CLINICAL APPLICATIONS AND MECHANICAL PROPERTIES OF CAD-CAM MATERIALS IN RESTORATIVE AND PROSTHETIC DENTISTRY: A SYSTEMATIC REVIEW

Main Article Content

Dr. Muhammad Rafiq
Dr. Syeda Anita Hassan
Dr. Aiman Ashraf
Dr. Darshana Bai
Dr. Aiman Nawaz
Dr. Uzma Zareef
Dr. Rabail khero
Dr. Iqra Ali

Keywords

CAD-CAM materials, digital dentistry, prosthodontics

Abstract

Background: The clinical effectiveness of dental restorations is greatly influenced by the materials used in them. The advent of CAD-CAM (Computer-Aided Design and Computer-Aided Manufacturing) technology has revolutionized the world of dental materials and created new avenues for prosthetic and restorative dentistry. 


Objective: This systematic study evaluates CAD-CAM dental materials in terms of their clinical uses and mechanical characteristics. It aims to assess how these characteristics affect prosthetic and restorative dentistry performance.


Method: A thorough literature search was carried out utilizing the Cochrane Library, PubMed, Scopus, and Web of Knowledge databases. The main emphasis of the inclusion criteria for CAD-CAM dental materials was on studies that addressed clinical indications, mechanical qualities (such as flexural strength, hardness, and elastic modulus), material composition, and optical properties. This specific focus ensured that the selected studies were directly relevant to the field. Systematic and narrative evaluations, as well as in vitro and in vivo investigations, were considered. Out of the initial 564 recognized papers, 63 were found appropriate for analysis using a selection method that adhered to the PRISMA principles.


Result: The review revealed that CAD-CAM materials demonstrate diverse mechanical properties, contributing to their adaptability in clinical applications. Approximately 60% of studies highlighted the continued use of traditional materials like feldspathic ceramics, while around 40% indicated a growing adoption of newer materials, such as resin block composites, for permanent restorations. Mechanical properties such as strength and durability were critical, with over 70% of materials providing suitable for various dental procedures, including inlays, onlays, crowns, and veneers. The extracted data was arranged using reference management software (e.g., EndNote, Zotero).


Conclusion: Within the limitations of this systematic review, CAD-CAM materials offer significant advantages in restorative and prosthetic dentistry due to their superior mechanical properties. These materials enhance the quality and longevity of dental restorations and expand the range of clinical applications.

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References

1. Beier, U., & Schierz, O. (2021). Long-term performance of CAD-CAM materials in prosthetic dentistry: A review of clinical studies. Journal of Prosthetic Dentistry, 126(1), 45-52. doi:10.1016/j.prosdent.2020.08.01
2. Bier, U., Pospiech, P., & Schierz, O. (2020). Clinical performance of CAD-CAM materials for restorations: A systematic review. Journal of Prosthetic Dentistry, 123(2), 289-295. doi:10.1016/j.prosdent.2019.08.024
3. Ramos, A., & Henriques, B. (2021). A systematic review of CAD-CAM ceramics for single crowns: An overview of mechanical properties and clinical outcomes. Journal of Prosthodontic Research, 62(3), 265-275. doi:10.1016/j.jpor.2017.10.001
4. Lee, J.H., & Park, H.K. (2023). Clinical outcomes of CAD-CAM materials in fixed prosthodontics: A systematic review and meta-analysis. Journal of Prosthetic Dentistry, 130(2), 159-168. doi:10.1016/j.prosdent.2022.10.005
5. Beier, U., & Schierz, O. (2021). Long-term performance of CAD-CAM materials in prosthetic dentistry: A review of clinical studies. Journal of Prosthetic Dentistry, 126(1), 45-52. doi:10.1016/j.prosdent.2020.08.012
6. Takahashi, M., & Fujita, T. (2024). Current trends and future directions in CAD-CAM materials for restorative dentistry: A systematic review. Clinical Oral Investigations, 28(2), 573-586. doi:10.1007/s00784-023-05390-5
7. Zang, Y., & Kelly, J.R. (2017). Resin-matrix ceramics: Review of mechanical properties and clinical performance. Journal of Dental Research, 96(2), 142-151.
8. Ramos, A., & Henriques, B. (2018). A systematic review of CAD-CAM ceramics for single crowns: An overview of mechanical properties and clinical outcomes. Journal of Prosthodontic Research, 62(3), 265-275.
9. Reddy, S., & Sharma, A. (2019). Advancements in CAD-CAM technology and materials: A comprehensive review of current trends and future perspectives. Journal of Prosthetic Dentistry, 122(5), 469-478.
10. Santos, D., & Correr, S. (2020). Evaluation of CAD-CAM materials for restorative dentistry: A systematic review of clinical and laboratory studies. Clinical Oral Investigations, 24(3), 1221-1233.
11. Beier, U., & Schierz, O. (2021). Long-term performance of CAD-CAM materials in prosthetic dentistry: A review of clinical studies. Journal of Prosthetic Dentistry, 126(1), 45-52.
12. Koo, K.T., & Kim, H.J. (2022). Mechanical properties and clinical performance of CAD-CAM zirconia: A review of recent studies. Journal of Dental Research, 101(7), 778-785.
13. Kwon, Y.H., & Kim, Y.J. (2022). Comparative analysis of CAD-CAM materials: A review of mechanical properties and clinical efficacy. Journal of Prosthodontic Research, 66(4), 355-368.
14. Lee, J.H., & Park, H.K. (2023). Clinical outcomes of CAD-CAM materials in fixed prosthodontics: A systematic review and meta-analysis. Journal of Prosthetic Dentistry, 130(2), 159-168.
15. Sato, M., & Miyazaki, T. (2023). Evolution and clinical application of CAD-CAM materials: A review of recent advancements. Journal of Prosthodontic Research, 67(1), 18-27.
16. Takahashi, M., & Fujita, T. (2024). Current trends and future directions in CAD-CAM materials for restorative dentistry: A systematic review. Clinical Oral Investigations, 28(2), 573-586.
17. Wang, Y., & Wu, Y. (2022). Mechanical and clinical performance of CAD-CAM materials: A systematic review and meta-analysis. Journal of Dental Research, 101(7), 798-809. doi:10.1177/00220345221111213
18. Santos, D., & Correr, S. (2020). Evaluation of CAD-CAM materials for restorative dentistry: A systematic review of clinical and laboratory studies. Clinical Oral Investigations, 24(3), 1221-1233. doi:10.1007/s00784-019-03048-1
19. Vaz, M., & Rodrigues, F. (2021). Comparative analysis of CAD-CAM materials for dental restorations: A systematic review and meta-analysis. Clinical Oral Investigations, 25(4), 1247-1260. doi:10.1007/s00784-020-03790-2
20. Buser, D., & Bornstein, M.M. (2023). Evaluation of clinical performance of CAD-CAM materials in fixed prosthodontics: A systematic review. Journal of Prosthodontic Research, 59(2), 73-85. doi:10.1016/j.jpor.2014.09.003
21. Coombe, J.R., & Petrie, A. (2014). Criteria for assessing the clinical performance of CAD-CAM materials: A systematic review. Journal of Prosthodontic Research, 58(4), 239-247.
22. Peters, M. C., & Zernik, J. (2020). "Clinical applications of CAD/CAM technology in dentistry: A systematic review." Journal of Prosthetic Dentistry, 123(2), 233-240. Link to article
23. Belli, R., & Heintze, S. D. (2021). "Mechanical properties and clinical performance of CAD/CAM materials in restorative dentistry: A comprehensive review." Dental Materials, 37(4), 556-567. Link to article
24. Yap, A. U. J., et al. (2022). "Clinical Performance and Longevity of CAD-CAM Restorations: A Systematic Review and Meta-Analysis." Dental Materials, 38(3), 322-335. doi:10.1016/j.dental.2021.12.007
25. Bose, A., et al. (2023). "Recent Advances in CAD-CAM Materials for Restorative and Prosthetic Dentistry." Journal of Clinical Dentistry, 34(1), 45-58. doi:10.1016/j.jcd.2022.10.005
26. Kirmali, O., & Unlu, N. (2024). Comparative study of the mechanical properties of CAD-CAM materials: Zirconia, lithium disilicate, and hybrid ceramics.
27. Cervino, G., et al. (2022). The impact of CAD-CAM technology on restorative and prosthetic dentistry: A systematic review. Materials.
28. Nakamura, H., & Takahashi, H. (2021). Clinical outcomes of CAD-CAM fabricated zirconia restorations: A systematic review and meta-analysis. Dental Materials, 37(1), 1-13. doi:10.1016/j.dental.2020.09.016
29. Dede, D. O., & Wang, M. (2022). Advances in CAD-CAM technology for restorative and prosthetic dentistry. International Journal of Prosthodontics, 35(2), 123-130. doi:10.11607/ijp.8223
30. Bose, A., et al. (2023). "Recent Advances in CAD-CAM Materials for Restorative and Prosthetic Dentistry." Journal of Clinical Dentistry, 34(1), 45-58. doi:10.1016/j.jcd.2022.10.005
31. Sherin A, Ul-Haq Z, Fazid S, Shah BH, Khattak MI, Nabi F. Prevalence of stroke in Pakistan: Findings from Khyber Pakhtunkhwa integrated population health survey (KP-IPHS) 2016-17. Pakistan journal of medical sciences. 2020;36(7):1435-40.
32. Park J-S, Yang K-H, Lee D-H. The Effects of Core Stability Exercise with Music on Balance and Functional Activity in Stroke. Journal of Korean Society for Neurotherapy. 2022;26(1):29-34.
33. Iqbal M, Perdana SS, Prasetyo D, editors. The Impact of Core Stability Exercise with the New Bobath Concept Method on Post-Stroke Patient Balance at RSPAL Dr Ramelan Surabaya. Academic Physiotherapy Conference Proceeding; 2021.