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Published in: Clinical Oral Investigations 2/2011

01-04-2011 | Original Article

Efficiency of a mathematical model in generating CAD/CAM-partial crowns with natural tooth morphology

Authors: Andreas Ender, Werner H. Mörmann, Albert Mehl

Published in: Clinical Oral Investigations | Issue 2/2011

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Abstract

The “biogeneric tooth model” can be used for computer-aided design (CAD) of the occlusal surface of dental restorations. From digital 3D-data, it automatically retrieves a morphology matching the natural surface left after preparation. This study evaluates the potential of this method for generating well-matched and well-adjusted CAD/computer-aided manufacturing (CAM) fabricated partial crowns. Twelve models with partial crown preparations were mounted into an articulator. Partial crowns were designed with the Cerec 3D CAD software based on the biogeneric tooth model (Biog.CAD) and, for control, with a conventional data-based Cerec 3D CAD software (Conv.CAD). The design time was measured, and the naturalness of the morphology was visually assessed. The restorations were milled, cemented on the models, and the vertical discrepancy and the time for final occlusal adjustment were measured. The Biog.CAD software offered a significantly higher naturalness (up to 225 to 11 scores) and was significantly faster by 251 (±78) s in designing partial crowns (p < 0.01) compared to Conv.CAD software. Vertical discrepancy, 0.52 (±0.28) mm for Conv.CAD and 0.46 (±0.19) mm for Biog.CAD, and occlusal adjustment time, 118 (±132) s for Conv.CAD and 102 (±77) s for Biog.CAD, did not differ significantly. In conclusion, the biogeneric tooth model is able to generate occlusal morphology of partial crowns in a fully automated process with higher naturalness compared to conventional interactive CAD software.
Literature
1.
go back to reference Neff P (1995) Trauma from occlusion. Restorative concerns. Dent Clin North Am 39:335–354PubMed Neff P (1995) Trauma from occlusion. Restorative concerns. Dent Clin North Am 39:335–354PubMed
2.
go back to reference Türp JC, Greene CS, Strub JR (2008) Dental occlusion: a critical reflection on past, present and future concepts. J Oral Rehabil 35:446–453PubMedCrossRef Türp JC, Greene CS, Strub JR (2008) Dental occlusion: a critical reflection on past, present and future concepts. J Oral Rehabil 35:446–453PubMedCrossRef
3.
go back to reference Parker MW (1993) The significance of occlusion in restorative dentistry. Dent Clin North Am 37:341–351PubMed Parker MW (1993) The significance of occlusion in restorative dentistry. Dent Clin North Am 37:341–351PubMed
4.
go back to reference Gher ME (1998) Changing concepts. The effects of occlusion on periodontitis. Dent Clin North Am 42:285–299PubMed Gher ME (1998) Changing concepts. The effects of occlusion on periodontitis. Dent Clin North Am 42:285–299PubMed
5.
go back to reference Dawson PE (1989) Occlusal therapy. In: Dawson PE (ed) Evaluation, diagnosis, and treatment of occlusal problems. The C.V. Mosby Company, St. Louis, pp 14–17 Dawson PE (1989) Occlusal therapy. In: Dawson PE (ed) Evaluation, diagnosis, and treatment of occlusal problems. The C.V. Mosby Company, St. Louis, pp 14–17
6.
go back to reference Christensen GJ (2004) Is occlusion becoming more confusing? A plea for simplicity. J Am Dent Assoc 135:767–770PubMed Christensen GJ (2004) Is occlusion becoming more confusing? A plea for simplicity. J Am Dent Assoc 135:767–770PubMed
7.
go back to reference Mörmann WH, Brandestini M (1989) Die Cerec computer reconstruction: inlays. Onlays und Veneers, Quintessenz, Berlin Mörmann WH, Brandestini M (1989) Die Cerec computer reconstruction: inlays. Onlays und Veneers, Quintessenz, Berlin
8.
go back to reference Mattiola A, Mörmann WH, Lutz F (1995) The computer-generated occlusion of Cerec-2 inlays and onlays. Schweiz Monatsschr Zahnmed 105:1284–1290PubMed Mattiola A, Mörmann WH, Lutz F (1995) The computer-generated occlusion of Cerec-2 inlays and onlays. Schweiz Monatsschr Zahnmed 105:1284–1290PubMed
9.
go back to reference Jedynakiewicz NM, Martin N (2001) Functionally generated pathway theory, application and development in Cerec restorations. Int J Comput Dent 4:25–36PubMed Jedynakiewicz NM, Martin N (2001) Functionally generated pathway theory, application and development in Cerec restorations. Int J Comput Dent 4:25–36PubMed
10.
go back to reference De Nisco S, Mörmann WH (1996) Computer-generated occlusion of Cerec2 inlays and overlays. In: Mörmann WH (ed) Cad/Cim in aesthetic dentistry, Cerec 10 year anniversary symposium. Quintessence, Berlin, pp 391–407 De Nisco S, Mörmann WH (1996) Computer-generated occlusion of Cerec2 inlays and overlays. In: Mörmann WH (ed) Cad/Cim in aesthetic dentistry, Cerec 10 year anniversary symposium. Quintessence, Berlin, pp 391–407
11.
go back to reference Fasbinder DJ (2006) Clinical performance of chairside Cad/Cam restorations. J Am Dent Assoc 137(Suppl):22S–31SPubMed Fasbinder DJ (2006) Clinical performance of chairside Cad/Cam restorations. J Am Dent Assoc 137(Suppl):22S–31SPubMed
12.
go back to reference Hartung F, Kordass B (2006) Comparison of the contact surface pattern between virtual and milled Cerec 3D full-ceramic crowns. Int J Comput Dent 9:129–136PubMed Hartung F, Kordass B (2006) Comparison of the contact surface pattern between virtual and milled Cerec 3D full-ceramic crowns. Int J Comput Dent 9:129–136PubMed
13.
go back to reference Reich S, Troeltzsch M, Denekas WM (2004) Generation of functional Cerec 3D occlusal surfaces: a comparison of two production methods relevant in practice. Int J Comput Dent 7:229–238PubMed Reich S, Troeltzsch M, Denekas WM (2004) Generation of functional Cerec 3D occlusal surfaces: a comparison of two production methods relevant in practice. Int J Comput Dent 7:229–238PubMed
14.
go back to reference Reich S, Wichmann M, Burgel P (2005) The self-adjusting crown (Sac). Int J Comput Dent 8:47–58PubMed Reich S, Wichmann M, Burgel P (2005) The self-adjusting crown (Sac). Int J Comput Dent 8:47–58PubMed
15.
go back to reference Mehl A, Blanz V, Hickel R (2005) Biogeneric tooth: a new mathematical representation for tooth morphology in lower first molars. Eur J Oral Sci 113:333–340PubMedCrossRef Mehl A, Blanz V, Hickel R (2005) Biogeneric tooth: a new mathematical representation for tooth morphology in lower first molars. Eur J Oral Sci 113:333–340PubMedCrossRef
16.
go back to reference Mehl A, Blanz V (2005) New procedure for fully automatic occlusal surface reconstruction by means of a biogeneric tooth model. Int J Comput Dent 8(1):13–25PubMed Mehl A, Blanz V (2005) New procedure for fully automatic occlusal surface reconstruction by means of a biogeneric tooth model. Int J Comput Dent 8(1):13–25PubMed
17.
go back to reference Mörmann WH (2006) The evolution of the Cerec system. J Am Dent Assoc 137(Suppl):7S–13SPubMed Mörmann WH (2006) The evolution of the Cerec system. J Am Dent Assoc 137(Suppl):7S–13SPubMed
18.
go back to reference Richter J, Mehl A (2006) Evaluation for the fully automatic inlay reconstruction by means of the biogeneric tooth model. Int J Comput Dent 9:101–111PubMed Richter J, Mehl A (2006) Evaluation for the fully automatic inlay reconstruction by means of the biogeneric tooth model. Int J Comput Dent 9:101–111PubMed
19.
go back to reference Dunn M (2007) Biogeneric and user-friendly: the Cerec 3D software upgrade V3.00. Int J Comput Dent 10:109–117PubMed Dunn M (2007) Biogeneric and user-friendly: the Cerec 3D software upgrade V3.00. Int J Comput Dent 10:109–117PubMed
20.
go back to reference Morin MR (2006) Preparation, fabrication and 3D scanning to achieve esthetic results with chairside Cad/Cam technology. In: Mörmann WH (ed) State of the art Cad/Cam restorations: 20 years of Cerec. Quintessence, Berlin, pp 92–98 Morin MR (2006) Preparation, fabrication and 3D scanning to achieve esthetic results with chairside Cad/Cam technology. In: Mörmann WH (ed) State of the art Cad/Cam restorations: 20 years of Cerec. Quintessence, Berlin, pp 92–98
21.
go back to reference Hansen S (2000) Preparations for Cerec 3: where are the limits. Int J Comput Dent 3:197–205PubMed Hansen S (2000) Preparations for Cerec 3: where are the limits. Int J Comput Dent 3:197–205PubMed
23.
go back to reference Reiss B (2007) Cerec standard 3-D occlusal contouring in comparison with the new biogeneric occlusal morphing: a case report. Int J Comput Dent 10:69–75PubMed Reiss B (2007) Cerec standard 3-D occlusal contouring in comparison with the new biogeneric occlusal morphing: a case report. Int J Comput Dent 10:69–75PubMed
24.
go back to reference Reiss B (2003) Occlusal surface design with Cerec 3D. Int J Comput Dent 6:333–342PubMed Reiss B (2003) Occlusal surface design with Cerec 3D. Int J Comput Dent 6:333–342PubMed
25.
go back to reference Bortz J, Lienert GA, Boehnke K (2000) Verteilungsfreie Methoden in Der Biostatistik. Springer, Berlin p, 929 Bortz J, Lienert GA, Boehnke K (2000) Verteilungsfreie Methoden in Der Biostatistik. Springer, Berlin p, 929
26.
go back to reference Fleiss JL (1981) The measurement of interrater agreement. In: Fleiss JL, Levin B, Paik MC (eds) Statistical methods for rates and proportions. Wiley, New York, p 321 Fleiss JL (1981) The measurement of interrater agreement. In: Fleiss JL, Levin B, Paik MC (eds) Statistical methods for rates and proportions. Wiley, New York, p 321
27.
go back to reference Reich SM, Peltz ID, Wichmann M, Estafan DJ (2005) A comparative study of two Cerec software systems in evaluating manufacturing time and accuracy of restorations. Gen Dent 53:195–198PubMed Reich SM, Peltz ID, Wichmann M, Estafan DJ (2005) A comparative study of two Cerec software systems in evaluating manufacturing time and accuracy of restorations. Gen Dent 53:195–198PubMed
28.
go back to reference Wurbs M, Simon JF, Troeltzsch M, Denekas T, Wichmann M, Reich S (2006) Dentist-time expenditure for two different adhesive all-ceramic systems. J Dent 34:450–453PubMedCrossRef Wurbs M, Simon JF, Troeltzsch M, Denekas T, Wichmann M, Reich S (2006) Dentist-time expenditure for two different adhesive all-ceramic systems. J Dent 34:450–453PubMedCrossRef
29.
go back to reference Mehl A, Blanz V, Hickel R (2005) A new mathematical process for the calculation of average forms of teeth. J Prosthet Dent 94:561–566PubMedCrossRef Mehl A, Blanz V, Hickel R (2005) A new mathematical process for the calculation of average forms of teeth. J Prosthet Dent 94:561–566PubMedCrossRef
30.
go back to reference Fasbinder DJ (2006) Predictable Cerec occlusal relationships. In: Mörmann WH (ed) State of the art of Cad/Cam restorations, 20 years of Cerec. Quintessenz, Berlin, pp 93–100 Fasbinder DJ (2006) Predictable Cerec occlusal relationships. In: Mörmann WH (ed) State of the art of Cad/Cam restorations, 20 years of Cerec. Quintessenz, Berlin, pp 93–100
31.
go back to reference Addi S, Hedayati-Khams A, Poya A, Sjogren G (2002) Interface gap size of manually and Cad/Cam-manufactured ceramic inlays/onlays in vitro. J Dent 30:53–58PubMedCrossRef Addi S, Hedayati-Khams A, Poya A, Sjogren G (2002) Interface gap size of manually and Cad/Cam-manufactured ceramic inlays/onlays in vitro. J Dent 30:53–58PubMedCrossRef
32.
go back to reference Sjogren G (1995) Marginal and internal fit of four different types of ceramic inlays after luting. An in vitro study Acta Odontol Scand 53:24–28CrossRef Sjogren G (1995) Marginal and internal fit of four different types of ceramic inlays after luting. An in vitro study Acta Odontol Scand 53:24–28CrossRef
33.
go back to reference Müller H (2006) FGP technique with Cerec 3D. Int J Comput Dent 9:333–338PubMed Müller H (2006) FGP technique with Cerec 3D. Int J Comput Dent 9:333–338PubMed
Metadata
Title
Efficiency of a mathematical model in generating CAD/CAM-partial crowns with natural tooth morphology
Authors
Andreas Ender
Werner H. Mörmann
Albert Mehl
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 2/2011
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-010-0384-z

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