Fabricating an immediate complete denture can be very challenging in some clinical situations. This clinical report describes a digital workflow to fabricate a printed maxillary immediate complete denture for a patient with a severely compromised maxilla. Digital data obtained by using an intraoral scanner was utilized to reconstruct the three-dimensional (3D) image of the jaws at the desirable vertical dimension of occlusion. After performing the virtual teeth extraction and alveoloplasty, the denture base and teeth were designed. The resulting data were exported to a 3D printer for denture fabrication and the 3D printed (additively manufactured) denture was successfully inserted immediately after the surgery. After initial healing and confirmation of good retention and function, a new printed denture was fabricated by digitally duplicating the relined denture maintaining the same teeth positions but adjusting the base to a new intraoral scan of the healed ridge.
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- A clinical trial tested the effectiveness of adding nanogold particles to denture bases made of polymethyl methacrylate (PMMA) against standard acrylic bases, focusing on their impact on bacterial growth.
- Twenty-two male patients with no teeth received either traditional acrylic dentures or those enhanced with nanogold, and microbial growth was measured over time around the implants.
- Results showed that dentures with nanogold significantly reduced bacteria counts (Candida albicans, Escherichia coli, and Streptococcus mutans) at 2, 4, and 6 months compared to traditional dentures, suggesting a promising improvement in oral hygiene.
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