Lasers usage in dentistry intend to be a more efficient way to cut and coagulate in comparison with
traditional scalpel blades. The aim of this study is to evaluate the time efficiency for different
surgical procedures of diode lasers compare with the classical cutting technique. Soft tissue
modeling with this type of laser was slower, but in the whole management of these cases the
economy of time during the healing process was analyzed. In this study the Epic X (Biolase) diode
laser was used for performing three procedures: 1)gingivectomy, 2) a surgical procedure to discover
of an impacted canine and 3)a vestibuloplasty. In the gingivectomy procedure, the final impression
was possible in the same appointment, so it can be estimate a 14 days economy of time. When the
impacted canine was discovered, cutting and coagulating with laser beam create the possibility to
attach the bracket much more easy easy to the tooth, due to reduced bleeding and improved
visibility. The same advantages were also during the vestibuloplasty procedure, which enable not to
damage the mental nerve and the healing process was much quicker.
In conclusion, using the laser for different surgical procedures in dentistry offer the advantages of
better controlling the bleeding and also reducing the healing time.
Digital impressions were introduced to overcome some of the obstacles due to traditional impression materials and techniques. The aim of this in vitro study is to compare the accuracy of all ceramic crowns obtained with digital impression and CAD-CAM technology with the accuracy of those obtained with conventional impression techniques. Two groups of 10 crowns each have been considered. The digital data obtained from Group 1 have been processed and the all-ceramic crowns were milled with a CAD/CAM technology (CEREC MCX, Sirona). The all ceramic crowns in Group 2 were obtained with the classical technique of pressing (emax, Ivoclar, Vivadent). The evaluation of the marginal adaptation was performed with Time Domain Optical Coherence Tomography (TD OCT), working at a wavelength of 1300 nm. Tri-dimensional (3D) reconstructions of the selected areas were obtained. Based on the findings in this study, one may conclude that the marginal accuracy of all ceramic crowns fabricated with digital impression and the CAD/CAM technique is superior to the conventional impression technique.
Background: The principal aim of our study was to evaluate digital impressions, taken with spray powder and powderfree scan systems, in order to determine the influence of the dentist’s commitment to training as a critical factor regarding quality.
Material and method: Two digital intraoral impression systems from the same manufacture (Sirona) : Apollo DI and CEREC Omnicam, were used to scan 16 crown preparations on teeth on a typodont maxillary model. Because an Apollo Di intraoral camera is a powder system, an adhesive was applied before using the powder spray. Three groups were used to scan the crown preparations in order to determine coating thickness homogeneity. One group consisted of senior year dental students, a second consisted of prosthodontics residents, and the third consisted of prosthodontics specialists. The same procedure was applied with a CEREC Omnicam intraoral camera, which is a powder-free system. By using the two systems software parameters we were able to determine the scanning precision.
Results: Homogeneity scores for Apollo Di regarding the spray layer was significantly thinner for all dental surfaces in the first group, while the second group had thinner coatings for buccal and distal surfaces. For the third group, the crown preparations were coated more homogeneously than the first two groups. The powder-free system CEREC Omnicam can, to a degree, mask the lack of experience in direct optical impressions by avoiding the poor quality coating, which can lead to defective marginal adaptation of definitive restoration.
Conclusions: The dentist’s lack of experience can be mitigated, and partially avoided, by using powder-free systems. At the same time, the dentist can give more time towards learning how to integrate computerized fabricated restoration into the practice. The commitment to training is a critical factor in the successful integration of the technology. In addition, scanning marginal preparation details needs time in order to develop technical and manual skills.
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