Novel lingual retainer created using CAD/CAM technology: Evaluation of its positioning accuracy

Objectives Permanent retention is currently the method of choice to stabilize orthodontic treatment results. Frequently, permanent retention schemes are adopted to prevent posttreatment changes in the esthetic zone of the anterior teeth. With increasingly prolonged times of intraoral device use, and...

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Veröffentlicht in:Journal of orofacial orthopedics 2015-03, Vol.76 (2), p.164-174
Hauptverfasser: Wolf, M., Schumacher, P., Jäger, F., Wego, J., Fritz, U., Korbmacher-Steiner, H., Jäger, A., Schauseil, M.
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container_end_page 174
container_issue 2
container_start_page 164
container_title Journal of orofacial orthopedics
container_volume 76
creator Wolf, M.
Schumacher, P.
Jäger, F.
Wego, J.
Fritz, U.
Korbmacher-Steiner, H.
Jäger, A.
Schauseil, M.
description Objectives Permanent retention is currently the method of choice to stabilize orthodontic treatment results. Frequently, permanent retention schemes are adopted to prevent posttreatment changes in the esthetic zone of the anterior teeth. With increasingly prolonged times of intraoral device use, and retention to be provided in the maxilla despite limited space, the demands placed on well-planned and precise retainer positioning are becoming more exacting. The aim of the present study was to analyze the intraoral precision of lingual retainers made using computer-aided design and machining (CAD/CAM). Materials and methods A custom manufacturer (Retaintechnology; Cologne, Germany) employing innovative CAD/CAM technology was commissioned to fabricate 16 lingual retainers. Following intraoral insertion using the manufacturer’s recommended transfer system, impressions of the intraoral situations were taken and scanned for digitization. On this basis, the intraoral retainer positions were compared to the preceding virtual setups by superimposition with the manufacturer’s datasets. Three-dimensional processing software (Geomagic Qualify 2012; Geomagic) was used to analyze the retainers, based on a total of 80 interproximal sites, for deviations from their planned positions along the horizontal (x-), sagittal (y-), and vertical (z-) axes. These deviations of the achieved from the intended positions were considered clinically relevant if ≥ 0.5 mm and, based on this premise, were subjected to a t -test with statistical software (Prism; GraphPad). Results The intraoral retainer positions were found to correlate closely with the preceding virtual setups (i.e., the positions as they had been planned by the custom manufacturer). Positional deviations were significantly less than 0.5 mm. They were very small in the horizontal and sagittal planes and moderately larger in the vertical plane. Conclusion Highly precise intraoral results may be achieved by transferring three-dimensional virtual setups for lingual retainers to the actual patients. This CAD/CAM strategy of making retainers can offer high predictability even in anatomically demanding regions and in the presence of limited space.
doi_str_mv 10.1007/s00056-014-0279-8
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Frequently, permanent retention schemes are adopted to prevent posttreatment changes in the esthetic zone of the anterior teeth. With increasingly prolonged times of intraoral device use, and retention to be provided in the maxilla despite limited space, the demands placed on well-planned and precise retainer positioning are becoming more exacting. The aim of the present study was to analyze the intraoral precision of lingual retainers made using computer-aided design and machining (CAD/CAM). Materials and methods A custom manufacturer (Retaintechnology; Cologne, Germany) employing innovative CAD/CAM technology was commissioned to fabricate 16 lingual retainers. Following intraoral insertion using the manufacturer’s recommended transfer system, impressions of the intraoral situations were taken and scanned for digitization. On this basis, the intraoral retainer positions were compared to the preceding virtual setups by superimposition with the manufacturer’s datasets. Three-dimensional processing software (Geomagic Qualify 2012; Geomagic) was used to analyze the retainers, based on a total of 80 interproximal sites, for deviations from their planned positions along the horizontal (x-), sagittal (y-), and vertical (z-) axes. These deviations of the achieved from the intended positions were considered clinically relevant if ≥ 0.5 mm and, based on this premise, were subjected to a t -test with statistical software (Prism; GraphPad). Results The intraoral retainer positions were found to correlate closely with the preceding virtual setups (i.e., the positions as they had been planned by the custom manufacturer). Positional deviations were significantly less than 0.5 mm. They were very small in the horizontal and sagittal planes and moderately larger in the vertical plane. Conclusion Highly precise intraoral results may be achieved by transferring three-dimensional virtual setups for lingual retainers to the actual patients. This CAD/CAM strategy of making retainers can offer high predictability even in anatomically demanding regions and in the presence of limited space.</description><identifier>ISSN: 1434-5293</identifier><identifier>EISSN: 1615-6714</identifier><identifier>DOI: 10.1007/s00056-014-0279-8</identifier><identifier>PMID: 25744094</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Computer Simulation ; Computer-Aided Design ; Dental Prosthesis Retention - instrumentation ; Dentistry ; Equipment Failure Analysis - methods ; Imaging, Three-Dimensional - methods ; Medicine ; Models, Theoretical ; Oral and Maxillofacial Surgery ; Original Article ; Orthodontic Appliance Design - methods ; Orthodontic Retainers ; Prosthesis Fitting - methods ; Reproducibility of Results ; Sensitivity and Specificity ; Tongue</subject><ispartof>Journal of orofacial orthopedics, 2015-03, Vol.76 (2), p.164-174</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c296t-497b34c70f19004106c53b405c30f71aef054ebb6b539d0087dc4f9ffca2e38d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00056-014-0279-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00056-014-0279-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25744094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolf, M.</creatorcontrib><creatorcontrib>Schumacher, P.</creatorcontrib><creatorcontrib>Jäger, F.</creatorcontrib><creatorcontrib>Wego, J.</creatorcontrib><creatorcontrib>Fritz, U.</creatorcontrib><creatorcontrib>Korbmacher-Steiner, H.</creatorcontrib><creatorcontrib>Jäger, A.</creatorcontrib><creatorcontrib>Schauseil, M.</creatorcontrib><title>Novel lingual retainer created using CAD/CAM technology: Evaluation of its positioning accuracy</title><title>Journal of orofacial orthopedics</title><addtitle>J Orofac Orthop</addtitle><addtitle>J Orofac Orthop</addtitle><description>Objectives Permanent retention is currently the method of choice to stabilize orthodontic treatment results. Frequently, permanent retention schemes are adopted to prevent posttreatment changes in the esthetic zone of the anterior teeth. With increasingly prolonged times of intraoral device use, and retention to be provided in the maxilla despite limited space, the demands placed on well-planned and precise retainer positioning are becoming more exacting. The aim of the present study was to analyze the intraoral precision of lingual retainers made using computer-aided design and machining (CAD/CAM). Materials and methods A custom manufacturer (Retaintechnology; Cologne, Germany) employing innovative CAD/CAM technology was commissioned to fabricate 16 lingual retainers. Following intraoral insertion using the manufacturer’s recommended transfer system, impressions of the intraoral situations were taken and scanned for digitization. On this basis, the intraoral retainer positions were compared to the preceding virtual setups by superimposition with the manufacturer’s datasets. Three-dimensional processing software (Geomagic Qualify 2012; Geomagic) was used to analyze the retainers, based on a total of 80 interproximal sites, for deviations from their planned positions along the horizontal (x-), sagittal (y-), and vertical (z-) axes. These deviations of the achieved from the intended positions were considered clinically relevant if ≥ 0.5 mm and, based on this premise, were subjected to a t -test with statistical software (Prism; GraphPad). Results The intraoral retainer positions were found to correlate closely with the preceding virtual setups (i.e., the positions as they had been planned by the custom manufacturer). Positional deviations were significantly less than 0.5 mm. They were very small in the horizontal and sagittal planes and moderately larger in the vertical plane. Conclusion Highly precise intraoral results may be achieved by transferring three-dimensional virtual setups for lingual retainers to the actual patients. This CAD/CAM strategy of making retainers can offer high predictability even in anatomically demanding regions and in the presence of limited space.</description><subject>Computer Simulation</subject><subject>Computer-Aided Design</subject><subject>Dental Prosthesis Retention - instrumentation</subject><subject>Dentistry</subject><subject>Equipment Failure Analysis - methods</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Medicine</subject><subject>Models, Theoretical</subject><subject>Oral and Maxillofacial Surgery</subject><subject>Original Article</subject><subject>Orthodontic Appliance Design - methods</subject><subject>Orthodontic Retainers</subject><subject>Prosthesis Fitting - methods</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Tongue</subject><issn>1434-5293</issn><issn>1615-6714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PwzAMhiMEYjD4AVxQj1zCnCZtmuM0PqUBFzhHaeqMTl07khZp_55MHRw52ZIfv7IfQq4Y3DIAOQsAkOUUmKCQSkWLI3LGcpbRXDJxHHvBBc1SxSfkPIT1nhaQn5JJmkkhQIkzIl-7b2ySpm5Xg2kSj72pW_SJ9Wh6rJIhxEmymN_NFvOXpEf72XZNt9pdkBNnmoCXhzolHw_374snunx7fF7Ml9SmKu-pULLkwkpwTAEIBrnNeCkgsxycZAZdPAnLMi8zriqAQlZWOOWcNSnyouJTcjPmbn33NWDo9aYOFpvGtNgNQbNcSl5ECzyibESt70Lw6PTW1xvjd5qB3vvSoy8dfem9L13EnetD_FBusPrb-BUUgXQEQhy1K_R63Q2-jS__k_oDhmhzzA</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Wolf, M.</creator><creator>Schumacher, P.</creator><creator>Jäger, F.</creator><creator>Wego, J.</creator><creator>Fritz, U.</creator><creator>Korbmacher-Steiner, H.</creator><creator>Jäger, A.</creator><creator>Schauseil, M.</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Novel lingual retainer created using CAD/CAM technology</title><author>Wolf, M. ; Schumacher, P. ; Jäger, F. ; Wego, J. ; Fritz, U. ; Korbmacher-Steiner, H. ; Jäger, A. ; Schauseil, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c296t-497b34c70f19004106c53b405c30f71aef054ebb6b539d0087dc4f9ffca2e38d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Computer Simulation</topic><topic>Computer-Aided Design</topic><topic>Dental Prosthesis Retention - instrumentation</topic><topic>Dentistry</topic><topic>Equipment Failure Analysis - methods</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Medicine</topic><topic>Models, Theoretical</topic><topic>Oral and Maxillofacial Surgery</topic><topic>Original Article</topic><topic>Orthodontic Appliance Design - methods</topic><topic>Orthodontic Retainers</topic><topic>Prosthesis Fitting - methods</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Tongue</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wolf, M.</creatorcontrib><creatorcontrib>Schumacher, P.</creatorcontrib><creatorcontrib>Jäger, F.</creatorcontrib><creatorcontrib>Wego, J.</creatorcontrib><creatorcontrib>Fritz, U.</creatorcontrib><creatorcontrib>Korbmacher-Steiner, H.</creatorcontrib><creatorcontrib>Jäger, A.</creatorcontrib><creatorcontrib>Schauseil, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orofacial orthopedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wolf, M.</au><au>Schumacher, P.</au><au>Jäger, F.</au><au>Wego, J.</au><au>Fritz, U.</au><au>Korbmacher-Steiner, H.</au><au>Jäger, A.</au><au>Schauseil, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel lingual retainer created using CAD/CAM technology: Evaluation of its positioning accuracy</atitle><jtitle>Journal of orofacial orthopedics</jtitle><stitle>J Orofac Orthop</stitle><addtitle>J Orofac Orthop</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>76</volume><issue>2</issue><spage>164</spage><epage>174</epage><pages>164-174</pages><issn>1434-5293</issn><eissn>1615-6714</eissn><abstract>Objectives Permanent retention is currently the method of choice to stabilize orthodontic treatment results. Frequently, permanent retention schemes are adopted to prevent posttreatment changes in the esthetic zone of the anterior teeth. With increasingly prolonged times of intraoral device use, and retention to be provided in the maxilla despite limited space, the demands placed on well-planned and precise retainer positioning are becoming more exacting. The aim of the present study was to analyze the intraoral precision of lingual retainers made using computer-aided design and machining (CAD/CAM). Materials and methods A custom manufacturer (Retaintechnology; Cologne, Germany) employing innovative CAD/CAM technology was commissioned to fabricate 16 lingual retainers. Following intraoral insertion using the manufacturer’s recommended transfer system, impressions of the intraoral situations were taken and scanned for digitization. On this basis, the intraoral retainer positions were compared to the preceding virtual setups by superimposition with the manufacturer’s datasets. Three-dimensional processing software (Geomagic Qualify 2012; Geomagic) was used to analyze the retainers, based on a total of 80 interproximal sites, for deviations from their planned positions along the horizontal (x-), sagittal (y-), and vertical (z-) axes. These deviations of the achieved from the intended positions were considered clinically relevant if ≥ 0.5 mm and, based on this premise, were subjected to a t -test with statistical software (Prism; GraphPad). Results The intraoral retainer positions were found to correlate closely with the preceding virtual setups (i.e., the positions as they had been planned by the custom manufacturer). Positional deviations were significantly less than 0.5 mm. They were very small in the horizontal and sagittal planes and moderately larger in the vertical plane. Conclusion Highly precise intraoral results may be achieved by transferring three-dimensional virtual setups for lingual retainers to the actual patients. This CAD/CAM strategy of making retainers can offer high predictability even in anatomically demanding regions and in the presence of limited space.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25744094</pmid><doi>10.1007/s00056-014-0279-8</doi><tpages>11</tpages></addata></record>
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subjects Computer Simulation
Computer-Aided Design
Dental Prosthesis Retention - instrumentation
Dentistry
Equipment Failure Analysis - methods
Imaging, Three-Dimensional - methods
Medicine
Models, Theoretical
Oral and Maxillofacial Surgery
Original Article
Orthodontic Appliance Design - methods
Orthodontic Retainers
Prosthesis Fitting - methods
Reproducibility of Results
Sensitivity and Specificity
Tongue
title Novel lingual retainer created using CAD/CAM technology: Evaluation of its positioning accuracy
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