Publications by authors named "Marta Revilla Leon"

Clinical Considerations: Conventional facebow records are used to transfer the maxillary cast into the analog articulator. Different reference planes have been described, including the true horizontal or gravity reference plane. A conventional facebow (Kois Dentofacial Analyzer; Panadent) allows the recording of the gravity plane for transferring the maxillary cast into the analog semi-adjustable articulator.

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Purpose: To evaluate the accuracy of intraoral scanners (IOSs) for fabricating inlay, onlay, and veneer restorations.

Materials And Methods: A literature search was completed in five databases: PubMed/Medline, Scopus, Embase, Web of Science, and Cochrane. A manual search was also conducted.

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Statement Of Problem: Accurately transferring the maxillary cast to the articulator is an essential step in most prosthodontics procedures in both digital and conventional workflows. Recently, the use of a smartphone 3-dimensional (3D) scanner-based virtual facebow record has been reported, but its accuracy is unclear.

Purpose: The purpose of this clinical study was to compare the trueness and precision of a virtual facebow record made with a smartphone 3D scanner with that of a conventional facebow technique.

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Article Synopsis
  • The study compared the time efficiency and reliability of manual vs. AI-assisted segmentation of the mandibular canal and registration of scans by 20 clinicians with varying experience levels in implant planning.
  • Results showed that AI-assisted methods significantly reduced the time taken for these tasks (4.75 min manual vs. 2.03 min AI), while the accuracy was similar for both methods in terms of discrepancy measurements.
  • The findings suggest that AI tools can enhance implant planning efficiency without compromising accuracy, though further research is needed to confirm these results across different software and datasets.
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Objectives: To review the factors that impact the accuracy of intraoral scanners (IOSs) when fabricating tooth-supported restorations.

Overview: Factors can have a different impact on IOS accuracy depending on the scanning purpose. If the goal is to fabricate tooth-supported restorations, it is essential to review the following operator-related factors: IOS technology and system, scan extension and starting quadrant, scanning pattern, scanning distance, and rescanning methods.

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Purpose: To compare the color dimensions, color discrepancies (ΔE00), and surface roughness of milled materials before and after application of a bleaching agent.

Materials And Methods: A total of 10 extracted molars were obtained. Each tooth was cut in transverse sections to create disks (3-mm thick, 10-mm diameter; control group).

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Objectives: To classify the complete-arch implant scanning techniques recorded by using intraoral scanners (IOSs).

Overview: Different implant scanning techniques have been described for recording complete-arch implant scans by using IOSs. However, dental literature lacks on a classification of these implant scanning techniques.

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Purpose: To evaluate the dimensional stability over time of additively manufactured surgical templates, fabricated by different resins, and stored by different methods.

Materials And Methods: Using a 3D printer with DLS technology and two different resins (Surgical Guide (SG)-WhipMix and Key Guide (KG)-KeystoneIndustries), 96 surgical guides were additively manufactured. The guides were stored in three different environments: directly exposed to sunlight (S), in normal interior room conditions (S), and in darkness (S).

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Objectives: To digitally evaluate the trueness and fit of additively and subtractively manufactured fixed complete dentures in materials intended for definitive use.

Methods: An edentulous maxillary model with implants at the left first molar, left canine, right canine, and right first molar site was digitized and a fixed complete denture was designed. This design was used to fabricate fixed dentures in an additively manufactured resin for definitive use (AM), a high-impact polymer composite (SM-CR), and a strength gradient zirconia (SM-ZR) (n = 10).

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Statement Of Problem: Printed casts and dental devices and prostheses are increasingly being used, and the ecological impact of additive manufacturing should be considered in addition to the fabrication accuracy and surface properties of the printed object. To overcome the ecological drawbacks of alcohol postprocessing, water-washable, 3-dimensionally (3D) printable cast resins and postprocessing cleaning solutions that do not include alcohol have been introduced. However, whether using only water rather than chemical solvents would enable the surface smoothness and hardness required for accurate diagnostic and prosthetic procedures is unknown.

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Custom sports mouthguards are used in various sports to protect teeth, temporomandibular joints, and soft tissues from impact forces. The present article demonstrates a digital workflow to fabricate a 3-dimensionally (3D) printed individualized sports mouthguard. An optical jaw tracking system is used to record a repeatable reference position, and mandibular excursive movements to achieve a completely balanced occlusion.

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Article Synopsis
  • Various reference planes, such as the gravity reference plane, are used to transfer maxillary casts to analog articulators.
  • Traditional methods for recording the gravity reference plane involve additional devices, like extraoral scan bodies or printed reference tools.
  • This manuscript outlines a new technique that uses a facial scanner alone, aiming to streamline the process and decrease both clinical and lab time needed for digital data capture and maxillary scan integration.
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Statement Of Problem: Limited studies have reported the influence of finish line location on the accuracy of intraoral scanners (IOSs). Focal length is a hardware characteristic of IOSs. Whether there is a relationship between scanning accuracy of tooth preparations with the finish located at different apical positions and focal length and IOS technology or system remains uncertain.

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Objectives: To measure the influence of scanning pattern on the accuracy, time, and number of photograms of complete-arch intraoral implant scans.

Methods: A maxillary edentulous patient with 7 implants was selected. The reference implant cast was obtained using conventional methods (7Series Scanner).

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Purpose: This in vitro study aimed to create a graded structured dental crown using 3D printing technology and investigate the fracture resistance and the adaptation of this new design.

Materials And Methods: A dental crown with a uniform thickness of 1.5 mm was designed, and the exported stereolithography file (STL) was used to manufacture 30 crowns in three groups (n = 10), solid (SC), bilayer (BL), and multilayer (ML) crowns using  3D jet printing technology.

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Statement Of Problem: Intraoral scanners (IOSs) can be used to record the maxillomandibular relationship at centric relation (CR). The articulated digital scans can be imported into a dental computer-aided design (CAD) program and used to locate centric occlusion (CO); however, the accuracy of the CO recorded by using IOSs and a dental CAD program remains unknown.

Purpose: The purpose of this clinical study was to compare the position of the CO located by using a conventional method and 4 IOSs combined with a dental CAD program.

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Esthetic concerns may appear on implant-supported prostheses after peri-implantitis treatment, such as implantoplasty procedures that includes the thread removal and surface smoothening. A technique for restoring implants that have been treated for peri-implantitis using an implantoplasty procedure combined with the detoxification of the implant surfaces is described. The technique involves the fabrication of an implant-supported prosthesis following the biologically oriented preparation technique (BOPT) and aims to solve esthetic complications after this peri-implantitis treatment approach.

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Intraoral scanners (IOSs) are digital data acquisition technologies that ease the recording of virtual diagnostic casts. Some IOSs have a specific software tool to assess volumetric changes between 2 scans acquired on the patient at different times. The scans are superimposed and volumetric differences between both meshes are reported.

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Objectives: To evaluate the accumulative effect of 3D printer, implant analog systems, and implant angulation on the accuracy of analog position in implant casts.

Methods: A reference cast, presenting a case of a three-unit implant-supported prosthesis, was scanned with a coordinate measurement machine, producing the first reference data set (CMM, n = 1). The second reference data set (n = 10) was prepared using an intraoral scanner (IOS) (Trios4).

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Article Synopsis
  • The study aimed to assess how accurately conventional and AI-based methods register cone-beam CT with intraoral scans, considering factors like user experience, artifacts from restorations, and missing teeth.
  • Three different operators (experienced, inexperienced, and a post-graduate student) performed multiple registrations on data from 150 patients to compare the effectiveness of each approach.
  • Results indicated that AI registration is comparable to traditional methods when artifacts aren't present, but user experience plays a critical role in accuracy when restorations are involved, and the number of edentulous areas affected results more than just the count of missing teeth.
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Objectives: To investigate the accuracy of artificial intelligence (AI)-based segmentation of the mandibular canal, compared to the conventional manual tracing, implementing implant planning software.

Materials And Methods: Localization of the mandibular canals was performed for 104 randomly selected patients. A localization was performed by three experienced clinicians in order to serve as control.

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When using conventional methods, centric occlusion (CO) can be determined on conventional gypsum casts that are mounted in an analog articulator at centric relation (CR). In the digital environment, intraoral scanners (IOSs) can be used to record maxillary and mandibular scans articulated in CR. However, a digital protocol to locate the CO on articulated intraoral digital scans at CR by using computer-aided design (CAD) programs is needed.

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Purpose: The purpose of this systematic review and meta-analysis was to compare the influence of fabrication method (conventional, subtractive, and additive procedures) and manufacturing trinomial (technology, printer, and material combination) on the marginal and internal fit of cobaltchromium (Co-Cr) tooth-supported frameworks.

Materials And Methods: An electronic systematic review was performed in five data bases: MEDLINE/PubMed, Embase, World of Science, Cochrane, and Scopus. Studies that reported the marginal and internal discrepancies of tooth-supported Co-Cr additive manufacturing (AM) frameworks were included.

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Objectives: The purposes of this study were to classify the described digital facebow techniques for transferring the maxillary cast into the semi-adjustable virtual articulator based on the digital data acquisition technology used and to review the reported accuracy values of the different digital facebow methods described.

Overview: Digital data acquisition technologies, including digital photographs, facial scanners, cone beam computed tomography (CBCT) imaging, and jaw tracking systems, can be used to transfer the maxillary cast into the virtual articulator. The reported techniques are reviewed, as well as the reported accuracy values of the different digital facebow methods.

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