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 4,420 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This review covers the properties of dental ceramics. Castable systems, bioactive glass, PMF systems, CAD/CAM, and ceramic brackets in orthodontics are briefly discussed. Many of the advances made between 1960 and 1975 were directed toward the understanding, controlling, and developing of new ceramic processes. New and deeper understanding of the structure of non-crystalline solids, structural imperfections, sintering physics, and other physical phenomena related to the melting and solidification processes has brought ceramics from the near-total art form process of the mid-century to the status of a highly sophisticated science it enjoyed in the 1980's.
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PMID:Dental ceramics: the state of the science. 129 67

Although the prevalence of caries has decreased markedly in children, adolescents, and young adults in most industrialized countries, caries continues to be the main reason for tooth loss, particularly among the high risk segment of the population. In many developing countries, where traditional dietary patterns have changed to include sugar-containing foods and beverages, caries prevalence has increased and will continue to do so in the immediate future. Accordingly, it would be a serious mistake to be complacent about caries prevention. In future industrialized countries will see computers playing a significant role in cariology, finding applications not only in research and practice administration but directly in clinical practice as well. They will be used in every operatory in the assessment of caries risk, the recording of caries prevalence, the direct storing of radiographic information, and the restoration of carious teeth, assisted by computer-aided design and computer-aided manufacture (CAD/CAM) technology. Fluoride therapy, both systemic and topical, will continue to be the basis of caries prevention. Dental sealants, which are highly effective in protecting pits and fissures when applied soon after the teeth erupt, will be more widely used in the future when insurance plans will pay for prevention. Substitution of sucrose and syrups by non-fermentable sweetening agents can also reduce caries increments, but most agents are more expensive than sucrose and require consumer education to pay for the additional cost. Caries, as an infectious and transmissible disease, is amenable to prevention by interfering with the chain of transmission or by suppressing the putative pathogens, the mutans streptococci, in infected patients.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Dental caries in the future: a global view. 129 66

Dental CAD-CAM has become a clinical reality. It holds great promise to help provide a higher level of service to the patient, while allowing the dentist to spend more time on patient needs than on the mechanics of restoration production. Still, this technology is not suited for every dental office. This paper discusses the technique of CAD-CAM, its potential and its limitations so the dentist can better evaluate the appropriateness of this new modality for his or her own office.
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PMID:The reality of dental CAD-CAM: hype or hope? 130 29

The subperiosteal implant has long been regarded as the most successful, predictable, and versatile of all implant systems. In some cases, however, anatomic morphology and surgical technique present certain limitations for the subperiosteal procedure. Through CAD/CAM multiplanar diagnostic imaging, not only have we been able to eliminate the first stage of the surgical procedure, but we have expanded the capabilities and versatility of the subperiosteal procedure. In addition, coating the subperiosteal implant frame with hydroxyapatite has allowed the achievement of bony union, thus increasing the long-range prognosis of the individual case.
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PMID:Long-term retrospective studies on the CT-scan, CAD/CAM, one-stage surgery hydroxyapatite-coated subperiosteal implants, including human functional retrievals. 131 Jun 63

There has been much interest in the in-office fabrication of ceramic posterior restorations using computer-aided design and computer-aided manufacture (CAD-CAM) units. One concern that practitioners have concerning the use of one of these systems is the initial expense of the CAD-CAM unit for the office. This article deals with the financial implications involved when considering the purchase or lease of a CEREC (CAD-CAM) unit.
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PMID:Financial considerations regarding acquisition of the Siemens Cerec computer reconstruction system. 141 18

In 1988 the Department of Veterans Affairs Rehabilitation Research and Development Service, under the directorship of Margaret J. Giannini, M.D., began a nationally directed computer-aided design and computer-aided manufacturing (CAD/CAM) research program for the Automated Fabrication of Mobility Aids (AFMA). Under this program CAD/CAM research and development centers were established at the Prosthetics Research Study in Seattle, WA; at Northwestern University and the VA Lakeside Medical Center in Chicago, IL; and at the VA Medical Center and New York University Medical Center in New York, NY. These three centers conducted a collaborative program: (a) to introduce CAD/CAM technologies to prosthetists, physicians, therapists, and rehabilitation health care professionals in the United States; (b) to evaluate the feasibility of using CAD/CAM systems in clinical prosthetics settings; (c) to test and evaluate the University College London-Bioengineering Center's and the University of British Columbia-Medical Engineering Resource Unit's respective systems for the computer-aided design and computer-aided manufacture of prosthetic sockets (CASD/CAM) for below-knee amputees; and, (d) to obtain quantitative data for refinement of the CASD/CAM systems tested, and for the development of new, enhanced, more efficacious, and expedient systems.
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PMID:Automated fabrication of mobility aids (AFMA): below-knee CASD/CAM testing and evaluation program results. 826 26

A knowledge-based computer-aided design and manufacturing system (CAD-CAM) has been developed for total hip replacement. Knowledge-based refers to the fact that the design process is a computer program that has been provided with preprogrammed design rules. Compared with conventional CAD-CAM systems, the knowledge-based system is automated, requires less designer intervention, and increases the accuracy of the design process. The capabilities of the system make it ideal for the design of standard and custom total hip replacement. A full-fill, press-fit custom total hip replacement has been designed using the knowledge-based system. The early clinical results of a series of 37 replacements in 31 patients is described in this paper.
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PMID:A knowledge-based computer-aided design and manufacturing system for total hip replacement. 144 54

The purpose of this study was to evaluate the application of CAD CAM in the production of temporary trans-tibial prostheses. The CAD CAM system was assessed based on the number of socket attempts, number of prosthetic appointments, and temporary prosthesis rehabilitation time. These parameters were considered to be related to the quality of socket fit and were influenced by the entire interdisciplinary team including the patient. A concurrent prospective comparison between the CAD CAM system and an established fiberglass/pelite liner technique was also performed. Patients (n = 30), were fitted with either a conventional or a CAD CAM socket. Records were kept before and after discharge until the interdisciplinary team considered the patient ready for definitive prosthesis casting. After approximately 90 postoperative days, patients were deemed fit to proceed from their initial plaster cast prostheses to their temporary prostheses. The group fitted with conventional sockets had an in-patient rehabilitation phase of 10.5 +/- 15.0 days and required 2.9 +/- 1.1 prosthetic appointments. In-patients fitted with CAD CAM sockets required 5.1 +/- 1.8 appointments and were hospitalised for 23.6 +/- 15.0 days. The significantly increased rehabilitation duration and number of appointments (p = 0.01), were generally due to incorrect socket volume and/or inadequately modified relief/loading areas. In this study 67% of the patients fitted with CAD CAM sockets required at least one additional attempt. The clinical evaluation and modification of the temporary prostheses, including the decision to remake a particular socket, were carried out by the same prosthetist who cast the patients.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:CAD CAM trans-tibial temporary prosthesis: analysis and comparison with an established technique. 149 53

At least 1000 CAD/CAM (computer-aided design and computer-aided manufacturing) systems for producing restorations are in dental offices. At least nine different systems have been described; the Cerec system (Siemens, Bensheim, FRG) is the best known and most widely used. Clinical results to date suggest that the automated CAD/CAM systems can provide restorations which perform at least as well as cast restorations. There are some technique sensitivities that must be managed with the new technology. The importance of fit at the margins is a controversial issue that remains to be settled. Bond strength of composite-luted restorations is dependent on margin location and luting material properties, and on the combination of silanating, etching, and curing mechanism of the luting composite. Surface finishes equivalent to cast gold and glazed porcelain can be achieved for machinable CAD/CAM materials.
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PMID:A review of the developments in dental CAD/CAM systems. 152 Sep 34

This study investigates the margin quality of four different tooth-coloured inlay systems using computer-aided quantitative margin analysis under scanning electron microscopy. Three types of restorations involved chairside procedures using a commercial CAD-CAM apparatus: one type of inlay restoration was milled from preformed glass ceramic blocks, the other two inlay types were milled from preformed porcelain blocks. The fourth system was based on an experimental indirect composite inlay system. Each inlay type was luted with its respective dual-curing luting composite, which was supplied with the system. After 6 months of clinical service, all four systems revealed a significant percentage of submargination indicating occlusal wear of the luting composite. The porcelain inlays and the composite inlays luted with their respective experimental luting composite showed the best marginal adaptation. Luted glass ceramic inlays, in particular, suffered from a significantly higher percentage of inlay margin fractures (9 per cent) and marginal openings (4 per cent) than the other systems. A possible explanation is that the glass ceramic subsurface structure at the inlay-lute interface was weakened by etching with ammonium bifluoride.
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PMID:Marginal adaptation of four tooth-coloured inlay systems in vivo. 154 81


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