The rapid development of digital orthopedic dentistry is significantly changing doctors' approaches to removable prosthetics, opening up new possibilities for planning orthopedic treatment in patients with clinical situations such as complete and partial edentulism. The traditional approach to removable prosthetics involved a large number of sequential clinical and dental laboratory stages, with treatment potentially taking up to several weeks. The use of digital technologies, however, allows treatment to be completed in 1–2 visits to the orthopedic dentist. A key role in this progress is played by the integrated application of high-precision intraoral scanning, computer-aided design (CAD), and computer-aided manufacturing (CAM) methods. The accuracy and predictability of the final result achieved with digital protocols reach a level that was simply unattainable with traditional analog approaches. However, such an active development of technologies, where new techniques and materials emerge almost in real-time, presents practicing specialists with the important task of finding optimal ways to integrate them into everyday clinical practice. This study aims to investigate and systematize methods for optimizing digital planning in the fabrication of removable dentures for patients with complete and partial edentulism. A thorough theoretical analysis of domestic and international scientific literature was conducted, covering current achievements and current challenges in digital orthopedic dentistry, as well as future prospects for the application of CAD/CAM in the field of removable prosthetics. It was established that a key factor for the successful optimization of the digital protocol is a strictly individualized approach to the selection of treatment methods depending on the specific clinical case. The high feasibility of applying a hybrid digital-analog approach was also substantiated. Combining the capabilities of digital planning and CAD/CAM manufacturing with time-tested traditional analog methods allows for the mitigation of the disadvantages inherent in each approach and achieving maximum functional and aesthetic accuracy in the fabrication of modern removable prosthetic structures.
Kishkan et al. (Sun,) studied this question.