Comparison between conventional and computer engineered complete dentures on same patient: Case report

Lead Author Affiliation

DDS

Lead Author Program & Year

IDS Year 2

Presentation Category

Removable

Introduction/Context/Diagnosis

A

35-year-old patient with a previous history of recreational drug use, mainly cocaine and methamphetamine, presented to University of the Pacific Arthur A. Dugoni dental school with edentulous upper and lower arches (except for tooth #27 retained root) for full mouth rehabilitation. The maxillary and mandibular arches were U-shaped with healthy mucosa. For the last 23 years he is on methamphetamine and currently he is seeking professional help at rehab center to quit. After cocaine overdose in 2008, he had fingers movement disorder.

Methods/Treatment Plan

Complete dentures (CD) can be fabricated using several different processes. The goal of each technique is to produce a CD that shows perfect esthetics, function, and mucosal adaptation along with good retention, stability, and support with minimal fabrication distortion. In the past 3 years, Interest in computer-engineered complete dentures (CECDs) has increased as an alternative to conventional CD [1],[2]. Subsequently after obtaining patient consent-we decided to make two sets of CDs; conventional and CECD. The main focus of this report is on the clinical experience of CECDs and compare clinical outcomes of both prothesis.

Results/Outcome

Two sets of dentures fabricated for the same patient. Fabricated CECD required less clinical visits with higher patient satisfaction.

Significance/Conclusions

Information about the accuracy of digital computer-aided design and computer-aided manufacturing (CAD-CAM) complete dentures is scarce. Within limitation of this clinical trial and report we could compare between pros and cons of each method.

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Comparison between conventional and computer engineered complete dentures on same patient: Case report

A

35-year-old patient with a previous history of recreational drug use, mainly cocaine and methamphetamine, presented to University of the Pacific Arthur A. Dugoni dental school with edentulous upper and lower arches (except for tooth #27 retained root) for full mouth rehabilitation. The maxillary and mandibular arches were U-shaped with healthy mucosa. For the last 23 years he is on methamphetamine and currently he is seeking professional help at rehab center to quit. After cocaine overdose in 2008, he had fingers movement disorder.