The use of digital technology in dentistry and manufactoring of inlay and onlay with CAD/CAM technology

V uvodu bomo predstavili tehnologijo CAD/CAM ter povečevanje uporabe le te. Tehnologijo CAD/CAM je bila ustvarjena, da bi reševala tri glavne probleme: omogočanje izdelave restavracije z materiali, ki dosegajo zadovoljivo trdnost, drugi predstavlja zadovoljiv videz, tretji pa natančnejšo, hitrejšo in lažjo izdelavo zobnih nadomestkov. Sistemi CAD/CAM imajo povprečno boljšo prileganje protetičnih izdelkov, v primerjavi z izdelki, izdelanih s konvencionalno metodo dela. Za zadostno trdnost keramičnega materiala in zmanjšanje nevarnosti nastanka zlomov zaradi žvečenja je pomembna primerna debelina restavracije, zato se priporoča upoštevanje načel prepariranja. Namen diplomskega dela je bila analiza različnih zdravstvenih storitev zobozdravnikov ter s tem pridobiti informacije o digitalizaciji njihovega dela, povečevanju deleža digitalnega načina dela, njihovem mnenju o tehnologiji CAD/CAM, pogostosti izdelovanja inlejev in onlejev. Primerjali smo posamezne zavode. Namen diplomskega dela je tudi prikazati primer izdelave inleja in onleja s tehnologijo CAD/CAM. Ena izmed metod dela je bila deskriptivna metoda. Glavni vir informacij v diplomskem delu je predvsem angleška literatura. Iskali smo jo v knjižnicah, spletnih strokovnih bazah, kot so PubMed, ScienceDirect, ProQuest, Google Scholar. V poglavju rezultatov, smo na podlagi anketnega vprašalnika ugotovili, da so opazne velike razlike med javnim sektorjem in samoplačniškimi ordinacijami oz. koncesionarji. Delež uporabe digitalne tehnologije se povečuje, za izdelavo inlejev se najpogosteje uporablja tehnologija rezkanja keramike, večina rezkanja se opravi v zobnem laboratoriju. Mnenje anketirancev o tehnologiji CAD/CAM je, da je ta tehnologija zelo zanesljiva. V poglavju razprave in zaključek, smo potrdili hipotezi, da se uporaba tehnologije CAD/CAM povečuje in da so opazne razlike med javnim zavodom ter samoplačniškimi ordinacijami in koncesionarji. Pomembno je, da se tako kot v Evropi ali preostalem zahodnem svetu tudi v Sloveniji razmeroma sprejemljivo povečuje uporaba digitalne tehnologije. Z digitalizacijo v zobni ordinaciji, in laboratorijski zobni protetiki, širimo možnosti novih načinov, novih olajšav, novih tehnik izvedb. Na podlagi interpretacije rezultatov anketnega vprašalnika, smo hipotezo, da je najpogostejša tehnika izdelovanja zobnih nadomestkov v slovenskih zobnih laboratorijih tehnologija CAD/CAM ovrgli.In the introduction, we will present CAD/CAM technology and increase its use. CAD/CAM technology was created to solve three main problems: enabling the restoration with materials that achieve satisfactory strength, the second represents a satisfactory appearance and the third more accurate, faster and easier production of dental restorations. CAD/CAM systems have on average a better fit of prosthetic products compared to products made by the conventional method of work. Adequate thickness of the restoration is important for sufficient strength of the ceramic material to reduce the risk of fractures due to chewing, so it is recommended to follow the principles of preparation. The purpose of the diploma work was to analyze various health services of dentists and thus obtain information on the digitization of their work, increasing the share of digital work, their opinion on CAD/CAM technology, usage frequency of inlays and onlays. We compared individual institutions. The aim of the thesis is to show an example of making the inlays and onlays with CAD/CAM technology. One of the methods of work was descriptive method. The main source of information in the thesis is mainly English literature. We searched for it in libraries, online professional databases such as PubMed, ScienceDirect, ProQuest, Google Scholar. In the results section, we found on the basis of a questionnaire that there are large differences between the public sector and private practices or concessionaires. The use of digital technology is increasing, the technology of ceramic milling is most often used for the production of inlays, most of the milling is done in the dental laboratory. Opinion of the respondents about CAD/CAM technology is that this technology is very reliable. In the discussion and conclusion section, we confirmed the hypothesis that the use of CAD/CAM technology is increasing and that there are noticeable differences between the public institution and private practices and concessionaires. It is important that as in Europe or the rest of the Western world that the use of digital technology in Slovenia is increasing the use of it. With digitalization in the dental office, and laboratory dental prosthetics, we are expanding the possibilities of new methods, new reliefs, new implementation techniques. Based on the interpretation of the results of the questionnaire, we refuted the hypothesis that the most common technique for making dental restorations in Slovenian dental laboratories is CAD/CAM technology