Avanços na reabilitação oral com prótese total utilizando tecnologia digital CAD-CAM
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Feb 14, 2025
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Resumo
Objetivo: Analisar o uso de resinas acrílicas na reabilitação oral por meio de próteses removíveis totais, comparando métodos convencionais e sistemas CAD-CAM. Revisão bibliográfica: A introdução de tecnologias digitais como CAD-CAM está substituindo os métodos tradicionais, oferecendo processos mais rápidos e eficientes. As resinas acrílicas processadas por meio de técnicas CAD-CAM demonstram superioridade em precisão, resistência e biocompatibilidade, além de reduzir tempo clínico e aumentar a satisfação do paciente. Considerações finais: As resinas acrílicas produzidas por técnicas digitais mostram desempenho clínico superior em adaptação, resistência e satisfação do paciente. A tecnologia CAD-CAM melhora a precisão e a eficiência do processo de fabricação e reduz o risco de reações adversas devido à menor quantidade de monômero residual. Embora os métodos convencionais ainda sejam valorizados por sua estética e funcionalidade, a combinação de técnicas tradicionais com inovações digitais pode proporcionar o equilíbrio ideal na reabilitação oral, assegurando melhores resultados clínicos e qualidade de vida para os pacientes.
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Como Citar
SousaG. R., de MesquitaV. T., & JuniorA. D. F. C. (2025). Avanços na reabilitação oral com prótese total utilizando tecnologia digital CAD-CAM. Revista Eletrônica Acervo Saúde, 25, e18019. https://doi.org/10.25248/reas.e18019.2025
Seção
Revisão Bibliográfica
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Referências
1. ABUALSAUD R e GAD MM. Flexural Strength of CAD/CAM Denture Base Materials: Systematic Review and Meta-analysis of In-vitro Studies. Journal of International Society of Preventive and Community Dentistry, 2022(2): 160-170.
2. AHMED A, et al. Evaluation of the Effect of Different Construction Techniques of CAD-CAM Milled, 3D-Printed, and Polyamide Denture Base Resins on Flexural Strength: An In Vitro Comparative Study. Journal of Prosthodontics, 2022.
3. ALQUTAIBI AY et al. Polymeric denture base materials: a review. Polymers, 2023; 15: 3258.
4. ALSHAMRANI AA, et al. Effect of printing layer thickness and post printing conditions on the flexural strength and hardness of a 3D-printed resin. BioMed Research International, 2022.
5. APIMANCHINDAKUL C, et al. Effect of reinforced self-cured acrylic resin on flexural strength. International Journal of Dentistry, 2022.
6. ARAÚJO LKO, et al. O uso de biomateriais em odontologia: novas perspectivas e atualizações. Research, Society and Development, 2022; 11(12): e343111234480. Disponível em: http://dx.doi.org/10.33448/rsd-v11i12.34480.
7. ASMAA N, et al. Color stability of heat polymerized complete dentures and 3D printed CAD/CAM dentures: a cross-over clinical study. Journal of the Arab Society for Medical Research, doi: 10.4103/jasmr.jasmr_20_22, 2022.
8. BATISSE C e NICOLAS E. Comparison of CAD/CAM and Conventional Denture Base Resins: A Systematic Review. Applied Sciences, 2021.
9. CARRILHO MRO, et al.. Resistência de união à dentina de quatro sistemas adesivos. Pesquisa Odontológica Brasileira, 2002; 16(3): 251-256. Disponível em: https://bdigital.ufp.pt/bitstream/10284/9375/1/medicina_dentaria_2023.pdf. Acesso em: 26 jul. 2024.
10. CERVINO, GABRIELE et al. Biological and chemo-physical features of denture resins. Materials, 2020; 13(15): 3350. Disponível em: https://doi.org/10.3390/ma13153350. Acesso em: 26 jul. 2024.
11. CHANG YH, et al. Effect of toothbrush/dentifrice abrasion on weight variation, surface roughness, surface morphology and hardness of conventional and denture base materials. Dental Materials Journal, 2021; 40: 220-227.
12. CHI, JUSTIN. Digital impressions and in-office CAD/CAM: A review of best practices and what's to come. Compendium of Continuing Education in Dentistry, Jamesburg, NJ, 2021; 42(3): 140-141.
13. CHOCANO APC, et al. Evaluation of the clinical performance of dentures manufactured by computer-aided technology and conventional techniques: A systematic review. Journal of Prosthetic Dentistry, 2023; 129(4): 547-553.
14. DI FIORE A e BRUNELLO G. Tendências atuais e direções futuras em odontologia protética e de implantes na era digital . MDPI-Multidisciplinary Digital Publishing Institute, 2022.
15. FATMA TAK, et al. Additively manufactured CAD-CAM complete dentures with intra oral scanning and cast digitization: a controlled clinical trial. Journal of Prosthodontics, 2023.
16. FREITAS RFCP, et al. Physical, mechanical, and anti-biofilm formation properties of CAD-CAM milled or 3d printed denture base resins in vitro analysis. Journal of Prosthodontics, 2023; 32: 38-44.
17. HEIKAL MMA, et al. A study comparing patient satisfaction and retention of CAD/CAM milled complete dentures and 3D printed CAD/CAM complete dentures versus conventional complete dentures: a randomized clinical trial. Brazilian Dental Science, 2022; 25(1).
18. IWAKI M. et al. Mechanical properties of a polymethyl methacrylate block for CAD/CAM dentures. Journal of Oral Science, 2020; 62: 420-422.
19. KHANNA SS e DHAIMADE PA. Odontologia verde: uma revisão sistemática de práticas odontológicas ecológicas. Environment, Development and Sustainability; 21: 25.
20. KOUJAN A, et al. Evaluation of candida albicans adherence to CAD-CAM milled, 3D-printed, and heat-cured PMMA resin and efficacy of different disinfection techniques: an in vitro study. Journal of Prosthodontics, 2023; 32: 512–518.
21. LAI C, et al. Antibacterial and physical properties of PVM/MA copolymer-incorporated polymethyl methacrylate as a novel antimicrobial acrylic resin material. Molecules, 2022; 27(24): 8848.
22. LIN GSS, et al. Revolutionising dental technologies: a qualitative study on dental technicians’ perceptions of Artificial intelligence integration. BMC Oral Health, 2023; 23(1): 690.
23. MAYALL RE, et al. Mechanical properties of conventional versus microwave-polymerized denture base acrylic resins. The Journal of Prosthetic Dentistry, 2024; 131(6): 1250.
24. MAZUREK-POPCZYK J et al.. Evaluation of biofilm formation on acrylic resins used to fabricate dental temporary restorations with the use of 3D printing technology. BMC Oral Health, 2022; 22(1): 442. Disponível em: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-02202219-5.
25. MEIROWITZ A, et al. Effect of denture base fabrication technique on Candida albicans adhesion in vitro. Materials, 2021; 14(1): 221.
26. MUBARAKI MQ, et al. Assessment of Conventionally and Digitally Fabricated Complete Dentures: A Comprehensive Review. Materials (Basel), 2022; 15(11): 3868.
27. OLIVEIRA I, et al. Mechanical properties of polymethyl methacrylate as a denture base: conventional versus CAD-CAM resin - a systematic review and meta-analysis of in vitro studies. Journal of Prosthetic Dentistry, 2021.
28. RAGHEB N e IBRAHIM W. Biting Force and chewing efficiency of Conventional and CAD/CAM complete dentures. A Cross-over Study. Egyptian Dental Journal, 2021; 67(4): 3323-3335.
29. REEM A, et al.. Flexural Strength of CAD/CAM Denture Base Materials: Systematic Review and Meta-analysis of In-vitro Studies. Journal of International Society of Preventive and Community Dentistry, 2022.
30. SHADY E, et al. Comparative study of maxillary denture-base retention between CAD/CAM (3D printed) and conventional fabrication techniques: a randomized clinical study. 2021.
31. SHEN C, et al.. Phillips materiais dentários. São Paulo: Grupo GEN, 2023.
32. TAIWO TJ. Evaluation of surface properties and elastic modulus of CAD-CAM Milled, 3D printed, and compression molded denture base resins: An in vitro study. Journal of International Society of Preventive and Community Dentistry, 2021.
33. WEI X, et al. Comparative analysis of leaching residual monomer and biological effects of four types of conventional and CAD/CAM dental polymers: An in vitro study. Clinical Oral Investigations, 2022; 26(3): 2887-2898.
34. ZAFAR MS. Prosthodontic applications of polymethyl methacrylate (PMMA): An update. Polymers, 2020; 12(10): 2299.
35. ZITZMANN NU, et al. Digital undergraduate education in dentistry: a systematic review. International journal of environmental research and public health, 2020; 17(9): 3269.
2. AHMED A, et al. Evaluation of the Effect of Different Construction Techniques of CAD-CAM Milled, 3D-Printed, and Polyamide Denture Base Resins on Flexural Strength: An In Vitro Comparative Study. Journal of Prosthodontics, 2022.
3. ALQUTAIBI AY et al. Polymeric denture base materials: a review. Polymers, 2023; 15: 3258.
4. ALSHAMRANI AA, et al. Effect of printing layer thickness and post printing conditions on the flexural strength and hardness of a 3D-printed resin. BioMed Research International, 2022.
5. APIMANCHINDAKUL C, et al. Effect of reinforced self-cured acrylic resin on flexural strength. International Journal of Dentistry, 2022.
6. ARAÚJO LKO, et al. O uso de biomateriais em odontologia: novas perspectivas e atualizações. Research, Society and Development, 2022; 11(12): e343111234480. Disponível em: http://dx.doi.org/10.33448/rsd-v11i12.34480.
7. ASMAA N, et al. Color stability of heat polymerized complete dentures and 3D printed CAD/CAM dentures: a cross-over clinical study. Journal of the Arab Society for Medical Research, doi: 10.4103/jasmr.jasmr_20_22, 2022.
8. BATISSE C e NICOLAS E. Comparison of CAD/CAM and Conventional Denture Base Resins: A Systematic Review. Applied Sciences, 2021.
9. CARRILHO MRO, et al.. Resistência de união à dentina de quatro sistemas adesivos. Pesquisa Odontológica Brasileira, 2002; 16(3): 251-256. Disponível em: https://bdigital.ufp.pt/bitstream/10284/9375/1/medicina_dentaria_2023.pdf. Acesso em: 26 jul. 2024.
10. CERVINO, GABRIELE et al. Biological and chemo-physical features of denture resins. Materials, 2020; 13(15): 3350. Disponível em: https://doi.org/10.3390/ma13153350. Acesso em: 26 jul. 2024.
11. CHANG YH, et al. Effect of toothbrush/dentifrice abrasion on weight variation, surface roughness, surface morphology and hardness of conventional and denture base materials. Dental Materials Journal, 2021; 40: 220-227.
12. CHI, JUSTIN. Digital impressions and in-office CAD/CAM: A review of best practices and what's to come. Compendium of Continuing Education in Dentistry, Jamesburg, NJ, 2021; 42(3): 140-141.
13. CHOCANO APC, et al. Evaluation of the clinical performance of dentures manufactured by computer-aided technology and conventional techniques: A systematic review. Journal of Prosthetic Dentistry, 2023; 129(4): 547-553.
14. DI FIORE A e BRUNELLO G. Tendências atuais e direções futuras em odontologia protética e de implantes na era digital . MDPI-Multidisciplinary Digital Publishing Institute, 2022.
15. FATMA TAK, et al. Additively manufactured CAD-CAM complete dentures with intra oral scanning and cast digitization: a controlled clinical trial. Journal of Prosthodontics, 2023.
16. FREITAS RFCP, et al. Physical, mechanical, and anti-biofilm formation properties of CAD-CAM milled or 3d printed denture base resins in vitro analysis. Journal of Prosthodontics, 2023; 32: 38-44.
17. HEIKAL MMA, et al. A study comparing patient satisfaction and retention of CAD/CAM milled complete dentures and 3D printed CAD/CAM complete dentures versus conventional complete dentures: a randomized clinical trial. Brazilian Dental Science, 2022; 25(1).
18. IWAKI M. et al. Mechanical properties of a polymethyl methacrylate block for CAD/CAM dentures. Journal of Oral Science, 2020; 62: 420-422.
19. KHANNA SS e DHAIMADE PA. Odontologia verde: uma revisão sistemática de práticas odontológicas ecológicas. Environment, Development and Sustainability; 21: 25.
20. KOUJAN A, et al. Evaluation of candida albicans adherence to CAD-CAM milled, 3D-printed, and heat-cured PMMA resin and efficacy of different disinfection techniques: an in vitro study. Journal of Prosthodontics, 2023; 32: 512–518.
21. LAI C, et al. Antibacterial and physical properties of PVM/MA copolymer-incorporated polymethyl methacrylate as a novel antimicrobial acrylic resin material. Molecules, 2022; 27(24): 8848.
22. LIN GSS, et al. Revolutionising dental technologies: a qualitative study on dental technicians’ perceptions of Artificial intelligence integration. BMC Oral Health, 2023; 23(1): 690.
23. MAYALL RE, et al. Mechanical properties of conventional versus microwave-polymerized denture base acrylic resins. The Journal of Prosthetic Dentistry, 2024; 131(6): 1250.
24. MAZUREK-POPCZYK J et al.. Evaluation of biofilm formation on acrylic resins used to fabricate dental temporary restorations with the use of 3D printing technology. BMC Oral Health, 2022; 22(1): 442. Disponível em: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-02202219-5.
25. MEIROWITZ A, et al. Effect of denture base fabrication technique on Candida albicans adhesion in vitro. Materials, 2021; 14(1): 221.
26. MUBARAKI MQ, et al. Assessment of Conventionally and Digitally Fabricated Complete Dentures: A Comprehensive Review. Materials (Basel), 2022; 15(11): 3868.
27. OLIVEIRA I, et al. Mechanical properties of polymethyl methacrylate as a denture base: conventional versus CAD-CAM resin - a systematic review and meta-analysis of in vitro studies. Journal of Prosthetic Dentistry, 2021.
28. RAGHEB N e IBRAHIM W. Biting Force and chewing efficiency of Conventional and CAD/CAM complete dentures. A Cross-over Study. Egyptian Dental Journal, 2021; 67(4): 3323-3335.
29. REEM A, et al.. Flexural Strength of CAD/CAM Denture Base Materials: Systematic Review and Meta-analysis of In-vitro Studies. Journal of International Society of Preventive and Community Dentistry, 2022.
30. SHADY E, et al. Comparative study of maxillary denture-base retention between CAD/CAM (3D printed) and conventional fabrication techniques: a randomized clinical study. 2021.
31. SHEN C, et al.. Phillips materiais dentários. São Paulo: Grupo GEN, 2023.
32. TAIWO TJ. Evaluation of surface properties and elastic modulus of CAD-CAM Milled, 3D printed, and compression molded denture base resins: An in vitro study. Journal of International Society of Preventive and Community Dentistry, 2021.
33. WEI X, et al. Comparative analysis of leaching residual monomer and biological effects of four types of conventional and CAD/CAM dental polymers: An in vitro study. Clinical Oral Investigations, 2022; 26(3): 2887-2898.
34. ZAFAR MS. Prosthodontic applications of polymethyl methacrylate (PMMA): An update. Polymers, 2020; 12(10): 2299.
35. ZITZMANN NU, et al. Digital undergraduate education in dentistry: a systematic review. International journal of environmental research and public health, 2020; 17(9): 3269.