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R_Bibb_Medical_Modelling_The_Application_of_Adv.pdf

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242 <strong>Medical</strong> modelling<br />

assess the accuracy <strong>of</strong> an RPD by test fi tting the device to the patient cast<br />

and subsequently, in clinic, to the patient. In this study, the RPD frameworks<br />

created were deemed by a qualifi ed and experienced dental technician<br />

to be a satisfactory fi t and comparable to those produced by expert<br />

technicians, see Fig. 6.92. This suggests that the approach and technologies<br />

used are fi t for purpose in this application although further experiments<br />

with a range <strong>of</strong> patients with differing RPD designs will be required to<br />

ensure that this is in fact the general case.<br />

6.14.6 Conclusions<br />

SLM TM has been shown to be a viable RM method for the direct manufacture<br />

<strong>of</strong> RPD metal alloy frameworks. Parts produced using the SLM TM<br />

process in conjunction with cobalt-chrome alloy result in RPD frameworks<br />

that are comparable in terms <strong>of</strong> accuracy, quality <strong>of</strong> fi t and function to<br />

the existing methods typically used in the dental technology laboratory.<br />

<strong>The</strong> computer-aided design and manufacture approach <strong>of</strong>fers potential<br />

advantages in terms <strong>of</strong> reduced inter-operator variability, repeatability,<br />

speed and economy over traditional handcrafting and investment casting<br />

techniques.<br />

6.14.7 References<br />

1. Willer J, Rossbach A, Weber H P (1998), ‘Computer-assisted milling <strong>of</strong> dental<br />

restorations using a new CAD/CAM data acquisition system’, Journal <strong>of</strong><br />

Prosthetic Dentistry, 80 (3), 346–53.<br />

2. Van der Zel J, Vlaar S, de Ruiter W, Davidson C (2001), ‘<strong>The</strong> CICERO system<br />

for CAD/CAM fabrication <strong>of</strong> full ceramic crowns’, Journal <strong>of</strong> Prosthetic<br />

Dentistry, 85 (3), 261–7.<br />

3. Duret F, Preston J, Duret B (1996), ‘Performance <strong>of</strong> CAD/CAM crown restorations’,<br />

Journal <strong>of</strong> the California Dental Association, 9 (9), 64–71.<br />

4. Williams R, <strong>Bibb</strong> R, Rafi k T (2004), ‘A technique for fabricating patterns for<br />

removable partial denture frameworks using digitized casts and electronic surveying’,<br />

Journal <strong>of</strong> Prosthetic Dentistry, 91 (1), 85–8.<br />

5. Williams R, Eggbeer D, <strong>Bibb</strong> R (2004), ‘CAD/CAM in the fabrication<br />

<strong>of</strong> removable partial denture frameworks: A virtual method <strong>of</strong> surveying 3dimensionally<br />

scanned dental casts’, Quintessence Journal <strong>of</strong> Dental Technology,<br />

2 (3), 268–76.<br />

6. Eggbeer D, Williams R J, <strong>Bibb</strong> R (2004), ‘A digital method <strong>of</strong> design and<br />

manufacture <strong>of</strong> sacrifi cial patterns for removable partial denture metal frameworks’,<br />

Quintessence Journal <strong>of</strong> Dental Technology, 2 (6), 490–99.<br />

7. Eggbeer D, <strong>Bibb</strong> R, Williams R (2005), ‘<strong>The</strong> computer aided design and rapid<br />

prototyping <strong>of</strong> removable partial denture frameworks’, Journal <strong>of</strong> Engineering<br />

in Medicine, 219, 195–202.<br />

8. Manners C R, ‘STL File Format’, available on request from 3D Systems Inc.,<br />

26081 Avenue Hall, Valencia, CA 91355, USA, www.3dsystems.com, 1993.

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