THE “CHAIRSIDE” CONCEPT IN THE TREATMENT OF ORTHOPEDIC DENTAL PATHOLOGY (LITERATURE REVIEW)

Taras  Palii; Olexandr  Tsyhanok

doi:10.21272/eumj.2025;13(2):397-406

Taras Palii Department of Dentistry, Academic and Research Medical Institute, Sumy State University, Sumy, Ukraine https://orcid.org/0009-0005-7108-1949
Olexandr Tsyhanok Department of Dentistry, Academic and Research Medical Institute, Sumy State University, Sumy, Ukraine https://orcid.org/0000-0002-5442-1922

DOI: https://doi.org/10.21272/eumj.2025;13(2):397-406

Keywords: chairside concept, chairside dentistry, digital dentistry, additive manufacturing

Abstract

Introduction. Today, digital dentistry is represented by a wide range of equipment, techniques, concepts, and services that have emerged as a result of the introduction of modern technologies into dental practice. This also refers to the “chairside” concept. The aim of this study was to search for and analyse relevant data on the use of the “chairside” concept for the treatment of orthopedic dental pathology.

Methods. The literature review was conducted using PubMed, Web of Science, SCOPUS, and Google Scholar until 1 October 2024. There were no restrictions on the date of publication or language of scientific sources. Searches were conducted using the MeSH (Medical Subject Headings) terms using the following search terms: “chairside concept”, “chairside dentistry”, “digital dentistry”, “additive manufacturing”. Methods used: bibliographic and analytical.

Results and discussion. The concept of “chairside” within the framework of prosthetic dentistry is the process of restoring lost hard tooth tissue by placing structures made directly in the clinic near the patient. This is possible due to the use of an intraoral scanner, modelling software and equipment for manufacturing of future restoration. All procedures are performed in 1 session. In addition, the advantages include: the possibility of making modifications to the future restoration at different stages of the workflow; the survival rate of such restorations is approximately 90%; finished restorations are not inferior in accuracy to laboratory restorations and fully meet clinical requirements. However, the concept has a few disadvantages, including the need for specific equipment, limitations in the number of restorations that can be made in 1 session, and the types of orthopedic structures.

Conclusion. The “chairside” concept is a progressive approach to the treatment of orthopedic pathologies, which makes the prosthesis possible in 1 day. However, this concept is still lacking in its drawbacks. The “chairside” concept requires further study and improvement.

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References

Rekow ED. Digital dentistry: The new state of the art - Is it disruptive or destructive?. Dent Mater. 2020;36(1):9-24. https://doi.org/10.1016/j.dental.2019.08.103

Wesemann C, Muallah J, Mah J, Bumann A. Accuracy and efficiency of full-arch digitalization and 3D printing: A comparison between desktop model scanners, an intraoral scanner, a CBCT model scan, and stereolithographic 3D printing. Quintessence Int. 2017;48(1):41-50. https://doi.org/10.3290/j.qi.a37130

Raffone C, Gianfreda F, Antonacci D, Pompeo MG, Bollero P, Canullo L. Chairside virtual patient protocol. Part 3: In vitro accuracy of a digital facebow. J Dent. 2023;137:104622. https://doi.org/10.1016/j.jdent.2023.104622

Reich S, Hartkamp O, Reiss B. A chairside concept for increasing the vertical dimension of occlusion in the maxilla and mandible. Int J Comput Dent. 2019;22(1):81-98.

Khorsandi D, Fahimipour A, Abasian P, et al. 3D and 4D printing in dentistry and maxillofacial surgery: Printing techniques, materials, and applications. Acta Biomater. 2021;122:26-49. https://doi.org/10.1016/j.actbio.2020.12.044

Donker VJJ, Raghoebar GM, Vissink A, Meijer HJA. Digital Workflow for Immediate Implant Placement and Chairside Provisionalization in the Esthetic Zone. Case Rep Dent. 2022;2022:5114332. Published 2022 Apr 1. https://doi.org/10.1155/2022/5114332

Glisic O, Hoejbjerre L, Sonnesen L. A comparison of patient experience, chair-side time, accuracy of dental arch measurements and costs of acquisition of dental models. Angle Orthod. 2019;89(6):868-875. https://doi.org/10.2319/020619-84.1

Blatz MB, Conejo J. The Current State of Chairside Digital Dentistry and Materials. Dent Clin North Am. 2019;63(2):175-197. https://doi.org/10.1016/j.cden.2018.11.002

Suese K. Progress in digital dentistry: The practical use of intraoral scanners. Dent Mater J. 2020;39(1):52-56. https://doi.org/10.4012/dmj.2019-224

Baroudi K, Ibraheem SN. Assessment of Chair-side Computer-Aided Design and Computer-Aided Manufacturing Restorations: A Review of the Literature. J Int Oral Health. 2015;7(4):96-104.

Dawood A, Marti Marti B, Sauret-Jackson V, Darwood A. 3D printing in dentistry [published correction appears in Br Dent J. 2016 Jan 22;220(2):86. https://doi.org/ 10.1038/sj.bdj.2016.50]. Br Dent J. 2015;219(11):521-529. https://doi.org/10.1038/sj.bdj.2015.914

Munoz-Sanchez ML, Linas N, Decerle N, Nicolas E, Hennequin M, Cousson PY. A Combination of Full Pulpotomy and Chairside CAD/CAM Endocrown to Treat Teeth with Deep Carious Lesions and Pulpitis in a Single Session: A Preliminary Study. Int J Environ Res Public Health. 2020;17(17):6340. Published 2020 Aug 31. https://doi.org/10.3390/ijerph17176340

Wang KP, Ye HQ, Chen H, Wang Y, Sun YC, Zhou YS. Beijing Da Xue Xue Bao Yi Xue Ban. 2019;51(2):349-355. https://doi.org/10.19723/j.issn.1671-167X.2019.02.028

Zimmermann M, Koller C, Hickel R, Kühnisch J. Chairside treatment of amelogenesis imperfecta, including establishment of a new vertical dimension with resin nanoceramic and intraoral scanning. J Prosthet Dent. 2016;116(3):309-313. https://doi.org/10.1016/j.prosdent.2016.02.010

Wimpenny DI, Pandey PM, Kumar LJ, editors. Advances in 3D printing & additive manufacturing technologies. Singapore, Singapore: Springer; 2018.

Mishchenko O, Yanovska A, Sulaieva O, et al. From Synthesis to Clinical Trial: Novel Bioinductive Calcium Deficient HA/β-TCP Bone Grafting Nanomaterial. Nanomaterials (Basel). 2023;13(12):1876. Published 2023 Jun 17. https://doi.org/10.3390/nano13121876

Kallala R, Chaouch MH, Nasr K, Courset T. Step-by-Step Esthetic Rehabilitation with Chairside System. Case Rep Dent. 2021;2021:5558158. Published 2021 Mar 25. https://doi.org/10.1155/2021/5558158

Marchesi G, Camurri Piloni A, Nicolin V, Turco G, Di Lenarda R. Chairside CAD/CAM Materials: Current Trends of Clinical Uses. Biology (Basel). 2021;10(11):1170. Published 2021 Nov 12. https://doi.org/10.3390/biology10111170

Takeuchi Y, Koizumi H, Furuchi M, Sato Y, Ohkubo C, Matsumura H. Use of digital impression systems with intraoral scanners for fabricating restorations and fixed dental prostheses. J Oral Sci. 2018;60(1):1-7. https://doi.org/10.2334/josnusd.17-0444

Rinke S, Pfitzenreuter T, Leha A, Roediger M, Ziebolz D. Clinical evaluation of chairside-fabricated partial crowns composed of zirconia-reinforced lithium silicate ceramics: 3-year results of a prospective practice-based study. J Esthet Restor Dent. 2020;32(2):226-235. https://doi.org/10.1111/jerd.12542

Jurado CA, Lederman R, Cohen J, Tsujimoto A. Intraoral Scanning with Rubber Dam Isolation in Place for Fabrication of a Chairside Computer-assisted Design and Computer-assisted Manufacture Ceramic Restoration. J Contemp Dent Pract. 2021;22(8):943-946. Published 2021 Aug 1.

Amesti-Garaizabal A, Agustín-Panadero R, Verdejo-Solá B, et al. Fracture Resistance of Partial Indirect Restorations Made With CAD/CAM Technology. A Systematic Review and Meta-analysis. J Clin Med. 2019;8(11):1932. Published 2019 Nov 9. https://doi.org/10.3390/jcm8111932

He M, Pu T, Ding Q, et al. Occlusal contact and clearance of posterior implant-supported single crowns designed by two different methods: a self-controlled study. BMC Oral Health. 2023;23(1):151. Published 2023 Mar 15. https://doi.org/10.1186/s12903-023-02847-w

Graf T, Güth JF, Diegritz C, Liebermann A, Schweiger J, Schubert O. Efficiency of occlusal and interproximal adjustments in CAD-CAM manufactured single implant crowns - cast-free vs 3D printed cast-based. J Adv Prosthodont. 2021;13(6):351-360. https://doi.org/10.4047/jap.2021.13.6.351

Gold D, Hahnel SF, Schierz O, Rauch A. Practicability of a chairside approach for characterizing CAD/CAM resin-based composites. J Oral Sci. 2020;62(4):430-434. https://doi.org/10.2334/josnusd.19-0507

Kozmacs C, Hollmann B, Arnold WH, Naumova E, Piwowarczyk A. Polishing of Monolithic Zirconia Crowns-Results of Different Dental Practitioner Groups. Dent J (Basel). 2017;5(4):30. Published 2017 Nov 14. https://doi.org/10.3390/dj5040030

Griffin JD Jr. Tooth in a bag: same-day monolithic zirconia crown. Dent Today. 2013;32(1):124-131.

Cai H, Zhao BC, Tian Y, et al. Design of a Single-Tooth Model and Its Application in Oral Scan System Assessment. Scanning. 2021;2021:8891396. Published 2021 Mar 21. https://doi.org/10.1155/2021/8891396

Renne WG. Chairside CAD/CAM technology: a positive "disruption" in dentistry. Compend Contin Educ Dent. 2014;35(2):126-127.

Anadioti E, Aquilino SA, Gratton DG, et al. 3D and 2D marginal fit of pressed and CAD/CAM lithium disilicate crowns made from digital and conventional impressions. J Prosthodont. 2014;23(8):610-617. https://doi.org/10.1111/jopr.12180.

Ahmed WM, Shariati B, Gazzaz AZ, Sayed ME, Carvalho RM. Fit of tooth-supported zirconia single crowns-A systematic review of the literature. Clin Exp Dent Res. 2020;6(6):700-716. https://doi.org/10.1002/cre2.323

Zarone F, Ruggiero G, Ferrari M, Mangano F, Joda T, Sorrentino R. Accuracy of a chairside intraoral scanner compared with a laboratory scanner for the completely edentulous maxilla: An in vitro 3-dimensional comparative analysis. J Prosthet Dent. 2020;124(6):761.e1-761.e7. https://doi.org/10.1016/j.prosdent.2020.07.018

Róth I, Czigola A, Fehér D, et al. Digital intraoral scanner devices: a validation study based on common evaluation criteria. BMC Oral Health. 2022;22(1):140. Published 2022 Apr 26. https://doi.org/10.1186/s12903-022-02176-4

Agustín-Panadero R, Ferreiroa A, Pascual-Moscardó A, Fons-Font A, Solá-Ruíz MF. In vivo evaluation of three-dimensional of volumetric changes using a CAD/CAM chair-side system: Technical procedure. J Clin Exp Dent. 2017;9(3):e489-e493. Published 2017 Mar 1. https://doi.org/10.4317/jced.53531

Coachman C, Georg R, Bohner L, Rigo LC, Sesma N. Chairside 3D digital design and trial restoration workflow. J Prosthet Dent. 2020;124(5):514-520. https://doi.org/10.1016/j.prosdent.2019.10.015

Leeson D. The digital factory in both the modern dental lab and clinic. Dent Mater. 2020;36(1):43-52. https://doi.org/10.1016/j.dental.2019.10.010

Sannino G, Germano F, Arcuri L, Bigelli E, Arcuri C, Barlattani A. CEREC CAD/CAM Chairside System. Oral Implantol (Rome). 2015;7(3):57-70. Published 2015 Apr 13.

Zimmermann M, Ender A, Egli G, Özcan M, Mehl A. Fracture load of CAD/CAM-fabricated and 3D-printed composite crowns as a function of material thickness. Clin Oral Investig. 2019;23(6):2777-2784. https://doi.org/10.1007/s00784-018-2717-2

Arslan Y, Karakoca Nemli S, Bankoğlu Güngör M, Tamam E, Yılmaz H. Evaluation of biogeneric design techniques with CEREC CAD/CAM system. J Adv Prosthodont. 2015;7(6):431-436. https://doi.org/10.4047/jap.2015.7.6.431

Wang F, Tang Q, Xi S, Liu R, Niu L. Comparison and evaluation of the morphology of crowns generated by biogeneric design technique with CEREC chairside system. PLoS One. 2020;15(1):e0227050. Published 2020 Jan 16. https://doi.org/10.1371/journal.pone.0227050

Bohner LO, Neto PT, Ahmed AS, Mori M, Laganá DC, Sesma N. CEREC Chairside System to Register and Design the Occlusion in Restorative Dentistry: A Systematic Literature Review. J Esthet Restor Dent. 2016;28(4):208-220. https://doi.org/10.1111/jerd.12226

Raffone C, Gianfreda F, Pompeo MG, Antonacci D, Bollero P, Canullo L. Chairside virtual patient protocol. Part 2: Management of multiple face scans and alignment predictability. J Dent. 2022;122:104123. https://doi.org/10.1016/j.jdent.2022.104123

Turkyilmaz I, Yun S. Chairside versus external laboratory milling in fabricating CAD/CAM surgical and restorative products in dental practice. Prim Dent J. 2022;11(4):53-55. https://doi.org/10.1177/20501684221132916

Wiedhahn K, Fritzsche G, Wiedhahn C, Schenk O. Zirconia crowns - the new standard for single-visit dentistry?. Int J Comput Dent. 2016;19(1):9-26.

Taylor R, Fuentealba R, Brackett WW, Roberts HW. 24 hour polymerization shrinkage of resin composite core materials. J Esthet Restor Dent. 2021;33(5):775-785. https://doi.org/10.1111/jerd.12788

Sulaiman TA. Materials in digital dentistry-A review. J Esthet Restor Dent. 2020;32(2):171-181. https://doi.org/10.1111/jerd.12566

Ahlholm P, Sipilä K, Vallittu P, Kotiranta U, Lappalainen R. Accuracy of inlay and onlay restorations based on 3D printing or milling technique - a pilot study. Eur J Prosthodont Restor Dent. 2019;27(2):56-64. Published 2019 May 30. https://doi.org/10.1922/EJPRD_01814Ahlholm09

Zaharia C, Gabor A-G, Gavrilovici A, Stan AT, Idorasi L, Sinescu C, et al. Digital Dentistry — 3D Printing Applications. J Interdiscip Med [Internet]. 2017;2(1):50–3. Available from: http://dx.doi.org/10.1515/jim-2017-0032

Sun Y, Ding Q, Yuan F, Zhang L, Sun Y, Xie Q. Accuracy of a chairside, fused deposition modeling three-dimensional-printed, single tooth surgical guide for implant placement: A randomized controlled clinical trial. Clin Oral Implants Res. 2022;33(10):1000-1009. https://doi.org/10.1111/clr.13981

Sun Y, Ding Q, Tang L, Zhang L, Sun Y, Xie Q. Accuracy of a chairside fused deposition modeling 3D-printed single-tooth surgical template for implant placement: An in vitro comparison with a light cured template. J Craniomaxillofac Surg. 2019;47(8):1216-1221. https://doi.org/10.1016/j.jcms.2019.03.019

Patzelt SB, Bishti S, Stampf S, Att W. Accuracy of computer-aided design/computer-aided manufacturing-generated dental casts based on intraoral scanner data. J Am Dent Assoc. 2014;145(11):1133-1140. https://doi.org/10.14219/jada.2014.87

Muta S, Ikeda M, Nikaido T, et al. Chairside fabrication of provisional crowns on FDM 3D-printed PVA model. J Prosthodont Res. 2020;64(4):401-407. https://doi.org/10.1016/j.jpor.2019.11.004

Camargo B, Willems E, Jacobs W, et al. 3D printing and milling accuracy influence full-contour zirconia crown adaptation. Dent Mater. 2022;38(12):1963-1976. https://doi.org/10.1016/j.dental.2022.11.002

Suksuphan P, Krajangta N, Didron PP, Wasanapiarnpong T, Rakmanee T. Marginal adaptation and fracture resistance of milled and 3D-printed CAD/CAM hybrid dental crown materials with various occlusal thicknesses. J Prosthodont Res. 2024;68(2):326-335. https://doi.org/10.2186/jpr.JPR_D_23_00089

An H. Ceramic veneer shade evaluation using a multicolored 3D-printed model-A case report. J Esthet Restor Dent. 2024;36(3):415-420. https://doi.org/10.1111/jerd.13138

Patel D. Retrofitting a Crown Supporting a Removable Partial Denture Using "Biogeneric Copy" to Replicate Tooth's Preoperative Condition. Compend Contin Educ Dent. 2016;37(2):126-130.

Klim J. Aesthetic quadrant dentistry using a chairside CAD/CAM system: a case presentation. Pract Proced Aesthet Dent. 2006;18(3):153-160.

Moslemian N, Koulivand S, Zeighami S, Nankali A, Alikhasi M. Evaluation of the effect of milling mode and margin definition on adaptation of chairside digitally designed and fabricated ceramic veneers. Int J Comput Dent. 2022;25(3):277-285. https://doi.org/10.3290/j.ijcd.b2588153

No-Cortes J, Ayres AP, Son A, et al. Does Clinical Experience Affect Chairside Digital Waxing of Single Crowns More Than Software Training?. Int J Prosthodont. 2022;35(5):684-689. https://doi.org/10.11607/ijp.7838

de Andrade GS, Tribst JP, Dal Piva AO, et al. A study on stress distribution to cement layer and root dentin for post and cores made of CAD/CAM materials with different elasticity modulus in the absence of ferrule. J Clin Exp Dent. 2019;11(1):e1-e8. Published 2019 Jan 1. https://doi.org/10.4317/jced.55295

Schneider O. Long-term Cerec 3D chairside bridges milled from IPS e.max CAD LT blocks. Int J Comput Dent. 2016;19(3):239-255.

Kim JH, Lee H, Son SA, Hong SJ, Park JK. Evaluation of the intaglio surface trueness and fit of zirconia crowns fabricated using different machining strategies with a chairside CAD/CAM system. Int J Comput Dent. 2024;27(2):191-198. https://doi.org/10.3290/j.ijcd.b3840499

Vichi A, Sedda M, Del Siena F, Louca C, Ferrari M. Flexural resistance of Cerec CAD/CAM system ceramic blocks. Part 1: Chairside materials. Am J Dent. 2013;26(5):255-259.

Scutella F, Weinstein T, Redaelli S, Cerutti A, Testori T, Özcan M. Reliability of Chair-side Monolithic CAD-CAM Generated Lithium Disilicate Single Crowns with Knife- Edge Finish Line: Up to 5-Year Retrospective Analysis of Clinical Performance. Eur J Prosthodont Restor Dent. 2020;28(2):10.1922/EJPRD_1930Scutella04. Published 2020 May 28. https://doi.org/10.1922/EJPRD_1930Scutella04

Rinke S, Pabel AK, Rödiger M, Ziebolz D. Chairside Fabrication of an All-Ceramic Partial Crown Using a Zirconia-Reinforced Lithium Silicate Ceramic. Case Rep Dent. 2016;2016:1354186. https://doi.org/10.1155/2016/1354186

Lu T, Peng L, Xiong F, et al. A 3-year clinical evaluation of endodontically treated posterior teeth restored with two different materials using the CEREC AC chair-side system. J Prosthet Dent. 2018;119(3):363-368. https://doi.org/10.1016/j.prosdent.2017.04.022

Rinke S, Brandt A, Hausdoerfer T, Leha A, Ziebolz D. Clinical Evaluation of Chairside-Fabricated Partial Crowns Made of Zirconia- Reinforced Lithium Silicate Ceramic - 2-Year-Results. Eur J Prosthodont Restor Dent. 2020;28(1):36-42. Published 2020 Feb 27. https://doi.org/10.1922/EJPRD_2001Rinke07

Fages M, Raynal J, Tramini P, Cuisinier FJ, Durand JC. Chairside Computer-Aided Design/Computer-Aided Manufacture All-Ceramic Crown and Endocrown Restorations: A 7-Year Survival Rate Study. Int J Prosthodont. 2017;30(6):556–560. https://doi.org/10.11607/ijp.5132

Aziz A, El-Mowafy O, Tenenbaum HC, Lawrence HP, Shokati B. Clinical performance of chairside monolithic lithium disilicate glass-ceramic CAD-CAM crowns. J Esthet Restor Dent. 2019;31(6):613-619. https://doi.org/10.1111/jerd.12531

Otto T, Mörmann WH. Clinical performance of chairside CAD/CAM feldspathic ceramic posterior shoulder crowns and endocrowns up to 12 years. Int J Comput Dent. 2015;18(2):147-161.

Otto T. Up to 27-years clinical long-term results of chairside Cerec 1 CAD/CAM inlays and onlays. Int J Comput Dent. 2017;20(3):315-329.

Baroudi K, Ibraheem SN. Assessment of Chair-side Computer-Aided Design and Computer-Aided Manufacturing Restorations: A Review of the Literature. J Int Oral Health. 2015;7(4):96-104.

Sirona Dental Inc. Sirona's CEREC technology: win-win for patients and practitioners. Compend Contin Educ Dent. 2013;34(6):464.

Planmeca PlanScan™ CAD/CAM system eases transition to chairside dentistry. Compend Contin Educ Dent. 2014;35(2):132.

Zaim B, Serin Kalay T, Purcek G. Friction and wear behavior of chairside CAD-CAM materials against different types of antagonists: An in vitro study. J Prosthet Dent. 2022;128(4):803-813. https://doi.org/10.1016/j.prosdent.2021.09.024

Wang YG, Xing YX, Sun YC, Zhao YJ, Lü PJ, Wang Y. Zhonghua Kou Qiang Yi Xue Za Zhi. 2013;48(6):355-358.

Naik VB, Jain AK, Rao RD, Naik BD. Comparative evaluation of clinical performance of ceramic and resin inlays, onlays, and overlays: A systematic review and meta analysis. J Conserv Dent. 2022;25(4):347-355. https://doi.org/10.4103/jcd.jcd_184_22

Jurado CA, Lee D, Cortes D, et al. Fracture Resistance of Chairside CAD/CAM Molar Crowns Fabricated with Different Lithium Disilicate Ceramic Materials. Int J Prosthodont. 2023;36(6):722-729. https://doi.org/10.11607/ijp.7802

Jurado CA, Barkmeier WW, Alshabib A, et al. Effectiveness of Different Polishing Kits for Chairside CAD/CAM Provisional Restorative Materials. Oper Dent. 2022;47(6):670-677. https://doi.org/10.2341/21-147-L

Skramstad M, DiTolla MC. Single-Visit Chairside Zirconia. Dent Today. 2016;35(8):84-87.

Choukse V, Kunturkar A, Nirmal Aidasani A, Masih Gottlieb A, Agrawal R, Bumb PP. Survey of Indian Dental Professionals Regarding the Use of Computer-Aided Design/Computer-Aided Manufacture (CAD/CAM) Technology. Cureus. 2023;15(6):e40392. Published 2023 Jun 13. https://doi.org/10.7759/cureus.40392

Abduo J, Elseyoufi M. Accuracy of Intraoral Scanners: A Systematic Review of Influencing Factors. Eur J Prosthodont Restor Dent. 2018;26(3):101-121. Published 2018 Aug 30. https://doi.org/10.1922/EJPRD_01752Abduo21

Waldecker M, Trebing C, Rues S, Behnisch R, Rammelsberg P, Bömicke W. Effects of Training on the Execution of Complete-Arch Scans. Part 1: Scanning Time. Int J Prosthodont. 2021;34(1):21-26. https://doi.org/10.11607/ijp.6903

Renne W, Wolf B, Kessler R, McPherson K, Mennito AS. Evaluation of the Marginal Fit of CAD/CAM Crowns Fabricated Using Two Different Chairside CAD/CAM Systems on Preparations of Varying Quality. J Esthet Restor Dent. 2015;27(4):194-202. https://doi.org/10.1111/jerd.12148

Harsono M, Simon JF, Stein JM, Kugel G. Evolution of chairside CAD/CAM dentistry. Tex Dent J. 2013;130(3):238-244.