Assessment of fully digitalized workflow for implant-prosthetic rehabilitation in temporomandibular disorders patients: A clinical study

Digitalized workflow eliminates the need for the tray, impression materials, its decontamination, packaging and shipping, pouring with plaster, cast fabrication, mounting in an articulator, reducing storage spaces, and the risks of any loss or fracture of the plaster model is overcome by archiving o...

Full description

Saved in:
Bibliographic Details
Main Authors: Giuseppe Minervini, Rocco Franco, Salvatore Crimi, Manuele Basili, Saurabh Chaturvedi, Marco Cicciù, Alberto Bianchi, Gabriele Cervino
Format: Article
Language:English
Published: Springer 2023-09-01
Series:Saudi Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905223001062
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849702853684232192
author Giuseppe Minervini
Rocco Franco
Salvatore Crimi
Manuele Basili
Saurabh Chaturvedi
Marco Cicciù
Alberto Bianchi
Gabriele Cervino
author_facet Giuseppe Minervini
Rocco Franco
Salvatore Crimi
Manuele Basili
Saurabh Chaturvedi
Marco Cicciù
Alberto Bianchi
Gabriele Cervino
author_sort Giuseppe Minervini
collection DOAJ
description Digitalized workflow eliminates the need for the tray, impression materials, its decontamination, packaging and shipping, pouring with plaster, cast fabrication, mounting in an articulator, reducing storage spaces, and the risks of any loss or fracture of the plaster model is overcome by archiving on the computer. This clinical investigation aimed to evaluate the effectiveness of the fully digitalized rehabilitation [implant-supported prosthesis] method in partially edentulous patients and with TMD, using advanced software. Twelve patients requiring implant-supported prosthesis in the mandibular molar area with Temporomandibular disorders [TMD] were selected. The fully digitalized rehabilitation method with advanced software was used for rehabilitation. For each subject, Optical impressions, CBCT scan, and Digital recording of jaw movement data. Guided implant surgery and digitalized prosthetic rehabilitation; were performed. The effectiveness of the digitalized workflow was assessed by evaluating the changes in the joint symptoms before and after the end of the treatment, changes in the electromyographic tracings, the precision of the prosthetic artefact, assessed through the amount of chair adjustment operating time and the number of retouching/ modifications to be carried out before the completion of the work. The results showed that the mean operative time required in 12 patients was 9.42 min, significantly less than the time recorded in previous studies when the medium mean was 16.00 min. The mean number of touch-ups [adjustments] was less than 3, most of which were on the interproximal surfaces. There were no significant changes recorded in the electromyography tracings. There were also no changes in joint symptoms. It was found that this way of working was entirely reliable and significantly reduced operating times and the number of appointments. Digital flow is beneficial ei dysfunctional patients, not about improvements in temporomandibular symptoms but in times of operability and prosthetic retouching.
format Article
id doaj-art-15ca17bdb70f4cd8b47dc8e4f343da0d
institution DOAJ
issn 1013-9052
language English
publishDate 2023-09-01
publisher Springer
record_format Article
series Saudi Dental Journal
spelling doaj-art-15ca17bdb70f4cd8b47dc8e4f343da0d2025-08-20T03:17:28ZengSpringerSaudi Dental Journal1013-90522023-09-0135668469110.1016/j.sdentj.2023.05.024Assessment of fully digitalized workflow for implant-prosthetic rehabilitation in temporomandibular disorders patients: A clinical studyGiuseppe Minervini0Rocco Franco1Salvatore Crimi2Manuele Basili3Saurabh Chaturvedi4Marco Cicciù5Alberto Bianchi6Gabriele Cervino7Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, ItalyDepartment of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome 00100, Italy; Corresponding authors.Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, Catania, ItalyDepartment of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome 00100, ItalyDepartment of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia; Corresponding authors.Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, Catania, ItalyDepartment of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, Catania, ItalySchool of Dentistry Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, via Consolare Valeria, 1, 98125 Messina, ItalyDigitalized workflow eliminates the need for the tray, impression materials, its decontamination, packaging and shipping, pouring with plaster, cast fabrication, mounting in an articulator, reducing storage spaces, and the risks of any loss or fracture of the plaster model is overcome by archiving on the computer. This clinical investigation aimed to evaluate the effectiveness of the fully digitalized rehabilitation [implant-supported prosthesis] method in partially edentulous patients and with TMD, using advanced software. Twelve patients requiring implant-supported prosthesis in the mandibular molar area with Temporomandibular disorders [TMD] were selected. The fully digitalized rehabilitation method with advanced software was used for rehabilitation. For each subject, Optical impressions, CBCT scan, and Digital recording of jaw movement data. Guided implant surgery and digitalized prosthetic rehabilitation; were performed. The effectiveness of the digitalized workflow was assessed by evaluating the changes in the joint symptoms before and after the end of the treatment, changes in the electromyographic tracings, the precision of the prosthetic artefact, assessed through the amount of chair adjustment operating time and the number of retouching/ modifications to be carried out before the completion of the work. The results showed that the mean operative time required in 12 patients was 9.42 min, significantly less than the time recorded in previous studies when the medium mean was 16.00 min. The mean number of touch-ups [adjustments] was less than 3, most of which were on the interproximal surfaces. There were no significant changes recorded in the electromyography tracings. There were also no changes in joint symptoms. It was found that this way of working was entirely reliable and significantly reduced operating times and the number of appointments. Digital flow is beneficial ei dysfunctional patients, not about improvements in temporomandibular symptoms but in times of operability and prosthetic retouching.http://www.sciencedirect.com/science/article/pii/S1013905223001062Digitalized prosthetic rehabilitationJaw Motion trackingTemporomandibular disorders
spellingShingle Giuseppe Minervini
Rocco Franco
Salvatore Crimi
Manuele Basili
Saurabh Chaturvedi
Marco Cicciù
Alberto Bianchi
Gabriele Cervino
Assessment of fully digitalized workflow for implant-prosthetic rehabilitation in temporomandibular disorders patients: A clinical study
Saudi Dental Journal
Digitalized prosthetic rehabilitation
Jaw Motion tracking
Temporomandibular disorders
title Assessment of fully digitalized workflow for implant-prosthetic rehabilitation in temporomandibular disorders patients: A clinical study
title_full Assessment of fully digitalized workflow for implant-prosthetic rehabilitation in temporomandibular disorders patients: A clinical study
title_fullStr Assessment of fully digitalized workflow for implant-prosthetic rehabilitation in temporomandibular disorders patients: A clinical study
title_full_unstemmed Assessment of fully digitalized workflow for implant-prosthetic rehabilitation in temporomandibular disorders patients: A clinical study
title_short Assessment of fully digitalized workflow for implant-prosthetic rehabilitation in temporomandibular disorders patients: A clinical study
title_sort assessment of fully digitalized workflow for implant prosthetic rehabilitation in temporomandibular disorders patients a clinical study
topic Digitalized prosthetic rehabilitation
Jaw Motion tracking
Temporomandibular disorders
url http://www.sciencedirect.com/science/article/pii/S1013905223001062
work_keys_str_mv AT giuseppeminervini assessmentoffullydigitalizedworkflowforimplantprostheticrehabilitationintemporomandibulardisorderspatientsaclinicalstudy
AT roccofranco assessmentoffullydigitalizedworkflowforimplantprostheticrehabilitationintemporomandibulardisorderspatientsaclinicalstudy
AT salvatorecrimi assessmentoffullydigitalizedworkflowforimplantprostheticrehabilitationintemporomandibulardisorderspatientsaclinicalstudy
AT manuelebasili assessmentoffullydigitalizedworkflowforimplantprostheticrehabilitationintemporomandibulardisorderspatientsaclinicalstudy
AT saurabhchaturvedi assessmentoffullydigitalizedworkflowforimplantprostheticrehabilitationintemporomandibulardisorderspatientsaclinicalstudy
AT marcocicciu assessmentoffullydigitalizedworkflowforimplantprostheticrehabilitationintemporomandibulardisorderspatientsaclinicalstudy
AT albertobianchi assessmentoffullydigitalizedworkflowforimplantprostheticrehabilitationintemporomandibulardisorderspatientsaclinicalstudy
AT gabrielecervino assessmentoffullydigitalizedworkflowforimplantprostheticrehabilitationintemporomandibulardisorderspatientsaclinicalstudy