The use of technological documentation in vestibuloplasy fixture plate production

Abstract

Cilj: U svrhu pružanja kvalitetnije usluge bolesnicima dentalno-medicinske protetike, implementacija računalnih rješenja postala je nužan korak. Stoga je cilj ovog rada utvrditi potrebno vrijeme za izradu fiksacijske pločice za vestibuloplastiku računalnim rješenjima baziranim na CAD/CAM (engl. computer-aided design and computer-aided manufacturing) tehnologiji i usporediti ga s izradom fiksacijske pločice konvencionalnom metodom, uobičajenom u praksi. Metoda: Tijekom ovog istraživanja izrađene su dvije fiksacijske pločice. Jedna pločica izrađena je konvencionalnom metodom pomoću alginatnog otiska i sadrenog modela, a druga uporabom novih računalnih rješenja i CAD/CAM tehnologijom. Korištenjem obje metode analizirano je ukupno vrijeme potrebno za izradu fiksacijske pločice, kao i broj potrebnih koraka za izradu istih. Također je analizirano vrijeme potrebno za izradu i pristup dokumentaciji, te vrijeme transporta između zubotehničkog laboratorija i ordinacije dentalno-medicinske protetike. Rezultati: Uporabom CAD/CAM tehnologije osigurala se slijednost svih koraka u postupku izrade fiksacijske pločice, a računalna dokumentacija mogla se pohraniti na serveru i učiniti dostupnom širem krugu korisnika. Analizom podataka vidjelo se da je broj koraka primjenom računalne metode u odnosu na konvencionalnu manji za 18,1 %. Vrijeme potrebno za pripremu dokumentacije kraće je za 30,0 %, za pristup dokumentaciji 86,7 %, dok je vrijeme za izradu dokumentacije manje za 40,0 %. Primjenom računalne metode vrijeme transporta skraćeno je za 83,3 %. Ukupno vrijeme izrade fiksacijske pločice računalnom metodom u odnosu na konvencionalnu metodu smanjeno je za 51,6 %. Rasprava: Uporaba računalne tehnologije u odnosu na konvencionalnu metodu značajno ubrzava vrijeme rada u dentalno-medicinskoj protetici, te na taj način podiže razinu usluge.Aim: The implementation of computer applications has become a necessary step in providing higher quality service to patients receiving dental/medical prosthodontic restorations. Thus, the aim of this research was to determine the time necessary for the vestibuloplasty fixation plate manufacturing using the computer aided method based on the computer- aided design and computer-aided manufacturing (CAD/CAM) technologies, and then compare it with the conventional method, which is presently used in common practice. Methods: During this research two vestibuloplasty fixation plates were manufactured. The first one was made as per conventional method using the alginate impression and hard stone, while the other one was made using new computer aided method based on the CAD/CAM technologies. Using both methods, we analysed the total time for fixation plate manufacturing as well as necessary steps in process. In addition, access, documentation creation and transport between dental laboratory and the dental/medical office time were also analyzed. Results: The use of the CAD/CAM technologies ensures the continuity of all steps in the process of vestibuloplasty fixation plate production. Electronic documentation created in this way can be stored at a network server and become available for wider range of users. Data analysis indicates that the number of steps used in the computer based method is decreased for 18,1 % compared with the conventional method. Improvements indicate that documentation preparation time was decreased for 30,0 %, and time for documentation access was reduced for 86,7 %. Time for documentation creation was decreased for 40,0 %. This computer method also increased transport time efficiency for 83,3 %. In comparison with the conventional method, the total time necessary for fixation plate manufacure was significantly reduced for 51,6 %. Discussion: The use of computer aided method based on the CAD/CAM technologies in comparison with the conventional method significantly accelerates production time in dental/medical office thus raising the level of service

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