{"title":"Are Conventional Impressions Obsolete? A Narrative Review on the Applicability of Intraoral Scanners.","authors":"Ahmad Amro Baradee, Benedikt Christopher Spies","doi":"10.1111/adj.70015","DOIUrl":"10.1111/adj.70015","url":null,"abstract":"<p><p>This narrative review examines the clinical indication, practical advantages and limitations of dental digital impressions as compared to conventional impression techniques. Digital impressions are scientifically approved for their high accuracy for single tooth restorations while enhancing workflow efficiency through seamless integration with computer-aided design and computer-aided manufacturing (CAD/CAM) systems. They improve both patient and clinician experiences by reducing discomfort, shortening treatment times and facilitating more direct communication with dental laboratories. Furthermore, digital records offer long-term archiving benefits and enable direct comparisons with future scans, which can be valuable for monitoring treatment progress. Despite these advantages, digital impressions face challenges in specific clinical scenarios, including movable oral tissues, deep subgingival margins and long-span prostheses. These limitations currently restrict their universal application across all dental indications. Nonetheless, digital impressions are increasingly being adopted in clinical practice across all dental specialties. As technological advancements of intraoral scanners continue, particularly improvements in scanning accuracy and the integration of artificial intelligence, the clinical utility of digital impressions is expected to expand further.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S93-S104"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145430263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yulan Wang, Ting Xia, Sebastian Kühl, Valentin Herber, Michael M Bornstein
{"title":"Dynamic and Robotic Computer-Assisted Implant Surgery-A Possible Workflow for the Future?","authors":"Yulan Wang, Ting Xia, Sebastian Kühl, Valentin Herber, Michael M Bornstein","doi":"10.1111/adj.70013","DOIUrl":"10.1111/adj.70013","url":null,"abstract":"<p><p>Digital technologies are reshaping dental implantology, with dynamic navigation and robotic systems offering high implant placement accuracy within clinically acceptable error ranges, the latter often achieving slightly higher accuracy. These systems enhance surgical accuracy and minimise trauma; however, high costs, extended preparation time, steep learning curves and uncertain patient acceptance limit their widespread adoption. This review summarises current principles, applications, benefits and limitations of dynamic navigation and robotic computer-assisted implant surgery (d-CAIS and r-CAIS), highlighting the need for clinicians to refine system proficiency and adapt their roles for future implant treatment procedures.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S105-S117"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145436885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do the Physicomechanical Properties of 3D-Printed Resin-Based Composite Materials Support Their Use for Definitive Restorations? A Narrative Review.","authors":"Mohamed M Awad, Amr S Fawzy","doi":"10.1111/adj.70022","DOIUrl":"10.1111/adj.70022","url":null,"abstract":"<p><p>Three-dimensional-printed resin-based composite (3D-RBC) materials for definitive restorations offer more cost-effectiveness and save more chair-side time compared to computer-aided design/computer-aided manufacturing (CAD/CAM) or milled restorations. While the filler/resin ratio of 3D-RBCs is kept low to allow for vat photopolymerization and 3D printing, this can significantly influence their material-inherent properties and the mechanical behavior of 3D-RBC restorations intraorally. This narrative review aimed to critically review the literature on the physicomechanical properties of 3D-RBC materials for definitive restorations. Three electronic bibliographic databases (Medline via PubMed, Scopus, and Web of Science) were searched to identify studies on 3D-RBCs for definitive restorations. Ninety-nine studies satisfied the inclusion criteria. With lower mechanical properties and high susceptibility to color change, 3D-RBCs are not yet valid alternatives to CAD/CAM (milled) composite or hybrid materials for definitive restorations. 3D-RBC definitive restorations presented excellent marginal and internal adaptation, comparable to or superior to milled restorations. Clinical evidence on these restorations is still insufficient to draw definitive conclusions. However, 3D-RBCs seem more suitable for cases with less challenging occlusal conditions and aesthetic needs.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S67-S81"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145601717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandrine Couldwell, Claudia Maria Pichardo, Kyle Radomski, Jae-Hyun Lee, Sang J Lee
{"title":"Optical Mandibular Movement Tracking Devices, Clinical Uses and Indications.","authors":"Sandrine Couldwell, Claudia Maria Pichardo, Kyle Radomski, Jae-Hyun Lee, Sang J Lee","doi":"10.1111/adj.70026","DOIUrl":"10.1111/adj.70026","url":null,"abstract":"<p><p>Recent advancements in digital dentistry have facilitated the accurate recording of dynamic mandibular movements using optical tracking devices, thereby improving the clinical outcomes and the patient's ability to adapt to their oral rehabilitation. This narrative review provides an overview of the evolution, functionality, and clinical applications of the mandibular movement devices and the current status of optical tracking devices in dentistry. Unlike traditional mechanical or electronic approaches, optical tracking devices offer noninvasive, real-time monitoring with high spatial precision. By accurately capturing patient-specific mandibular movements, these systems substantially improve the understanding of occlusal function, condylar motion, and temporomandibular joint dynamics, which enables the optimal design of prostheses tailored to individual patient anatomy, function, and esthetics. Optical tracking technologies can integrate successfully with digital workflows, including intraoral scanning and cone-beam computed tomography, thus enhancing diagnostic accuracy and facilitating precise treatment planning in prosthodontics and occlusal rehabilitation. Despite the challenges of optical tracking devices, such as high costs, system complexity, and calibration requirements, the optical tracking devices present a significant advancement in delivering individualised and functionally driven dental care.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S25-S34"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Special Issue on Digital Dental Medicine, Digital Transformation and Artificial Intelligence: Discussing Their Impact in Re-Shaping the Future of Oral Healthcare.","authors":"Michael M Bornstein, Adam Hamilton","doi":"10.1111/adj.70016","DOIUrl":"10.1111/adj.70016","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S4-S5"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145699577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xin Hui Yeo, Shengchi Fan, Jennifer G M Chantler, James Chow, Atiphan Pimkhaokham, Nikos Mattheos
{"title":"Static-Computer Assisted Implant Surgery: Where Are We Now?","authors":"Xin Hui Yeo, Shengchi Fan, Jennifer G M Chantler, James Chow, Atiphan Pimkhaokham, Nikos Mattheos","doi":"10.1111/adj.70007","DOIUrl":"10.1111/adj.70007","url":null,"abstract":"<p><strong>Background: </strong>Static Computer-Assisted Implant Surgery (s-CAIS) has become a widely accepted standard in guided implant placement, leveraging advancements in digital technologies. Despite its widespread adoption, s-CAIS faces several limitations, and emerging alternatives like dynamic and robotic CAIS are gaining traction.</p><p><strong>Methods: </strong>This narrative review synthesises the current literature on s-CAIS to provide a comprehensive overview of its current state, clinical applications, and future potentials. Key aspects included s-CAIS terminology and componentry, indications, clinical outcomes, patient-reported experience, educational implications, advantages, and limitations.</p><p><strong>Results: </strong>s-CAIS demonstrates superior accuracy compared to non-guided surgery. It can enhance efficiency in complex cases and facilitate minimally invasive and immediate loading protocols. However, limitations include restricted intraoperative flexibility, higher costs, and challenges in cases with limited access or unusual anatomy.</p><p><strong>Conclusion: </strong>Despite emerging technologies such as dynamic navigation and robotic assistance, s-CAIS remains a predictable and widely used modality for guided implant placement. Clinicians should weigh its advantages against limitations and consider patient-specific factors when selecting guided surgery approaches. Further research should prioritise collective assessment of clinical and patient-reported outcomes over accuracy metrics alone.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S129-S145"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aaron Wai Harng Wong, Robert Nedelcu, Adam Hamilton
{"title":"Clinical Recommendations for Implant Verification Jigs in Analogue and Digital Workflows. A Narrative Review.","authors":"Aaron Wai Harng Wong, Robert Nedelcu, Adam Hamilton","doi":"10.1111/adj.70025","DOIUrl":"10.1111/adj.70025","url":null,"abstract":"<p><strong>Background: </strong>Misfit at the implant-prosthesis interface arises from small errors that occur during impression-taking, cast fabrication and milling. Implant verification jigs (IVJs) have been described as a quality-control device in fixed implant prosthodontics, yet protocols and indications are inconsistently described This narrative review aims to compare materials and fabrication methods, map their functional roles and provide clinical recommendations for both analogue and digital workflows.</p><p><strong>Methods: </strong>Peer-reviewed English-language publications from 1 January 1980 to 30 October 2025 were searched on PubMed and Scopus using MeSH and free-text terms for dental implants and IVJs. Eligible studies include technique reports, in vitro studies, clinical studies and narrative reviews that reported materials, fabrication or functional roles of IVJs in fixed implant prosthodontics. Titles, abstracts and full texts were screened against predefined criteria. Data were synthesised narratively by workflow and verification approach.</p><p><strong>Results: </strong>Fifty-two publications met the criteria (29 technique descriptions, 12 in vitro, 8 in vivo, 1 case report, 2 reviews). The materials reported for IVJs included PMMA, UDMA, photopolymerising composite resins and Type III/IV dental stone jigs. In analogue workflows, intra-oral and extra-oral verification procedures have been reported. In digital workflows, digitising IVJs or implant verification casts as well as CAD-CAM IVJs have been described.</p><p><strong>Conclusions: </strong>Within the limits of this narrative review, IVJs can be used as adjuncts for conventional impressions and intra-oral scans with vertical scanbodies. Photogrammetry and systems that pair horizontal scanbodies and AI-based recognition provide datasets with greater accuracy, negating the need for conventional IVJs. Future studies should standardise verification strategies and evaluate long-term clinical outcomes.</p><p><strong>Clinical relevance: </strong>This narrative review clarifies the indications for IVJs, outlines workable analogue and digital strategies, and provides clinical recommendations. Selective use of IVJs prior to the fabrication of the definitive prosthesis can reduce the likelihood of misfit.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S35-S49"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145601674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital Diagnostics and Treatment Planning for Orthognathic Surgery.","authors":"Joyce Tin Wing Li, Yiu Yan Leung","doi":"10.1111/adj.70020","DOIUrl":"10.1111/adj.70020","url":null,"abstract":"<p><strong>Background: </strong>Orthognathic surgery has undergone a paradigm shift with the integration of digital technologies, moving from traditional methods reliant on 2D radiographs and manual model surgery to modern virtual surgical planning (VSP).</p><p><strong>Methods: </strong>This narrative review contrasts these approaches and highlights the transformative impact of VSP, which utilises 3D imaging, computer-aided simulations and 3D-printed surgical guides.</p><p><strong>Results: </strong>VSP enhances the accuracy of skeletal repositioning, reduces intraoperative uncertainty through preoperative virtual rehearsals, and fosters interdisciplinary collaboration. VSP provides realistic outcome visualisations for patients, establishing it as a crucial development of contemporary orthognathic practice that optimises both functional and aesthetic outcomes.</p><p><strong>Conclusion: </strong>VSP can significantly improve both the efficacy and accuracy of orthognathic surgery. It improves surgical outcomes and patient satisfaction. VSP serves as an important game-changer in orthognathic surgery and brings further breakthroughs in the field.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S82-S92"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145522987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CAD/CAM Fabrication of Bone for Guided Bone Regeneration: A Narrative Review of Current Principles, Clinical Applications, Challenges and Future Perspectives.","authors":"Sebastian Blatt, Bilal Al-Nawas","doi":"10.1111/adj.70029","DOIUrl":"https://doi.org/10.1111/adj.70029","url":null,"abstract":"<p><strong>Background: </strong>The computer-aided design/computer-aided manufacturing (CAD/CAM) workflow is state of the art for a plethora of oral- and maxillofacial reconstruction procedures. The workflow is well implemented in alveolar ridge preservation and segmental bone regeneration. Guided bone or guided tissue regeneration (GBR/GTR) are essential in stabilising and regenerating the alveolar ridge height and width and the surrounding soft tissue in segmental deficient situations. CAD/CAM-assisted GBR minimises surgical time, optimises bone volume preservation and provides predictable results in implantology and reconstructive procedures. Besides, the technique is crucial in planning and executing free microvascular anastomosed tissue transfer for continuity defects.</p><p><strong>Methods: </strong>This review examines how CAD/CAM fabrication can further transform bony regeneration and reconstruction. Therefore, latest principles of CAD/CAM fabrication methods, manufacturing techniques in CAD/CAM bone fabrication, materials for CAD/CAM-fabricated bone in GBR, clinical applications of CAD/CAM bone in GBR, challenges and limitations as well as future perspectives are highlighted.</p><p><strong>Results and conclusions: </strong>In conclusion, CAD/CAM is poised to become a standard approach not only for segmental but also continuity defect situations in regenerative maxillofacial surgery as technology evolves.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 Suppl 1 ","pages":"S6-S14"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145853511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}