CAD/CAM 技术能否提高临床医生的工作效率?

Shantell Boyd, Sonyetta Lorenzo-Jenkins, Trina Hutto RDH, MS, EdD
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引用次数: 0

摘要

目标 CAD/CAM 是计算机辅助设计/计算机辅助制造的缩写。它是一种数字系统,利用 CAM 将 CAD 设计转化为有形产品。CAD/CAM口内扫描仪旨在提高牙科医生的工作效率。根据以下标准纳入和/或排除这些文章:文章应经过同行评审,未在 2018 年之前发表,且非文献综述或荟萃分析。用于进行文献综述的数据库是奥古斯塔大学在线图书馆数据库中的 PubMed。用于查找相关文章的关键词是 CAD/CAM、计算机辅助设计、计算机辅助制造、计算机辅助制造、准确性、口内扫描仪、高分辨率、焦虑、压力、恐惧、紧张、牙科恐惧症、时间分配、时间管理、有效计划和时间管理。结果为了证明 CAD/CAM 提高了临床医师的准确性和效率,我们分别进行了三项研究。在第一项研究中,使用口内扫描仪检查了不同扫描方法下牙冠预备边缘数字印模的准确性。一颗下颌第一磨牙是在一个类型矫正器上完全用陶瓷制作的。为了获得所需的印模,使用了高分辨率、普通分辨率和组合分辨率三种设置。进行了第二项研究。五名技术熟练的医生和五名技术不熟练的临床医生被随机分配,使用数字六分仪成像技术制作临时单冠。结论任何口内扫描仪的精确度都完全取决于机器的硬件,并根据默认扫描进行调整。与传统的工作流程相比,使用 CAD/CAM 制作的单个牙冠所需的制作时间更短,而且更合体,能够实现牙科种植体、可摘义齿、贴面、牙冠、嵌体、镶嵌体和全口修复的实体化。此外,由于创建扫描所需的计算机数据量越来越大,因此有必要进行这一步骤。研究二 在传统的工作流程中,经验不足的临床医生制作临时牙冠的时间更长。研究三:为了避免由于提供者的疏忽造成的错误,需要对临床医生进行正确使用 CAD/CAM 的培训。
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Will CAD/CAM Technology Increase the Effectiveness of Clinicians?

OBJECTIVES

CAD/CAM stands for computer-aided design/computer-aided manufacturing. It is a digital system that employs CAM to translate designs from CAD into tangible goods. CAD/CAM intraoral scanners aim to make practitioners more effective in dentistry.

METHODS

The criteria selection is based on a study conducted with research articles. These articles were included and/or excluded based on the following criteria: articles should be peer reviewed, not published before 2018 and not literature reviews or meta-analysis. The database used to conduct this literature review was PubMed through Augusta University's online library database. The keywords used to find relevant articles were CAD/CAM, computer-aided design, computer-aided manufacturing, computer-assisted manufacturing, accuracy, intraoral scanner, high resolution, anxiety, stress, fear, nervousness, dental phobia, time distribution, time administration, effective planning, and time management.

RESULTS

To demonstrate that CAD/CAM improves clinician accuracy and efficacy, three separate studies were carried out. In the first study, an intraoral scanner is used to examine the accuracy of digital impressions at the edge of crown preparation using different scanning methodologies. A mandibular first molar was created entirely of ceramic on a typodont. Three settings—high solution, ordinary resolution, and combination resolution—were used to get the desired impression. Study two was carried out. Five skilled doctors and five less skilled clinicians were randomly allocated to build interim single crowns using digital sextant imaging. Research 3 found that using CAD/CAM would improve implant placement when comparing free-hand surgery to using the s-CAIS surgical guide for insertion.

CONCLUSIONS

Any intraoral scanner's accuracy is entirely dependent on the machine's hardware and is tuned for default scans. Compared to a traditional workflow, a single crown made with CAD/CAM needed less fabrication time and produced a better fit. competent to materialize dental implants, removable prosthodontics, veneers, crowns, inlays, onlays, and full mouth rehabilitation.

IMPLICATIONS

This stage of the scanning process is undesired because it requires more time to digitally trim away the preparation margin and set up a High-resolution mode in the program. Additionally, the increasing volume of computer data required to create scans makes this step necessary. Research II In a traditional workflow, less experienced Clinicians took longer to make temporary crowns. Study 3: To avoid errors resulting from provider omission, clinicians need to be trained in the proper use of CAD/CAM.

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