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3D-Printed Removable Partial Dentures

  • Balqees Almufleh
  • Faleh TamimiEmail author
  • Eric Caron
  • Omar Alageel
Chapter

Abstract

Recently, digital techniques have revolutionized the production of partial removable dental prostheses (PRDPs). This chapter reviews current systems for PRDP production, how they are done in clinical practice, its advantages and limitations, and current literature regarding their clinical performance. Currently, several digital techniques are available in the market for PRDP production including subtractive and additive techniques. Subtractive milling technique is mainly effective for nonmetal PRDP. Digital techniques expand the range of materials that can be utilized for PRDP production, including new polymers (PEEK), and facilitate previously difficult procedure such as casting titanium PRDP, which can be produced digitally more easily. This review shows that available evidence suggests that these techniques have promising clinical results. Laser-sintering resulted in higher patient satisfaction compared to conventional technique. However, long-term clinical trials are recommended to explore the long-term effects of these techniques. Moreover, this review showed the lack of evidence on the clinical performance of nonmetal partial removable dental prostheses.

Keywords

Partial removable dental prosthesis Laser-sintering 3D printing Nonmetal PRDP CAD-CAM Stereolithography Casting 

References

  1. 1.
    Müller F, Naharro M, Carlsson GE. What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe? Clin Oral Implants Res. 2007;18(s3):2–14.CrossRefGoogle Scholar
  2. 2.
    Carlsson GE. Changes in the prosthodontic literature 1966 to 2042. J Can Dent Assoc. 2005;71(5):328.Google Scholar
  3. 3.
    Van Waas M, Meeuwissen J, Meuwissen R, Kayser A, Kalk W, Van ‘t Hof M. Relationship between wearing a removable partial denture and satisfaction in the elderly. Community Dent Oral Epidemiol. 1994;22(5 Pt 1):315–8.CrossRefGoogle Scholar
  4. 4.
    John MT, Slade GD, Szentpétery A, Setz JM. Oral health-related quality of life in patients treated with fixed, removable, and complete dentures 1 month and 6 to 12 months after treatment. Int J Prosthodont. 2004;17(5):503–11.PubMedGoogle Scholar
  5. 5.
    Zitzmann NU, Hagmann E, Weiger R. What is the prevalence of various types of prosthetic dental restorations in Europe? Clin Oral Implants Res. 2007;18(Suppl 3):20–33.CrossRefGoogle Scholar
  6. 6.
    Douglass CW, Watson AJ. Future needs for fixed and removable partial dentures in the United States. J Prosthet Dent. 2002;87(1):9–14.CrossRefGoogle Scholar
  7. 7.
    Hummel SK, Wilson MA, Marker VA, Nunn ME. Quality of removable partial dentures worn by the adult U.S. population. J Prosthet Dent. 2002;88(1):37–43.CrossRefGoogle Scholar
  8. 8.
    Rudd RW, Rudd KD. A review of 243 errors possible during the fabrication of a removable partial denture: part I. J Prosthet Dent. 2001;86(3):251–61.CrossRefGoogle Scholar
  9. 9.
    Koutsoukis T, Zinelis S, Eliades G, Al-Wazzan K, Rifaiy MA, Al Jabbari YS. Selective laser melting technique of co-cr dental alloys: a review of structure and properties and comparative analysis with other available techniques. J Prosthodont. 2015;24(4):303–12.CrossRefGoogle Scholar
  10. 10.
    Sun J, Zhang FQ. The application of rapid prototyping in prosthodontics. J Prosthodont. 2012;21(8):641–4.CrossRefGoogle Scholar
  11. 11.
    Williams R, Bibb R, Rafik T. A technique for fabricating patterns for removable partial denture frameworks using digitized casts and electronic surveying. J Prosthet Dent. 2004;91(1):85–8.CrossRefGoogle Scholar
  12. 12.
    Bibb RJ, Eggbeer D, Williams R, Woodward A. Trial fitting of a removable partial denture framework made using computer-aided design and rapid prototyping techniques. Proc Inst Mech Eng H J Eng Med. 2006;220(7):793–7.CrossRefGoogle Scholar
  13. 13.
    Williams R, Eggbeer D, Bibb R. CAD/CAM in the fabrication of removable partial denture frameworks: a virtual method of surveying 3-dimensionally scanned dental casts. Quintessence J Dent Technol. 2004;2(3):268–76.Google Scholar
  14. 14.
    Williams R, Bibb R, Eggbeer D, Collis J. Use of CAD/CAM technology to fabricate a removable partial denture framework. J Prosthet Dent. 2006;96(2):96–9.CrossRefGoogle Scholar
  15. 15.
    Eggbeer D, Bibb R, Williams R. The computer-aided design and rapid prototyping fabrication of removable partial denture frameworks. Proc Inst Mech Eng H J Eng Med. 2005;219(3):195–202.CrossRefGoogle Scholar
  16. 16.
    Wu J, Wang X, Zhao X, Zhang C, Gao B. A study on the fabrication method of removable partial denture framework by computer-aided design and rapid prototyping. Rapid Prototyp J. 2012;18(4):318–23.CrossRefGoogle Scholar
  17. 17.
    Han J, Wang Y, Lü P. A preliminary report of designing removable partial denture frameworks using a specifically developed software package. Int J Prosthodont. 2010;23(4):370–5.PubMedGoogle Scholar
  18. 18.
    Nakata T, Shimpo H, Ohkubo C. Clasp fabrication using one-process molding by repeated laser sintering and high-speed milling. J Prosthodont Res. 2017;61(3):276–82.CrossRefGoogle Scholar
  19. 19.
    Frank L, Kevin S, Mary K, Joseph N, Hsin-Nan C, Robert L. Applications of a hybrid manufacturing process for fabrication of metallic structures. Rapid Prototyp J. 2007;13(4):236–44.CrossRefGoogle Scholar
  20. 20.
    Ohkubo C, Sato Y, Nishiyama Y, Suzuki Y. Titanium removable denture based on a one-metal rehabilitation concept. Dent Mater J. 2017;36(5):517–23.CrossRefGoogle Scholar
  21. 21.
    Wu J, Li Y, Zhang Y. Use of intraoral scanning and 3-dimensional printing in the fabrication of a removable partial denture for a patient with limited mouth opening. J Am Dent Assoc. 2017;148(5):338–41.CrossRefGoogle Scholar
  22. 22.
    Fueki K, Ohkubo C, Yatabe M, Arakawa I, Arita M, Ino S, et al. Clinical application of removable partial dentures using thermoplastic resin-part I: definition and indication of non-metal clasp dentures. J Prosthodont Res. 2014;58(1):3–10.CrossRefGoogle Scholar
  23. 23.
    Takahashi Y, Hamanaka I, Isshi K. CAD/CAM-fabricated nonmetal clasp denture: in vitro pilot study. Int J Prosthodont. 2017;30(3):277–9.CrossRefGoogle Scholar
  24. 24.
    Hamanaka I, Isshi K, Takahashi Y. Fabrication of a nonmetal clasp denture supported by an intraoral scanner and CAD-CAM. J Prosthet Dent. 2017;120(1):9–12.CrossRefGoogle Scholar
  25. 25.
    Zoidis P, Papathanasiou I, Polyzois G. The use of a modified poly-ether-ether-ketone (PEEK) as an alternative framework material for removable dental prostheses. A clinical report. J Prosthodont. 2016;25(7):580–4.CrossRefGoogle Scholar
  26. 26.
    Barazanchi A, Li KC, Al-Amleh B, Lyons K, Waddell JN. Additive technology: update on current materials and applications in dentistry. J Prosthodont. 2017;26(2):156–63.CrossRefGoogle Scholar
  27. 27.
    Kattadiyil MT, Mursic Z, AlRumaih H, Goodacre CJ. Intraoral scanning of hard and soft tissues for partial removable dental prosthesis fabrication. J Prosthet Dent. 2014;112(3):444–8.CrossRefGoogle Scholar
  28. 28.
    Alifui-Segbaya F, Williams RJ, George R. Additive manufacturing: a novel method for fabricating cobalt-chromium removable partial denture frameworks. Eur J Prosthodont Restor Dent. 2017;25(2):73–8.PubMedGoogle Scholar
  29. 29.
    Bibb R, Eggbeer D, Williams R. Rapid manufacture of removable partial denture frameworks. Rapid Prototyp J. 2006;12(2):95–9.CrossRefGoogle Scholar
  30. 30.
    Williams R, Bibb R, Eggbeer D, Woodward A. A patient-fitted, CAD/CAM produced sacrificial pattern for a removable partial denture. Quintessence J Dent Technol. 2006;4:200–4.Google Scholar
  31. 31.
    Choi W, Woo Y-H, Kim H-S, Paek J. Comparison of internal adaptation of removable partial denture metal frameworks made by lost wax technique and printing technique of pattern using CAD. J Korean Acad Prosthodont. 2018;56(1):17–24.CrossRefGoogle Scholar
  32. 32.
    Lang LA, Tulunoglu I. A critically appraised topic review of computer-aided design/computer-aided machining of removable partial denture frameworks. Dent Clin N Am. 2014;58(1):247–55.CrossRefGoogle Scholar
  33. 33.
    Gan N, Ruan Y, Sun J, Xiong Y, Jiao T. Comparison of adaptation between the major connectors fabricated from intraoral digital impressions and extraoral digital impressions. Sci Rep. 2018;8(1):529.CrossRefGoogle Scholar
  34. 34.
    Gan N, Xiong Y, Jiao T. Accuracy of intraoral digital impressions for whole upper jaws, including full dentitions and palatal soft tissues. PLoS One. 2016;11(7):e0158800.CrossRefGoogle Scholar
  35. 35.
    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. 2017;119:560–7.e1.CrossRefGoogle Scholar
  36. 36.
    Ye H, Ning J, Li M, Niu L, Yang J, Sun Y, et al. Preliminary clinical application of removable partial denture frameworks fabricated using computer-aided design and rapid prototyping techniques. Int J Prosthodont. 2017;30(4):348–53.CrossRefGoogle Scholar
  37. 37.
    Lee JW, Park JM, Park EJ, Heo SJ, Koak JY, Kim SK. Accuracy of a digital removable partial denture fabricated by casting a rapid prototyped pattern: a clinical study. J Prosthet Dent. 2017;118(4):468–74.CrossRefGoogle Scholar
  38. 38.
    Alageel O, Abdallah MN, Alsheghri A, Song J, Caron E, Tamimi F. Removable partial denture alloys processed by laser-sintering technique. J Biomed Mater Res B Appl Biomater. 2018;106(3):1174–85.CrossRefGoogle Scholar
  39. 39.
    Torii M, Nakata T, Takahashi K, Kawamura N, Shimpo H, Ohkubo C. Fitness and retentive force of cobalt-chromium alloy clasps fabricated with repeated laser sintering and milling. J Prosthodont Res. 2018;62(3):342–6.CrossRefGoogle Scholar
  40. 40.
    Arnold C, Hey J, Schweyen R, Setz JM. Accuracy of CAD-CAM-fabricated removable partial dentures. J Prosthet Dent. 2017;119(4):586–92.CrossRefGoogle Scholar
  41. 41.
    Abduo J, Lyons K, Bennamoun M. Trends in computer-aided manufacturing in prosthodontics: a review of the available streams. Int J Dent. 2014;2014:15.CrossRefGoogle Scholar
  42. 42.
    Fueki K, Ohkubo C, Yatabe M, Arakawa I, Arita M, Ino S, et al. Clinical application of removable partial dentures using thermoplastic resin. Part II: material properties and clinical features of non-metal clasp dentures. J Prosthodont Res. 2014;58(2):71–84.CrossRefGoogle Scholar
  43. 43.
    Tannous F, Steiner M, Shahin R, Kern M. Retentive forces and fatigue resistance of thermoplastic resin clasps. Dent Mater. 2012;28(3):273–8.CrossRefGoogle Scholar
  44. 44.
    Kibi M, Ono T, Dong J, Mitta K, Gonda T, Maeda Y. Development of an RPD CAD system with finite element stress analysis. J Oral Rehabil. 2009;36(6):442–50.CrossRefGoogle Scholar
  45. 45.
    Chen J, Ahmad R, Suenaga H, Li W, Sasaki K, Swain M, et al. Shape optimization for additive manufacturing of removable partial dentures—a new paradigm for prosthetic CAD/CAM. PLoS One. 2015;10(7):e0132552.CrossRefGoogle Scholar
  46. 46.
    Lee JH, Lee CH. A stereolithographic resin pattern for evaluating the framework, altered cast partial removable dental prosthesis impression, and maxillomandibular relationship record in a single appointment. J Prosthet Dent. 2015;114(5):625–6.CrossRefGoogle Scholar
  47. 47.
    Campbell SD, Cooper L, Craddock H, Hyde TP, Nattress B, Pavitt SH, et al. Removable partial dentures: the clinical need for innovation. J Prosthet Dent. 2017;118(3):273–80.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Balqees Almufleh
    • 1
    • 2
  • Faleh Tamimi
    • 1
    Email author
  • Eric Caron
    • 3
  • Omar Alageel
    • 1
    • 4
  1. 1.Faculty of DentistryMcGill UniversityMontrealCanada
  2. 2.Department of Prosthetic Dental Sciences, College of DentistryKing Saud UniversityRiyadhSaudi Arabia
  3. 3.MilidentLavalCanada
  4. 4.College of Applied Dental SciencesKing Saud UniversityRiyadhSaudi Arabia

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