Naval Medical Research Unit San Antonio JBSA Fort Sam Houston United States
The primary mission of Navy Dentistry is maintaining a high state of operational dental readiness to reduce avoidable dental emergencies for deployed sailors and marines. Dental Computer-aided designComputer-assisted manufacturing CADCAM systems are potentially useful tools for increasing dental readiness in a timely manner with high quality clinical results. This report reviewed the placement rate by Navy dentists of digitally fabricated in-office ceramic restorations compared to traditional direct restorations or indirect restorations fabricated in the laboratory. Data records for dental procedure code monthly rates for dental procedures associated with CADCAM and traditional laboratory fabricated restorations recorded from January 2008 until July 2015 were collected and analyzed. Using multiple linear regression the change in the monthly placement rate was calculated for 10,000 personnel per month PPM. Overall, coronal coverage restorations dropped between October 2011 and July 2015 -0.450 PPM, p0.001. In contrast, monthly CADCAM placement rates demonstrated a significant steady increase 0.083 PPM, p0.0001. Navy Dentistry has embraced the role of CADCAM systems in the provision of dental care to Navy and Marine Corps service members in order to meet operational and mission objectives. Further, the amount of CADCAM restorations is likely to increase over the next three to five years.