Comparison between digital superimposition and microcomputed tomography methods of fit assessment of removable partial denture frameworks.

The fit of removable partial denture frameworks should be assessed to optimize clinical adaptation. Potential discrepancies between framework and supporting structures are typically precisely measured with negative subtracts and high-resolution equipment. The growth of computer-aided engineering tec...

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Publicado en:Journal of Prosthetic Dentistry Vol. 131; no. 3; pp. 479 - 487
Autores principales: Conceição, Pedro, Portugal, Jaime, Franco, Margarida, Alves, Nuno M., Marques, Duarte, Neves, Cristina B.
Formato: research Journal Article
Publicado: Elsevier B.V. Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Prosthetic Dentistry
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      dt: Mar2024
      vid: 131
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      pub: Elsevier B.V.
      place: New York, New York
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        175696419
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        10.1016/j.prosdent.2023.02.002
        175696419
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        atl: Comparison between digital superimposition and microcomputed tomography methods of fit assessment of removable partial denture frameworks.
      aug:
        au:
          Conceição, Pedro
          Portugal, Jaime
          Franco, Margarida
          Alves, Nuno M.
          Marques, Duarte
          Neves, Cristina B.
        affil: Invited Assistant Professor, Department of Dental Biomaterials, Biomedical and Oral Sciences Research Unit (UICOB), Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal
      sug:
        subj:
          Denture, Partial, Removable
          Tomography, X-Ray Computed Methods
          Dental Prosthesis, Implant-Supported
          Human
          In Vitro Studies
          Conceptual Framework
          Silicones
          Technology Methods
          Computers and Computerization
          Chromium
          Cobalt
          Dental Care
          Software
          Reproducibility of Results
          Descriptive Statistics
          Comparative Studies
          Wilcoxon Rank Sum Test
          Spearman's Rank Correlation Coefficient
      ab: The fit of removable partial denture frameworks should be assessed to optimize clinical adaptation. Potential discrepancies between framework and supporting structures are typically precisely measured with negative subtracts and high-resolution equipment. The growth of computer-aided engineering technology allows the development of new methods for the direct evaluation of discrepancies. However, how the methods compare is unclear. The purpose of this in vitro study was to compare 2 digital methods of fit assessment based on direct digital superimposition and microcomputed tomography indirect analysis. Twelve cobalt chromium removable partial denture frameworks were fabricated by conventional lost-wax casting or additive manufacturing techniques. The thickness of the gap between occlusal rests and respective definitive cast rest seats (n=34) was evaluated by using 2 different digital methods. Silicone elastomer impressions of the gaps were obtained, and microcomputed tomography measurements were used as controls for validation purposes. Digitization of the framework, the respective definitive cast, and the combination was followed by digital superimposition and direct measurements with the Geomagic Control X software program. Because normality and homogeneity of variance were not verified (Shapiro-Wilk and Levene tests, P <.05), the data were analyzed with Wilcoxon signed rank and Spearman correlation tests (α=.05). The thicknesses measured by microcomputed tomography (median=242 μm) and digital superimposition (median=236 μm) did not reveal statistically significant differences (P =.180). A positive correlation (ρ=0.612) was detected between the 2 methods of assessing fit. The frameworks presented median gap thicknesses under the limit of clinical acceptability without differences between the proposed methods. The digital superimposition method was determined to be as acceptable as the high-resolution microcomputed tomography method for assessing removable partial denture framework fit.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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