Journal of Dental Medicine

Background and Aims: Despite the increasing application of intra-oral scanners, the effect of finish line position on gingival margins adaptation is still discussed. The purpose of this clinical study was to evaluate the fitness of cobalt-chromium copings obtained from intraoral scanning in two depth of finish lines.
Materials and Methods: Thirty teeth prepared for single premolar metal-ceramic crowns were included. Fifteen teeth had supragingival and fifteen had sub-gingival finish lines. Digital impressions were made using an intraoral scanner (Trios-3shape). Computer-aided design and computer-aided manufacture (CAD/CAM) cobalt-chromium copings were fabricated from the scan files. The copings were evaluated intraorally and after adjustments, the internal and marginal discrepancy were measured using silicone replicas and a stereomicroscopy. Internal and marginal discrepancies were analyzed using the Multivariate test (P<0.05).
Results: The mean internal and marginal gap were 52.1 and 56.27μ, for supragingival group and 49.72 and 62.98μ for subgingival group, respectively. The evaluation of finish line position showed no significant effect on obtained results (P>0.05).
Conclusion: CAD/CAM chrome-cobalt copings fabricated by digital impressions provided acceptable marginal and internal precision. However, the finish line position had no significant effect on the internal and marginal adaptation.

Background and Aims: One of the important fields of dentistry is surgery for dental implants. In this field, dentistry has developed considerably in recent years amongst other fields of medicine from the perspective of digital device and software application. Surgical guides help dental surgeon for more precise, confident, easier and shorter surgery. Process of producing these tools are full digital and to somehow complex due to the application of many technical devices, software and protocols. To achieve efficiency, all participants in the workflow must be aware of all steps and data requirements for production of guides. This paper investigates the production process of surgical guide comprehensively, and also, encompass all the steps in process with details.
Materials and Methods: This review article was based on searching Google scholar and PupMed databases considering key words: Surgical Guide, Guided surgery, digital dentistry, dental CAD/CAM, Additive manufacturing. More than 90% of the references were in English language and published after year 2010.
Conclusion: Today dentistry uses many digital solutions for dairy workflow and most of these solutions are developed by engineers in various fields of knowledge. Thus, this information is essential for dentists, surgeon, clinician and laboratory technician, etc. for better collaboration and participation. Amongst, advances in surgery of dental implant have been highly significant and patients benefit from better treatment and less inconvenience. In addition, dentists do surgery more precise and easier because of considering all conditions before of surgery. Thus, it is substantial inform of all steps of production process.