Adaptation, Veracity and Precision of Digital Flow Removable Partial Prosthesis Structures: an Integrative Literature Review
DOI:
https://doi.org/10.21270/archi.v14i5.6603Keywords:
Removable Partial Denture, Digital Technology, CAD-CAMAbstract
Introduction: Removable Partial Denture (RPD) is an important option for the rehabilitation of partially edentulous patients. However, the conventional fabrication of its framework is labor-intensive, error-prone, and time-consuming. With the advancement of digital technologies, the use of CAD-CAM systems has been explored as a viable alternative, with reports of clinically acceptable adaptation. Objective: To integratively review the literature on adaptation, trueness, and precision of RPD frameworks manufactured through a digital workflow. Material and Method: A search was conducted in the PubMed, BVS, and ScienceDirect databases, covering articles published between 2012 and 2022. Descriptors and terms in titles and abstracts were used. Included were in vivo, in vitro, or in silico studies comparing complete RPD frameworks produced by conventional and digital techniques. Studies that did not make this comparison, or that focused only on digital scanning, flexible RPDs, other prosthetic rehabilitations, isolated components, reviews, or non-dental studies were excluded. Results: Five studies were included: four in vitro and one in vivo. The studies analyzed marginal fit, dimensional fidelity, and seating precision. Most showed that digital frameworks presented discrepancies within clinically acceptable limits. However, methodological variability and the small number of studies limit definitive conclusions. Conclusion: RPD frameworks produced via digital workflow show promising results, but their superiority over conventional techniques has yet to be confirmed.
Downloads
References
1. Ye H, Li X, Wang G, Kang J, Liu Y, Sun Y, Zhou Y. A Novel Computer-Aided Design/Computer-Assisted Manufacture Method for One-Piece Removable Partial Denture and Evaluation of Fit. Int J Prosthodont. 2018;31(2):149-151.
2. Arnold C, Hey J, Schweyen R, Setz JM. Accuracy of CAD-CAM-fabricated removable partial dentures. J Prosthet Dent. 2018;119(4):586-592.
3. Fueki K, Inamochi Y, Wada J, Arai Y, Takaichi A, Murakami N, et al. A systematic review of digital removable partial dentures. Part I: Clinical evidence, digital impression, and maxillomandibular relationship record. J Prosthodont Res. 2022;66(1):40-52.
4. Tregerman I, Renne W, Kelly A, Wilson D. Evaluation of removable partial denture frameworks fabricated using 3 different techniques. J Prosthet Dent. 2019;122(4):390-395.
5. Pordeus MD, Santiago Junior JF, Venante HS, Bringel da Costa RM, Chappuis Chocano AP, Porto VC. Computer-aided technology for fabricating removable partial denture frameworks: A systematic review and meta-analysis. J Prosthet Dent. 2022;128(3):331-340.
6. Almufleh B, Emami E, Alageel O, de Melo F, Seng F, Caron E, et al. Patient satisfaction with laser-sintered removable partial dentures: A crossover pilot clinical trial. J Prosthet Dent. 2018;119(4):560-567.e1.
7. Carneiro Pereira AL, Bezerra de Medeiros AK, de Sousa Santos K, Oliveira de Almeida É, Seabra Barbosa GA, da Fonte Porto Carreiro A. Accuracy of CAD-CAM systems for removable partial denture framework fabrication: A systematic review. J Prosthet Dent. 2021;125(2):241-248.
8. Demathhé A, Silva ARDS, Carli JP, Goiato MC, Miyahara GI. Odontologia baseada em evidências: otimizando a prática e a pesquisa. RFO. 2012;17 (1):96-100.
9. Soltanzadeh P, Suprono MS, Kattadiyil MT, Goodacre C, Gregorius W. An In Vitro Investigation of Accuracy and Fit of Conventional and CAD/CAM Removable Partial Denture Frameworks. J Prosthodont. 2019;28(5):547-555.
10. Chen H, Li H, Zhao Y, Zhang X, Wang Y, Lyu P. Adaptation of removable partial denture frameworks fabricated by selective laser melting. J Prosthet Dent. 2019;122(3):316-324.
11. Kim S, Oh KC, Kim JH. Accuracy of Mandibular Removable Partial Denture Frameworks Fabricated by 3D Printing and Conventional Techniques. Materials (Basel). 2024;17(13):3148.
12. Schimmel M, Akino N, Srinivasan M, Wittneben JG, Yilmaz B, Abou-Ayash S. Accuracy of intraoral scanning in completely and partially edentulous maxillary and mandibular jaws: an in vitro analysis. Clin Oral Investig. 2021;25(4):1839-1847.
13. Galvão IAG, de Carvalho PC, Feitosa RS, de Sousa EI, Grangeiro, MTV, Figueiredo V. Propriedades biomecânicas do poli-éter-éter-cetona (PEEK) e sua aplicação na clínica odontológica: uma revisão de literatura. J Dent Public Health. 2020;11(1):62-72.
