Bonnet G IADS DIGITAL DENTURE 2019-2020

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When the complete removable prosthesis meets the Digital World:

Evolution or Revolution?
Guillaume BONNET
When the complete removable prosthesis
meets the Digital World:
Evolution or Revolution
2
Digital World ?
3
DIGI TAL
WORLD
Digital World ?
4
DIGI TAL
WORLD
In the Dental World?
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© Dr Guillaume BONNET
Rudd RW, Rudd KD. A review of 243 errors possible during the fabrication of a removable partial denture: part I. J Prosthet Dent. sept 2001;86(3):251-61.
Rudd RW, Rudd KD. A review of 243 errors possible during the fabrication of a removable partial denture: part II. J Prosthet Dent. sept 2001;86(3):262-76.
Rudd RW, Rudd KD. A review of 243 errors possible during the fabrication of a removable partial denture: part III. J Prosthet Dent. sept 2001;86(3):277-88.
Dental CAD CAM ?
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Computer Aided Design - Computer Aided Manufacturing
November 30th 1985

WORLD PREMIERE
François DURET
Dental CAD CAM ?
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Dental CAD CAM ?
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Acquisition
Dental CAD CAM ?
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Acquisition
Dental CAD CAM ?
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Acquisition
Dental CAD CAM ?
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1 2
Acquisition Design
Dental CAD CAM ?
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Dental CAD CAM ?
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1 2 3
Acquisition Design Manufacturing

Manufacturing…
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Stereolithography
Manufacturing…
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subtractive machining
Dental CAD CAM ?
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1 2 3

Complete Removable Prosthesis in
2019 ?
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2019 ?
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1980’s
2019
Gordon SR. Oral rehabilitation of the older adult. Spec Care Dent Off Publ Am Assoc Hosp Dent Acad Dent Handicap Am Soc Geriatr Dent. oct 1989;9(5):142-5.
2019 ?
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2019 ?
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CAD CAM & Complete denture ?
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First publications in the 1990s in Japan1,2.
1. Maeda Y, Minoura M, Tsutsumi S, Okada M, Nokubi T. A CAD/CAM system for removable denture. Part I: Fabrication of complete dentures. Int J Prosthodont. 1994; 7: 17-21.
2. Kawahata N, Ono H, Nishi Y, Hamano T, Nagaoka E. Trial of duplication procedure for complete dentures by CAD/CAM. J Oral Rehabil. 1997; 24: 540-548.
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The systems available on the market in 2019:

- AvaDent® (Global Dental Science)3,4
- Dentca® (Dentca Inc.) 3,4
- Pala Digital denture System® (Heraeus)
- Baltic Denture System® (Merz Dental)
- Ceramill® (Amanngirrbach)5
- Dental Digital Denture® (Wieland)6 = Ivoclar
Digital Denture
- Dentalwings
- …
3. Kattadiyil MT, Goodacre CJ, Baba NZ. CAD/CAM complete dentures: a review of two commercial fabrication systems. J Calif Dent Assoc. 2013; 41(6): 407-416.
4. Deak A, Marinello CP. Utilisation des logiciels CAO-FAO pour prothèses complètes. Swiss Dent J. 2015; 125(6): 713-728.
5.Wimmer T, Gallus K, Eichberger M, Stawarczyk B. Complete denture fabrication supported by CAD/CAM. J Prosthet Dent. 2016; 115: 541-546.
6.Bonnet G, Batisse C, Bessadet M, Nicolas E, Veyrune J-L. A new digital denture procedure: a first practitioners appraisal. BMC Oral Health. 20 déc 2017;17(1):155.
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Why choose a CAD / CAM system over a conventional system?
What are we looking for?
- Facilitator system?
- Number of clinical sessions
- Reproducibility of records
- Reliability of the systematization of the process
- Durability of materials
- Productive system? Cost efficiency
- System for digitizing and saving data?

F.E.D.E.R
Fonds Européen de Développement Economique Régional
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Ivoclar Digital Denture
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Ivoclar Digital Denture
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1 2 3

1
2 Acquisition
Design
© Dr Guillaume BONNET 28
3
Manufacturing
© Dr Guillaume BONNET 29
Preliminary Impressions
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CENTRIC TRAY
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CENTRIC TRAY
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CENTRIC TRAY UTS CAD
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UTS CAD
First laboratory Step
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1
2 Acquisition
Design
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1
2 Acquisition
Design
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International Dental Show 2017

PrograMill One / PM3 / PM5 /
PM7
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Final Impression
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Final Impression
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Final Impression
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Recording Jaw Relations
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GNATHOMETER CAD
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GNATHOMETER CAD
is an intraoral registration device
that enables you to determine the occlusal position of edentulous patients.
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GNATHOMETER CAD
is an intraoral registration device
that enables you to determine the occlusal position of edentulous patients.
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Second laboratory Step
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The Try-in Appointment
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Third laboratory Step
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Prosthesis Insertion
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Advantages & Disadvantages
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Fewer clinical sessions
Precision of the scan system.
Reproducibility of the intra-oral center-point recording system.
Ideal assembly of the teeth of posterior sectors favorable to

the concept of balanced bilateral occlusion and the
equilibration.
Backup of all data.

68
Fewer clinical sessions Material investment for the prosthesis laboratory.
Precision of the scan system. Cost of consumables.
Reproducibility of the intra-oral center-point recording system. Important learning curve for the mastery of Design software
and Computer Numerical Control software.
equilibration.
Backup of all data.

69
Fewer clinical sessions Material investment for the prosthesis laboratory.
Precision of the scan system. Cost of consumables.
Reproducibility of the intra-oral center-point recording system. Important learning curve for the mastery of Design software
and Computer Numerical Control software.
equilibration.
Backup of all data.
The concepts and rules of the complete removable prosthesis remain unchanged as a complete
removable CAD / CAM prosthesis.
CAD / CAM will not make up for a bad impression or bad record of the inter-arch relationship.
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Does it work every time ?
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Evolutions
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- Single Dentures
- Immediate Dentures
Evolutions
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- Immediate Dentures
Evolutions - Immediate Dentures
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Evolutions
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- Single Dentures
How to take into account occlusion management ?

Evolutions - Milling Teeth
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- Single Dentures
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- Single Dentures
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- Single Dentures
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- Single Dentures
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- Single Dentures
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- Single Dentures
You can find our research
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• Bonnet G, Batisse C, Bessadet M, Eschevins C, Nicolas E

Veyrune JL. A new Digital Denture procedure : a first
practitioners appraisal. BMC Oral Health. 2017 Dec
20;17(1):155.
• Millet C, Bonnet G. L’usinage des bases prothétiques en
prothèse amovible complète. Réalités Cliniques. 2017-28-
1 :64-70. « Meilleur article de formation pour les dentistes »
Grand Prix du Syndicat de la Presse Médicale 2017.
• Bonnet G, Batisse C, Bessadet M, Philippon C, Nicolas E,
Veyrune, JL. Prothèse amovible complète: Le système
Ivoclar-Wieland Digital Denture, évolution ou révolution ?
Les Cahiers de Prothèse 2017 ;178 :30-41.
• Bonnet G, Batisse C, Drancourt N, Bessadet M, Philippon C,
Nicolas E. Nouvelles évolutions et applications de la
prothèse complète numérique. Cah Prothèse 2019;185:2-
10.
Clermont-Ferrand Digital Denture team
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Clermont-Ferrand Digital Denture team
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From left to right:
- Dr Guillaume BONNET (Senior lecturer and

Hospital Practitioner)
- Marie-Sophie BOGNER (Resident)
- Dr Cindy BATISSE (Senior lecturer and

Hospital Practitioner)
- Noémie DRANCOURT (Resident)
- Christine PHILIPPON (Dental technician)
- Edith ASTIER (Extern)
- Jaouad RAGRAGUI (Extern)

e n ti o n
u r a tt
a nd yo
e s e n ce
ou r p r
u f or y
a n k yo
Th
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When the complete removable prosthesis meets the Digital World:

Evolution or Revolution?
Guillaume BONNET

Bonnet G IADS DIGITAL DENTURE 2019-2020

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1

When the complete removable prosthesis meets the Digital World:

Computer Aided Design - Computer Aided Manufacturing

November 30th 1985

Computer Aided Design - Computer Aided Manufacturing

Computer Aided Design - Computer Aided Manufacturing

Computer Aided Design - Computer Aided Manufacturing

Computer Aided Design - Computer Aided Manufacturing

Computer Aided Design - Computer Aided Manufacturing

Computer Aided Design - Computer Aided Manufacturing

Computer Aided Design - Computer Aided Manufacturing

Acquisition Design Manufacturing

Computer Aided Design - Computer Aided Manufacturing

Acquisition Design Manufacturing

First publications in the 1990s in Japan1,2.

The systems available on the market in 2019:

Why choose a CAD / CAM system over a conventional system?

What are we looking for?

- Number of clinical sessions

- Reliability of the systematization of the process

- Productive system? Cost efficiency

- System for digitizing and saving data?

Acquisition Design Manufacturing

CENTRIC TRAY UTS CAD

International Dental Show 2017

Fewer clinical sessions

Precision of the scan system.

Reproducibility of the intra-oral center-point recording system.

Ideal assembly of the teeth of posterior sectors favorable to

Backup of all data.

Fewer clinical sessions Material investment for the prosthesis laboratory.

Precision of the scan system. Cost of consumables.

Backup of all data.

Fewer clinical sessions Material investment for the prosthesis laboratory.

Precision of the scan system. Cost of consumables.

Backup of all data.

Why choose a CAD / CAM system over a conventional system?

What are we looking for?

- Number of clinical sessions

- Reliability of the systematization of the process

- Productive system? Cost efficiency

- System for digitizing and saving data?

Why choose a CAD / CAM system over a conventional system?

What are we looking for?

- Number of clinical sessions

- Reliability of the systematization of the process

- Productive system? Cost efficiency

- System for digitizing and saving data?

Why choose a CAD / CAM system over a conventional system?

What are we looking for?

- Number of clinical sessions

- Reliability of the systematization of the process

- Productive system? Cost efficiency

- System for digitizing and saving data?

Why choose a CAD / CAM system over a conventional system?

What are we looking for?

- Number of clinical sessions

- Reliability of the systematization of the process

- Productive system? Cost efficiency

- System for digitizing and saving data?

Why choose a CAD / CAM system over a conventional system?

What are we looking for?

- Number of clinical sessions