Tổng quan các phương pháp chế tác phục hình tháo lắp khung bộ trong nha khoa hiện đại
Nội dung chính của bài viết
Tóm tắt
Chất lượng phục hình tháo lắp khung bộ phụ thuộc chủ yếu vào độ chính xác của quy trình chế tác khung kim loại. Gần đây, các phương pháp chế tác đã chuyển dịch từ kỹ thuật đúc truyền thống sang các công nghệ kỹ thuật số như CAD/CAM, in 3D kim loại và các quy trình kết hợp. Bài tổng quan này nhằm hệ thống hóa các phương pháp chế tác khung bộ hiện nay, đồng thời phân tích cơ chế, ưu điểm, hạn chế và xu hướng phát triển dựa trên các nghiên cứu quốc tế. Kết quả cho thấy các phương pháp kỹ thuật số có thể đạt độ khít sát tương đương hoặc vượt trội so với đúc truyền thống, đồng thời giảm sai số và tăng khả năng tái lập. Tuy nhiên, chi phí và yêu cầu kỹ thuật vẫn là rào cản trong triển khai rộng rãi.
Chi tiết bài viết
Từ khóa
Phục hình tháo lắp khung bộ, đúc kim loại, CAD/CAM, SLM, in 3D
Tài liệu tham khảo
1. Anusavice KJ, Shen C, Rawls HR. Phillips’ Science of Dental Materials. 12th ed. Elsevier; 2013.
2. Craig RG, Powers JM. Restorative Dental Materials. 11th ed. Mosby; 2002.
3. Phoenix RD, Cagna DR, DeFreest CF. Stewart’s Clinical Removable Partial Prosthodontics. 4th ed. Quintessence Publishing; 2008.
4. Rudd RW, Rudd KD. A review of 243 errors possible during the fabrication of a removable partial denture: part I. J Prosthet Dent. 2001 Sep; 86(3): 251-61. doi: 10.1067/mpr.2001.118021.
5. Mai HY, Mai HN, Kim HJ, Lee J, Lee DH. Accuracy of removable partial denture metal frameworks fabricated by computer-aided design/ computer-aided manufacturing method: a systematic review and meta-analysis. J Evid Based Dent Pract. 2022 Sep; 22(3): 101681. doi: 10.1016/j.jebdp.2021.101681. Epub 2021 Dec 3. PMID: 36162896.
6. Van Noort R. The future of dental devices is digital. Dent Mater. 2012; 28(1): 3-12. doi:10.1016/j.dental.2011.10.014.
7. Abduo J, Lyons K. Rationale for the use of CAD/CAM technology in implant prosthodontics. Int J Dent. 2013; 2013: 768121. doi:10.1155/2013/768121.
8. Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods. J Prosthet Dent. 2012; 107(1): 34-39. doi:10.1016/S0022-3913(12)60015-8.
9. Revilla-León M, Özcan M. Additive manufacturing technologies used for processing polymers: current status and potential application in prosthetic dentistry. J Prosthodont. 2019; 28(2): 146-158. doi:10.1111/jopr.12801.
10. Alharbi N, Wismeijer D, Osman RB. Additive Manufacturing Techniques in Prosthodontics: Where Do We Currently Stand? A Critical Review. Int J Prosthodont. 2017 September/October; 30(5): 474-484. doi: 10.11607/ijp.5079.
11. Alharbi N, Osman RB, Wismeijer D. Effects of build direction on the mechanical properties of 3D-printed dental restorations. J Prosthet Dent. 2016; 115(6): 760-767. doi:10.1016/j.prosdent.2015.12.002.
12. Kim KB, Kim JH, Kim WC, Kim JH. Three-dimensional evaluation of gaps associated with fixed dental prostheses fabricated with new technologies. J Prosthet Dent. 2014 Dec; 112(6): 1432-6. doi: 10.1016/j.prosdent.2014.07.002.
13. Ahmed N, Abbasi MS, Zafar MS. Fit accuracy of removable partial denture frameworks fabricated with CAD/CAM and rapid prototyping: a systematic review. Eur J Dent. 2021; 15(2): 1-9. doi:10.1055/s-0040-1721310.
14. Oh KC, Yun BS, Kim JH. Accuracy of metal 3D printed frameworks for removable partial dentures evaluated by digital superimposition. Dent Mater. 2022 Feb; 38(2): 309-317. doi: 10.1016/j.dental.2021.12.012.
15. J Qiu, W Liu, D Wu, F Qiao, L Sui. Fit accuracy in the rest region of RPDs fabricated by digital technologies and conventional lost-wax casting: a systematic review and meta-analysis. BMC Oral Health. 2023; 23:667. doi: 10.1186/s12903-023-03348-6.
16. K Zhao, S Wu, C Qian, J Sun. Suitability and Trueness of the Removable Partial Denture Framework Fabricating by Polyether Ether Ketone with CAD-CAM Technology. Polymers. 2024; 16(80): 1119-2024. doi: 10.3390/polym16081119.
17. A L C Pereira, A K B Medeiros, K S.Santos, É O Almeida, G A S Barbosa, A F P Carreiro. Accuracy of CAD-CAM systems for removable partial denture framework fabrication: A systematic review. J. Prosthet. Dent. 2021; 125(2): 241-248. doi: 10.1016/j.prosdent.2020.01.003.
18. M D Pordeus, R Siqueira, G Mendonça, et al. Computer-aided technology for fabricating removable partial denture frameworks: A systematic review and meta-analysis. J. Prosthet. Dent. 2022; 127(4): 559-568. doi: 10.1016/j.prosdent.2020.12.024.
19. S Chaturvedi, F Alzahrani, A Alqahtani, et al. Evaluation of methods for determining fit accuracy and precision of removable partial denture frameworks fabricated by digital and conventional techniques: A systematic review. BMC Oral Health. 2024; 24:1466. doi: 10.1186/s12903-024-05262-x.
20. K Fueki, A Takaichi, N Wakabayashi. A systematic review of digital removable partial dentures. Part II: CAD/CAM framework, artificial teeth, and denture base. J. Prosthodont. Res. 2022; 66(1): 53-67. doi: 10.2186/jpr.JPR_D_20_00117.
21. A Takaichi, K Fueki, N Wakabayashi. Digital technologies and future perspectives for removable partial denture fabrication: A review. J. Prosthodont. Res. 2023; 67(4): 456-465.
22. M Revilla-León, M Özcan. Digital workflow for removable partial dentures: Current knowledge and future perspectives. J. Prosthodont. 2024; 32.
2. Craig RG, Powers JM. Restorative Dental Materials. 11th ed. Mosby; 2002.
3. Phoenix RD, Cagna DR, DeFreest CF. Stewart’s Clinical Removable Partial Prosthodontics. 4th ed. Quintessence Publishing; 2008.
4. Rudd RW, Rudd KD. A review of 243 errors possible during the fabrication of a removable partial denture: part I. J Prosthet Dent. 2001 Sep; 86(3): 251-61. doi: 10.1067/mpr.2001.118021.
5. Mai HY, Mai HN, Kim HJ, Lee J, Lee DH. Accuracy of removable partial denture metal frameworks fabricated by computer-aided design/ computer-aided manufacturing method: a systematic review and meta-analysis. J Evid Based Dent Pract. 2022 Sep; 22(3): 101681. doi: 10.1016/j.jebdp.2021.101681. Epub 2021 Dec 3. PMID: 36162896.
6. Van Noort R. The future of dental devices is digital. Dent Mater. 2012; 28(1): 3-12. doi:10.1016/j.dental.2011.10.014.
7. Abduo J, Lyons K. Rationale for the use of CAD/CAM technology in implant prosthodontics. Int J Dent. 2013; 2013: 768121. doi:10.1155/2013/768121.
8. Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods. J Prosthet Dent. 2012; 107(1): 34-39. doi:10.1016/S0022-3913(12)60015-8.
9. Revilla-León M, Özcan M. Additive manufacturing technologies used for processing polymers: current status and potential application in prosthetic dentistry. J Prosthodont. 2019; 28(2): 146-158. doi:10.1111/jopr.12801.
10. Alharbi N, Wismeijer D, Osman RB. Additive Manufacturing Techniques in Prosthodontics: Where Do We Currently Stand? A Critical Review. Int J Prosthodont. 2017 September/October; 30(5): 474-484. doi: 10.11607/ijp.5079.
11. Alharbi N, Osman RB, Wismeijer D. Effects of build direction on the mechanical properties of 3D-printed dental restorations. J Prosthet Dent. 2016; 115(6): 760-767. doi:10.1016/j.prosdent.2015.12.002.
12. Kim KB, Kim JH, Kim WC, Kim JH. Three-dimensional evaluation of gaps associated with fixed dental prostheses fabricated with new technologies. J Prosthet Dent. 2014 Dec; 112(6): 1432-6. doi: 10.1016/j.prosdent.2014.07.002.
13. Ahmed N, Abbasi MS, Zafar MS. Fit accuracy of removable partial denture frameworks fabricated with CAD/CAM and rapid prototyping: a systematic review. Eur J Dent. 2021; 15(2): 1-9. doi:10.1055/s-0040-1721310.
14. Oh KC, Yun BS, Kim JH. Accuracy of metal 3D printed frameworks for removable partial dentures evaluated by digital superimposition. Dent Mater. 2022 Feb; 38(2): 309-317. doi: 10.1016/j.dental.2021.12.012.
15. J Qiu, W Liu, D Wu, F Qiao, L Sui. Fit accuracy in the rest region of RPDs fabricated by digital technologies and conventional lost-wax casting: a systematic review and meta-analysis. BMC Oral Health. 2023; 23:667. doi: 10.1186/s12903-023-03348-6.
16. K Zhao, S Wu, C Qian, J Sun. Suitability and Trueness of the Removable Partial Denture Framework Fabricating by Polyether Ether Ketone with CAD-CAM Technology. Polymers. 2024; 16(80): 1119-2024. doi: 10.3390/polym16081119.
17. A L C Pereira, A K B Medeiros, K S.Santos, É O Almeida, G A S Barbosa, A F P Carreiro. Accuracy of CAD-CAM systems for removable partial denture framework fabrication: A systematic review. J. Prosthet. Dent. 2021; 125(2): 241-248. doi: 10.1016/j.prosdent.2020.01.003.
18. M D Pordeus, R Siqueira, G Mendonça, et al. Computer-aided technology for fabricating removable partial denture frameworks: A systematic review and meta-analysis. J. Prosthet. Dent. 2022; 127(4): 559-568. doi: 10.1016/j.prosdent.2020.12.024.
19. S Chaturvedi, F Alzahrani, A Alqahtani, et al. Evaluation of methods for determining fit accuracy and precision of removable partial denture frameworks fabricated by digital and conventional techniques: A systematic review. BMC Oral Health. 2024; 24:1466. doi: 10.1186/s12903-024-05262-x.
20. K Fueki, A Takaichi, N Wakabayashi. A systematic review of digital removable partial dentures. Part II: CAD/CAM framework, artificial teeth, and denture base. J. Prosthodont. Res. 2022; 66(1): 53-67. doi: 10.2186/jpr.JPR_D_20_00117.
21. A Takaichi, K Fueki, N Wakabayashi. Digital technologies and future perspectives for removable partial denture fabrication: A review. J. Prosthodont. Res. 2023; 67(4): 456-465.
22. M Revilla-León, M Özcan. Digital workflow for removable partial dentures: Current knowledge and future perspectives. J. Prosthodont. 2024; 32.