Petrovici Lavinia

Title: Total prosthesis – alternative technology made by the CAD/CAM technique

The main purpose of this paper is to present a clinical case of bimaxillary total edentulous, rehabilitated with total prostheses made both traditionally and following the digital flow. The materials used are polymers that behave differently intra-orally due to the technological process used: thermopolymerization (in the case of traditional prostheses) and polymer milling (in the case of digitally made ones). After the presentation of the two technological protocols, respectively after the insertion of the prostheses into the oral cavity, a questionnaire was completed with questions that evaluated the retention, finishing, aesthetics, phonation, stability and masticatory efficiency of the two types of prostheses. According to the questionnaire completed by the doctor, technician and patient, in terms of quality, prostheses made using the CAD-CAM process were slightly better than those made traditionally, and aesthetically both prostheses were rated as good and excellent in equal proportions. For the time factor, of course the traditional method is much more chronophagous. Digital prostheses are designed to be highly customizable and adaptable. Computerized systems allow the movements and settings of the prosthesis to be fine-tuned according to the user’s individual needs and preferences. This adaptability improves the comfort and performance of the prosthesis and allows the patient to adapt to it more easily. Although it is desired to digitalize this protocol for making total prostheses, the impossibility of digital fingerprinting of the oral mucosa with the representation of all its properties prevents us from calling this procedure full digital.