Abstract:
INTRODUCTION:Computer-aided design/computer-aided manufacturing (CAD/CAM) has gained increasing popularity since the first commercially viable dental system was introduced in the mid-1980s. Digitally milled dental restorations can be fabricated chairside in the course of one dental appointment, reducing time, cost, and manpower when compared with traditional laboratory-fabricated analog restorations. Clinical performance, physical properties, and esthetics of digital restorations have been shown to be comparable to traditional analog restorations. The Navy has incorporated CAD/CAM systems into dental clinics on multiple platforms to include ships. The efficiency of this technology has the potential to positively impact dental health and mission readiness. The objective of the present study was to evaluate placement rates of CAD/CAM restorations by Navy dental providers. MATERIALS AND METHODS:Placement rates of CAD/CAM restorations from October 2011 to June 2017 (Department of Defense created codes specific to CAD/CAM restorations in 2011) and of laboratory-fabricated analog restorations from January 2008 to June 2017 were queried from the Dental Common Access System (DENCAS) and Corporate Dental Access system (CDA) and evaluated. Scatterplots for each dental restoration category were generated using monthly production data and overlaid with simple linear regression lines and 95% confidence intervals. Regression analysis was performed to determine whether changes in the monthly percentages of placements before and after CAD/CAM were increasing or decreasing and to determine whether the monthly percent change from before CAD/CAM implementation and after CAD/CAM implementation was significantly different from one another. RESULTS:A total of 20,512 CAD/CAM restorations were placed by Navy providers over the 68-month period. A year-over-year increase in digitally fabricated restorations was observed. As a percentage of total indirect restorations, CAD/CAM units surged from 13.8% in 2012 to 38.1% in 2017. All ceramic restorations fabricated by the classical analog method also increased significantly through the period. Traditional analog porcelain fused to metal (PFM) restorations and large amalgam restorations, which frequently serve a similar clinical purpose as indirect or direct full or partial tooth coverage restorations, both decreased significantly after CAD/CAM productivity tracking was initiated. CONCLUSIONS:Implementation of CAD/CAM digital restorations has led to a significant decline in specific traditional analog procedures since productivity tracking of CAD/CAM was initiated in 2011. Navy dentistry has embraced CAD/CAM as an efficient means to prepare sailors and marines for deployments, improve operational dental readiness, and potentially decrease dental emergencies by reducing the need for provisional restorations. The trend toward increased utilization of digital dentistry is expected to continue for the following reasons: (1) incorporation of CAD/CAM technology into dental school curricula, (2) advancement of CAD/CAM systems equipped with fast-evolving user interfaces, (3) increased accessibility to CAD/CAM technology in Navy clinics, and (4) training of a greater proportion of dentists in digital CAD/CAM technology. Future studies should investigate the survival rate of CAD/CAM restorations placed within military settings, cost, and manpower of maintaining CAD/CAM units, and impact on military dental laboratories associated with increased CAD/CAM usage.
journal_name
Mil Medjournal_title
Military medicineauthors
Dickens N,Haider H,Lien W,Simecek J,Stahl Jdoi
10.1093/milmed/usy260subject
Has Abstractpub_date
2019-05-01 00:00:00pages
e365-e372issue
5-6eissn
0026-4075issn
1930-613Xpii
5145877journal_volume
184pub_type
杂志文章abstract:INTRODUCTION:The role of testosterone in health and quality of life has become increasingly visible and overtly marketed to the public. Some evidence suggests that testosterone levels in men may be low because of a variety of reasons, including stress and environmental exposures. OBJECTIVE:This study examines trends i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00496
更新日期:2015-07-01 00:00:00
abstract::In addition to common stressors, members of the U.S. Armed Forces experience a high level of stress unique to their status as service members. In an effort to combat stress, many military personnel report high levels of nicotine use. This study investigated the relationship between tobacco use and perceived stress amo...
journal_title:Military medicine
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abstract::A number of long-distance running events are held each year in the United States; the Army Ten Miler (ATM) is one such race held annually in Washington, DC. The purpose of the present study was to retrospectively analyze medical encounters for runners participating in the ATM from 1998 to 2004. Of the estimated 91,750...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00447
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::Controversy exists over the use of atrioventricular synchronous pacing for patients with hypertrophic obstructive cardiomyopathy who are refractory to medical treatment. We present the case of an elderly man with severe-effort dyspnea attributable to hypertensive left ventricular hypertrophy with dynamic aortic outflo...
journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
abstract::On May 19 to 21, 2010, the Armed Forces Health Surveillance Center and Uniformed Services University of the Health Sciences cosponsored an educational symposium on Assessing Potentially Hazardous Environmental Exposures among Military Populations. The meeting provided an opportunity for stakeholders and policy makers ...
journal_title:Military medicine
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doi:10.7205/milmed-d-11-00073
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract::The purpose of this study was to analyze the assumptions underlying the Army's Weight Control Program (AWCP) and to determine whether overweight and normal-weight soldiers differed with respect to health risk, health status, self-motivation, psychological symptomatic distress, and physical fitness. The sample consiste...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00499
更新日期:2013-07-01 00:00:00
abstract::Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::Although Japanese military officials had discovered that an improved diet could prevent beriberi by the late 19th century, their soldiers in the army suffered from beriberi during the Russo-Japanese War and World War II. A change in diet at the end of the Russo-Japanese War solved the problem and the army applied the ...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
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更新日期:2006-04-01 00:00:00
abstract::Exogenous hormone exposure can cause early sexual development, but only one report suggests that this may occur secondary to the use of hair-care products. This study evaluated the usage frequency and biological effects of hormone-containing hair-care products. We reviewed the records of 102 consecutive dependent chil...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract::This article considers two historical military casualties in the context of present day Advanced Trauma Life Support (ATLS) teaching. The death of Admiral Lord Nelson, Royal Navy, at the Battle of Trafalgar in 1805 has been well documented while that of Lieutenant Luke, an American aviator, U.S. Army Air Service, in F...
journal_title:Military medicine
pub_type: 传,历史文章,杂志文章
doi:10.7205/milmed-d-09-00261
更新日期:2010-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章,meta分析
doi:10.7205/milmed.171.11.1105
更新日期:2006-11-01 00:00:00
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doi:10.7205/MILMED-D-14-00380
更新日期:2015-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00161
更新日期:2016-02-01 00:00:00
abstract::Over 20 yr have elapsed since the end of the First Gulf War, yet approximately one-third of the veterans exhibit Gulf War Illness (GWI) symptoms, particularly depression and memory impairments. Exposure to organophosphate (OP) compounds is implicated for GWI development. The role of calcium (Ca2+) signaling in learnin...
journal_title:Military medicine
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更新日期:2018-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.5.511
更新日期:2007-05-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2014-11-01 00:00:00
abstract::As a result of Operation Desert Storm, a neurology service was established in the Fort Leonard Wood MEDDAC. Between January 1 and April 30, 1991, a total of 315 new neurology patients were seen in consultation. This number plus all the follow-up visits add up to a total of 750 clinical encounters during that period. T...
journal_title:Military medicine
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doi:
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abstract:INTRODUCTION:The Society of Military Orthopaedic Surgeons (SOMOS) is a robust academic organization with more than 1,000 members and has held annual academic scientific meetings since 1958. Currently, there is a paucity of data regarding the volume and quality of orthopaedic surgery presentations accepted for peer-revi...
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更新日期:2017-11-01 00:00:00
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journal_title:Military medicine
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更新日期:2005-03-01 00:00:00
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journal_title:Military medicine
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更新日期:2016-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::Ischemic colitis is the most common form of intestinal ischemia. It most commonly involves the left side of the colon presenting with acute onset of abdominal pain followed by bloody diarrhea. Involvement of only the right or ascending colon is an infrequent occurrence. Because this problem is less recognized than its...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.3.328
更新日期:2008-03-01 00:00:00
abstract::Twenty-four pilots (age 20-32 years) were monitored with a Holter monitor during 26 hours including a high-Gz flight in order to evaluate heart rate (HR) and cardiac rhythm. Flight experience did not predict the mean in-flight HR (range 69-121 beats/minute), which decreased with increasing age and correlated to the ma...
journal_title:Military medicine
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doi:
更新日期:1994-07-01 00:00:00