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Mino T, Kurosaki Y, Tokumoto K, Izumi K, Mitsumune H, Maekawa K, Ueda A, Nakano T, Sejima J, Kimura-Ono A, Kuboki T. Tooth morphology fusion technique is more accurate than conventional technique in transferring morphology of provisional to definitive screw-retained, implant-supported crown: A preliminary intervention study. J Prosthodont Res 2024; 68:139-146. [PMID: 37211412 DOI: 10.2186/jpr.jpr_d_22_00244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
PURPOSE To compare the accuracy of the tooth morphology fusion (TMF) digital technique and customized impression transfer coping (conventional) technique when transferring the morphology of a provisional crown to a definitive screw-retained implant-supported crown. METHODS Six cases of partial edentulism (one anterior and five posterior) treated with oral implant placement in our clinic for the loss of three or fewer teeth in the maxilla or mandible between April 2017 and September 2018 were included. After implant placement and re-entry surgery, provisional restorations were made and adjusted to obtain the ideal morphology. Two definitive restorations were constructed by transferring the complete morphology of the provisional restorations, including the subgingival contour, using the TMF digital and conventional techniques. Three sets of surface morphological data were obtained using a desktop scanner. The three-dimensional total discrepancy volume (TDV) between the provisional restoration (reference) and the two definitive restorations was digitally measured by overlapping the surface data of the stone cast using the Boolean operation. Each TDV ratio (%) was calculated by dividing the TDV by the volume of provisional restoration. The median TDV ratios for TMF and conventional techniques were compared using the Wilcoxon signed-rank test. RESULTS The median TDV ratio between provisional and definitive restorations constructed using the TMF digital technique (8.05%) was significantly lower than that obtained using the conventional technique (13.56%, P < 0.05). CONCLUSIONS In this preliminary intervention study, the TMF digital technique was more accurate than the conventional technique for the transfer of morphology from provisional to definitive prosthesis.
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Affiliation(s)
- Takuya Mino
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
- Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
| | - Yoko Kurosaki
- Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
- Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan
| | - Kana Tokumoto
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | | | | | - Kenji Maekawa
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
- Department of Removable Prosthodontics and Occlusion, Osaka Dental University, Hirakata, Japan
| | - Akihiro Ueda
- Dental Technician Laboratory, Okayama University Hospital, Okayama, Japan
| | - Tomohito Nakano
- Dental Technician Laboratory, Okayama University Hospital, Okayama, Japan
| | - Junichi Sejima
- Dental Technician Laboratory, Okayama University Hospital, Okayama, Japan
| | - Aya Kimura-Ono
- Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
- Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan
| | - Takuo Kuboki
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
- Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
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Mino T, Kurosaki Y, Tokumoto K, Higuchi T, Nakanoda S, Numoto K, Tosa I, Kimura-Ono A, Maekawa K, Kim TH, Kuboki T. Rating criteria to evaluate student performance in digital wax-up training using multi-purpose software. J Adv Prosthodont 2022; 14:203-211. [PMID: 36105880 PMCID: PMC9444485 DOI: 10.4047/jap.2022.14.4.203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 07/23/2022] [Accepted: 08/22/2022] [Indexed: 11/20/2022] Open
Abstract
PURPOSE The aim of this study was to introduce rating criteria to evaluate student performance in a newly developed, digital wax-up preclinical program for computer-aided design (CAD) of full-coverage crowns and preliminarily investigate the reliability and internal consistency of the rating system. MATERIALS AND METHODS This study, conducted in 2017, enrolled 47 fifth-year dental students of Okayama University Dental School. Digital wax-up training included a fundamental practice using computer graphics (CG), multipurpose CAD software programs, and an advanced practice to execute a digital wax-up of the right mandibular second molar (#47). Each student’s digital wax-up work (stereolithography data) was evaluated by two instructors using seven qualitative criteria. The total qualitative score (0-90) of the criteria was calculated. The total volumetric discrepancy between each student’s digital wax-up work and a reference prepared by an instructor was automatically measured by the CAD software. The inter-rater reliability of each criterion was analyzed using a weighted kappa index. The relationship between the total volume discrepancy and the total qualitative score was analyzed using Spearman’s correlation. RESULTS The weighted kappa values for the seven qualitative criteria ranged from 0.62 - 0.93. The total qualitative score and the total volumetric discrepancy were negatively correlated (ρ = -0.27, P = .09, respectively); however, this was not statistically significant. CONCLUSION The established qualitative criteria to evaluate students’ work showed sufficiently high inter-rater reliability; however, the digitally measured volumetric discrepancy could not sufficiently predict the total qualitative score.
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Affiliation(s)
- Takuya Mino
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.,Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
| | - Yoko Kurosaki
- Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan.,Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan
| | - Kana Tokumoto
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Takaharu Higuchi
- Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
| | | | - Ken Numoto
- Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
| | - Ikue Tosa
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Aya Kimura-Ono
- Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan.,Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan
| | - Kenji Maekawa
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.,Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
| | - Tae Hyung Kim
- Removable Prosthodontics, Division of Restorative Sciences, Herman Ostrow School of Dentistry of University of Southern California, Los Angeles, CA, USA
| | - Takuo Kuboki
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.,Department of Oral Rehabilitation and Implantology, Okayama University Hospital, Okayama, Japan
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Extraoral Scanning of Implant Prosthetic Components under Difficult Conditions Using a Transfer Device. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12125912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Obtaining an extremely precise virtual model is decisive for the final success of prosthetic restorations on implants using CAD–CAM technology. Intraoral digital implant impression can be challenging under specific conditions (e.g., narrow spaces, lack of visibility, or subgingival margins) because sometimes the scan body does not reach an optimal supragingival level so that it can be scanned accurately. We propose an easy and quick solution, which uses an extraoral transfer device that requires minimum time and cost investment.
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Influence of Angulation in Cervical Prosthetic Emergences Relative to the Gingival Tissue of Teeth Treated under the Biologically Oriented Preparation Technique (BOPT). APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10124108] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: The objective of this study was to digitally evaluate the effect of the cervical emergence of restorations in terms of gingival tissue volume. Materials and methods: In this study, 31 upper front teeth (from canine to canine) were selected and prepared using the biologically oriented preparation technique (BOPT). Each tooth had undergone a change in its provisional process with different emergence profile angles: 30° and 60°. Each sample was digitalised (STL file) using an intraoral scanner. By using various pieces of manipulation software for STL files, a volumetric analysis protocol was carried out. Changes in gingival thickness and position were measured at the buccal and the lingual positions. Results: By increasing the angulation of the emergence profile to 60°, the gingival thickness increased by 0.255 ± 0.381 mm (p = 0.001; t-test) at buccal and by 0.038 ± 0.381 mm at lingual (p = 0.600; t-test). In relation to the gingival height, at buccal, there is an apical displacement of 0.262 ± 0.246 mm (p = 0.001; t-test), and at lingual, there is an apical displacement of 0.390 ± 0.279 mm (p = 0.001; t-test). It was shown that an increase in the provisional emergence profile angle significantly diminishes the gingival height while significantly increasing gingival thickness. The Pearson’s correlation coefficient, r = 0.636, was moderately high and significant (p = 0.001; Pearson). Conclusions: The soft tissue surrounding the BOPT restored tooth evolved according to the prosthetic emergence angle of the provisional restoration, enabling us to plan for an apico-coronal and bucco-lingual displacement of the gingival tissue prior to the definitive restoration.
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Agustín-Panadero R, Loi I, Fernández-Estevan L, Chust C, Rech-Ortega C, Pérez-Barquero JA. Digital protocol for creating a virtual gingiva adjacent to teeth with subgingival dental preparations. J Prosthodont Res 2019; 64:506-514. [PMID: 31787577 DOI: 10.1016/j.jpor.2019.10.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Revised: 09/25/2019] [Accepted: 10/18/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE This article describes a digital technique used to record gingival emergence profiles modeled for the prosthetic restoration of teeth prepared using biologically oriented preparation technique (BOPT). MATERIALS AND METHODS The description of the technique of intraoral recording, manipulation of digital files, and chairside protocol of prosthetic restorations is developed in the present manuscript on two anterior teeth treated with vertical and subgingival dental preparations for restoration with ceramic crowns. The manipulation of the digital files registered with an intraoral scanner with software that allows its alignment (best-fit) and the performance boolean of operation manages to create a virtual gingival emergency like the one it presents when it is adapted on the cervical part of the interim prosthesis. CONCLUSIONS The technique allows the dentist and laboratory technician to obtain a digital reproduction of the subgingival soft tissues around the prosthetic crown, unaffected by the collapse of the gingival sulcus when the provisional crown is removed, as well as an exact copy of the provisional restoration, making it possible to fabricate a definitive prosthesis that ensures precise anatomy, and so good compatibility with periodontal tissues.
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Affiliation(s)
- Rubén Agustín-Panadero
- Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | | | - Lucía Fernández-Estevan
- Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain.
| | | | - Cristina Rech-Ortega
- Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
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Mino T, Kurosaki Y, Maekawa K, Tokumoto K, Izumi K, Ueda A, Kimura-Ono A, Kuboki T. Full Digital Workflow for Use of a Scanbody to Accurately Transfer Morphology From Provisional to Final Implant-Supported Fixed Restoration. J ORAL IMPLANTOL 2019; 45:494-498. [PMID: 31536462 DOI: 10.1563/aaid-joi-d-19-00064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Takuya Mino
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan
| | - Yoko Kurosaki
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan
| | - Kenji Maekawa
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan
| | - Kana Tokumoto
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan
| | - Koji Izumi
- SHIKEN Corporation, Higashi-Osaka, Japan
| | - Akihiro Ueda
- Dental Laboratories, Hospital Medical Technology Part, Okayama University Hospital, Okayama, Japan
| | - Aya Kimura-Ono
- Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan
| | - Takuo Kuboki
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan
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