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Integration of CAD/CAM technologies into prosthetic dentistry opens up new opportunities for enhancing the accuracy, aesthetics, and durability of prostheses. The relevance of the topic is driven by the rapid development of digital dentistry and the necessity to analyze accumulated data for the formulation of optimal clinical protocols. The goal of this study is a comprehensive analysis of innovative CAD/CAM solutions for prosthetic treatment and the development of personalized approaches to their application based on contemporary scientific data.
Methods: A systematic literature review was conducted utilizing the PubMed, Scopus, and Web of Science databases for the years 2015-2023. Keywords: CAD/CAM, digital dentistry, prosthetic treatment, accuracy, aesthetics. Selected materials included original research, systematic reviews, and meta-analyses. Additionally, 112 clinical cases with the use of various CAD/CAM systems (laboratory and intraoral scanners, milling machines, 3D printers) were analyzed. Digital methods for assessing the fit accuracy and aesthetics of prostheses were employed.
Results: It was found that CAD/CAM-fabricated constructions surpass restorations made using traditional methods in terms of marginal and internal adaptation by 2-3 times. The use of monolithic ceramic and hybrid CAD/CAM materials improves prosthesis aesthetics and patient satisfaction with treatment outcomes by 30-40%. Optimal digital protocols have been developed, taking into account the individual specifics of clinical situations.
Discussion: The results obtained confirm the clinical efficacy of modern CAD/CAM technologies in prosthetic dentistry. Personalization of digital protocols, considering tooth anatomy, occlusal features, and patient preferences, enables the achievement of high functional and aesthetic results. Future research should focus on integrating CAD/CAM with systems for objective color evaluation, virtual articulators, and augmented reality technologies..
Keywords:CAD/CAM, digital dentistry, prosthetic treatment, fit precision, restoration aesthetics, personalized medicine, hybrid materials
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