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    CADCAM

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    Indra Mukherjee
    This document summarizes a module on recent developments in removable partial dentures (RPDs). The module aims to teach students about CAD/CAM technology, newer materials, and techniques used in RPDs. Key areas covered include the use of CAD/CAM for RPD frameworks, indications and disadvantages of flexible RPDs, and materials like PEEK. CAD/CAM involves digital impressions, computer-based design of prostheses, and computer-guided milling or 3D printing of restorations. Flexible RPDs made of thermoplastics are an alternative to traditional metal clasped RPDs, especially when esthetics or patient allergies are a concern. PEEK is also being explored as a potential non

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    CADCAM

    Uploaded by

    Indra Mukherjee
    22 views25 pages
    This document summarizes a module on recent developments in removable partial dentures (RPDs). The module aims to teach students about CAD/CAM technology, newer materials, and techniques used in RPDs. Key areas covered include the use of CAD/CAM for RPD frameworks, indications and disadvantages of flexible RPDs, and materials like PEEK. CAD/CAM involves digital impressions, computer-based design of prostheses, and computer-guided milling or 3D printing of restorations. Flexible RPDs made of thermoplastics are an alternative to traditional metal clasped RPDs, especially when esthetics or patient allergies are a concern. PEEK is also being explored as a potential non

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    This document summarizes a module on recent developments in removable partial dentures (RPDs). The module aims to teach students about CAD/CAM technology, newer materials, and techniques used in RPDs. Key areas covered include the use of CAD/CAM for RPD frameworks, indications and disadvantages of flexible RPDs, and materials like PEEK. CAD/CAM involves digital impressions, computer-based design of prostheses, and computer-guided milling or 3D printing of restorations. Flexible RPDs made of thermoplastics are an alternative to traditional metal clasped RPDs, especially when esthetics or patient allergies are a concern. PEEK is also being explored as a potential non

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    22 views25 pages

    CADCAM

    Uploaded by

    Indra Mukherjee
    This document summarizes a module on recent developments in removable partial dentures (RPDs). The module aims to teach students about CAD/CAM technology, newer materials, and techniques used in RPDs. Key areas covered include the use of CAD/CAM for RPD frameworks, indications and disadvantages of flexible RPDs, and materials like PEEK. CAD/CAM involves digital impressions, computer-based design of prostheses, and computer-guided milling or 3D printing of restorations. Flexible RPDs made of thermoplastics are an alternative to traditional metal clasped RPDs, especially when esthetics or patient allergies are a concern. PEEK is also being explored as a potential non

    Copyright:

    © All Rights Reserved
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    Download as pptx, pdf, or txt
    of 25

    COURSE: PROSTHODONTICS

    AND CROWN & BRIDGE

    MODULE NUMBER – BDSDEN404.21


    MODULE NAME – RPD : RECENT DEVELOPMENTS
    NAME OF FACULTY – DR. SHUBHABRATA ROY
    DESIGNATION – SENIOR LECTURER,
    DEPARTMENT OF PROSTHODONTICS AND CROWN &
    BRIDGE, GNIDSR
    LEARNING OBJECTIVE & OUTCOME

    LEARNING OBJECTIVE :
    To impart knowledge of recent developments in techniques
    and materials used for removable partial denture treatment.

    LEARNING OUTCOME :
    Students will develop skills and attitude of the latest CAD/CAM
    technology, newer materials and techniques used in removable
    prosthesis.
    MUST KNOW AREA - IN
    MODULE
    • Use of CAD/CAM technology in removable partial
    dentures
    • Indications and disadvantages of flexible removable
    partial
    dentures
    GOOD TO KNOW AREA – IN
    MODULE
    • Various components of CAD/CAM technology
    • Material science behind flexible partial
    denture
    • PEEK
    • INTRODUCTION

    The dental profession has come far in terms of


    better materials, tools and techniques. As a
    result of increased life expectancy, a rise in the
    number of elderly individuals within the
    population, and a shift from total tooth loss/
    total edentulism toward partial edentulism.
    DIGITAL
    • DESIGN
    Computer-aided design and computer-aided manufacturing
    (CAD-
    CAM) systems

    • Dr. Duret was the first to develop dental CAD/CAM. He began to fabricate
    crowns with an optical impression of abutment followed by designing and
    milling.
    CAD/CAM
    COMPONENTS
    Data Acquisition Unit /
    Collects Scanner
    the data from the area of the preparation, adjacent and opposing
    structures and then converts them to virtual
    impressions
    iTero (Align Technology), PlanScan
    Intra- (Planmeca), CS 3500 (Carestream Dental
    LLC), and Trios (3 shape)
    Scanne Oral
    r Extra-Oral Lava Scan ST ( 3M ESPE), Everest Scan
    ( KaVo),
    Es1 (etkon)
    Design
    o Software
    Software
    turn the captured images into a digital model to
    produce and design the prosthesis.

    o Standard transformation language (STL) data


    format -
    commonly used.
    Digital Fabrication Process Tools

    Developing a restoration from a CAD model into a


    physical part that undergoes processing, finishing,
    and polishing before being inserted into the
    patient’s mouth.

    1. Subtractive (milling and grinding)

    2. Additive manufacturing (Rapid Prototype, RP


    or
    3D printing)
     Selective laser melting (SLM)
     Direct Metal Laser Sintering
    ( DMLS)
    Flexible Removable Partial
    Dentures
    1. Insertion in undercut
    areas,
    2. Brittleness of methyl
    methacrylate which
    leads to fracture,
    3. Allergy to
    methyl
    methacrylate
    monomer.

    Indicated in every partial


    edentulous condition.
    Utilizes the undercuts in
    the ridge for Retention
    INDICATIONS

    1. Patients having tilted teeth.

    2. Clasps have to be given in esthetic-zone like


    on
    maxillary canine.

    3. Allergic to Nickel

    4. Large bony exostoses that can not be


    removed

    5. Economical conditions limit the use of


    Implant
    and FPDs
    Material And Its
    Properties
    • Thermoplastic resins are used for the fabrication of flexible dentures

    o Thermoplastic Acetal

    o Thermoplastic Polycarbonate

    o Thermoplastic Acrylic

    o Thermoplastic Nylon

    • Commercially Available

     Valplast (Valpalst Int. Corp. USA)

     Flexiplast (Bredent Germany),

     Lucitone FRS, Flexite, Flexite plus, Flexite M.P. , Sun flex, Pro flex.
    FRPDs versus Cast Partial Dentures
    versus
    Conventional Rigid Acrylic Dentures
    Manipulation And
    Design

    Figure6. Combination clasp


    ( of main clasp and circumferential clasp)
    Disadvantage
    s
     Acrylic teeth are mechanically bonded to thermoplastic
    nylon

     Clinically significant chromatic instability-might


    show
    staining and discoloration with time

     Flex under occlusal load so these can not maintain


    the
    vertical dimension.

     Sense about hot or cold eatables as these are


    bad conductors comparison to Cast Metal
    Dentures
    SHIFT IN
    MATERIALS
    METALS POLYMER-BASED

    Polyethylene
    glycol, Polymethyl
    Cobalt-chromium methacrylate

    Titanium Aryl-ketone polymers


    Polyetheretherketone
    • Alternative(PEEK)
    to base metal alloys in constructing
    RPDs.
    • PEEK presents high biocompatibility, good properties,
    mechanical high
    temperature resistance, and chemical stability
    semicrystallin
    • Polyetheretherketone (PEEK) is a ketone- e
    based thermoplastic resin
    • Difference in elastic modulus between PEEK and acrylic resin is smaller
    than that between metal and resin, reducing the likelihood of these
    interface problems, although there is no chemical adhesion between PEEK
    and acrylic resin

    • Slightly grayish, nontransparent white color of PEEK was more


    acceptable
    than the silver color of a metal clasp.

    • PEEK clasp has the same disadvantages as other nonmetal clasp


    materials:
    difficulty of polishing and adjusting retention capacity.
    Reference
    1. s
    McCracken’s Removable Partial Prosthodontics. Alan B. Carr, David T. Brown: Twelfth
    Edition.
    Elsevier Mosby

    2. Campbell SD, Cooper L, Craddock H, Hyde TP, Nattress B, Pavitt SH, Seymour DW. Removable
    partial dentures: The clinical need for innovation. The Journal of prosthetic dentistry. 2017 Sep
    1;118(3):273-80.

    3. Williams RJ, Bibb R, Eggbeer D, Collis J. Use of CAD/CAM technology to fabricate a removable
    partial denture framework. The Journal of prosthetic dentistry. 2006 Aug 1;96(2):96-9.

    4. Sharma A, Shashidhara HS. A review: Flexible removable partial dentures. J Dent Med Sci. 2014
    Dec;13(12):58-62.

    5. Harb IE, Abdel‐Khalek EA, Hegazy SA. CAD/CAM constructed poly (etheretherketone)(PEEK)
    framework of Kennedy class I removable partial denture: a clinical report. Journal of
    Prosthodontics. 2019 Feb;28(2):e595-8.

    6. Ichikawa T, Kurahashi K, Liu L, Matsuda T, Ishida Y. Use of a polyetheretherketone clasp


    retainer for removable partial denture: A case report. Dentistry journal. 2019 Mar;7(1):4.
    THANK YOU

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