Economic and Clinical Impact of Digitally Produced Dentures.

PURPOSE: Digital denture technology has been gradually moving to the mainstream of dentistry over the last 25 years. Implementation of a four-step system utilizing in-house CAD/CAM milling technology may create cost savings for the clinical program in a dental university setting. An analysis was completed to evaluate the cost savings, if any, of fabricating complete dentures digitally versus traditionally through an outside lab. MATERIALS AND METHODS: A large clinic at a North American dental school began fabricating digital dentures in 2019 utilizing the four-step Ivoclar system. A combination of 3D printing and CAD/CAM milling produced multiple denture products used in the steps of the digital process, including the final milled complete denture. RESULTS: A significant cost savings was achieved, both in terms of material cost and in chair time cost when compared to traditional laboratory fabricated complete dentures. CONCLUSION: A large clinic at a North American dental school introduced digital denture technology into the student clinical experience. This digital technology has created a cost-saving benefit when fabricating digital dentures. Using 3D printing for the preliminary steps resulted in substantial cost savings. Fewer visits to complete the denture fabrication steps, along with fewer postinsertion visits, added further savings. Patient satisfaction with the digital denture process has been consistently high, as has student and faculty satisfaction with the final product.

Effective use of e-grading in the dental simulation clinic.

The purpose of this article is to describe the development and implementation of a grading software system, accessible from any platform, that engages today's generation of students and replaces paper grading. Set up at one U.S. dental school in an all-access, anytime (24/7) web-based program accessed through tablets, the software allows for a comparison between students' self-grading and instructor grading. This comparison facilitates student-faculty interaction, promoting discussion and student learning. The software can also be used for practical examination grading in which blinded grading between instructors is possible. The data gathered can produce descriptive reports students can draw upon to encourage self-learning and guided learning, propelling students to a better understanding of critical principles as they progress through multiple psychomotor skill sets. Other reports generated by the software allow for instructor calibration, exporting of grades directly into the university grading report system, and visual analysis of trends within each class. In a post-course survey, students (56 percent response rate) and faculty (79 percent response rate) agreed that the electronic grading was more efficient and allowed more time for faculty-student interaction than the previous grading system, thus creating an environment more conducive to learning. Overall, the software has improved students' perception of enhanced kinetic skills, while facilitating administration of preclinical projects and practical examinations.