complete dentures: A systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes JO - Journal of Dentistry VL - 113 SP - 103777 PY - 2021 DA - 2021/08/13 DO - 10.1016/j.jdent.2021.103777 UR - https://doi.org/10.1016/j.jdent.2021.103777 ER -
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