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Purpose: The purpose of this study is to present the author's method of planning the procedure of immediate implant-prosthetic restoration in place of a tooth qualified for removal by performing a surgical template and implant-prosthetic restoration based on data obtained in the CBCT test and intraoral scanning 3D model. Design/methodology/approach: The method of planning the implant surgery through the design and manufacture of surgical templates and implant prostheses performed before the start of medical procedures was described on the basis of actual clinical data from patients with anterior segment teeth qualified for extraction for reasons of complications after endodontic treatment. The placement of the implant was planned using virtual reality, where the bone model and the virtual soft tissue model were combined, which made it possible to perform a surgical template and prosthetic implant restoration. For the manufacturing, 3D printing as stereolithography SLA and selective laser sintering SLS for the surgical template manufacturing and CNC milling in the case of the prosthetic implant were used for restoration. Findings: The method allows planning the implant position based on two connected bone and soft tissue models and allows to design and manufacture a surgical guide. In this way, it becomes possible to place implants in the patient's bone during surgery procedure in the planned position and to install the prosthetic implant restoration in the form of an individual abutment and a PMMA crown during the same procedure in the surgical part. Practical implications: Thanks to the method of computer-aided design/manufacturing CAD/CAM production of surgical templates and prosthetic restoration based only on digital models and the planned position of the implant, it is possible to carry out the procedure of immediate tooth extraction and replacement with permanent prosthetic restoration. The whole process is based on the CBCT test performed at the beginning. The presented method allows shortening the procedure time by four times and the rehabilitation time by 3-6 months when performing the procedure in a minimally invasive manner. Originality/value: This article presents the original design and production method of surgical guides. It allows for precise planning of the implant position and transfer of this data to the patient's mouth during the procedure, enabling permanent prosthetic restoration before starting medical procedures.

The general goals of advanced digitized production in the Industry 4.0 stage of the industrial revolution were presented along with the extended holistic model of Industry 4.0, introduced by the authors, indicating the importance of material design and the selection of appropriate manufacturing technology. The effect of the global lockdown caused by the SARS-CoV-2 virus transmission pandemic was a drastic decrease in production, resulting in a significant decrease in the gross domestic product GDP in all countries, and gigantic problems in health care, including dentistry. Dentists belong to the highest risk group because the doctor works in the patient&rsquo, s respiratory tract. This paper presents a breakthrough authors solution, implemented by the active SPEC strategy, and aims to eliminate clinical aerosol at the source by negative pressure aspirating bioaerosol at the patient&rsquo, s mouth line. The comparative benchmarking analysis and its results show that only the proprietary solution with a set of devices eliminates the threat at the source, while the remaining known methods do not meet the expectations. The details of this solution are described. Photopolymer materials and additive Digital Light Printing (DLP) technology were used.

Purpose: The article concerns the development of completely new groups of composite materials that can be used to produce functional replacements for damaged bones or teeth. Design/methodology/approach: A selective laser sintering was used to produce the reinforcement of those materials from titanium and its Ti6Al4V alloy in the form of skeletons with pores with adjustable geometric features. The matrix of those materials is either air or crystallised from the liquid AlSi12 or AlSi7Mg0.3 alloys condition after prior vacuum infiltration or human osteoblast cells from the hFOB 1.19 (Human ATCC - CRL - 11372) culture line. Findings: The porous material may be used for the non-biodegradable scaffold. After implantation into the body in the form of an implant-scaffold one, it allows the natural cells of the patient to grow into the pores of the implant, and it fuses with the bone or the appropriate tissue over time. The essential part of the implant-scaffold is the porous part inseparably connected with the core of solid materials. Into pores can grow living cells. Research limitations/implications: Biological-engineering composite materials in which natural cells were cultured in the pores in the laboratory next are combined as an artificial material with the natural cells of the patient in his/her body. Practical implications: The hybrid technologies of the all group of those materials were obtained and optimised. Numerous structure research was carried out using the most modern research methods of contemporary materials engineering, and mechanical tests and biological research involving the cultivation of natural cells were realised. Originality/value: The results of the research indicate the accuracy of the idea of implementing a new group of biological-engineering materials and the wide possibilities of their application in regenerative medicine.

Purpose: The publication aims to find the relationship between the proliferation of surface layers of living cells and the deposition of thin atomic layers deposition ALD coatings on the pores internal surfaces of porous skeletons of medical and dental implant-scaffolds manufactured with the selective laser deposition SLS additive technology using titanium and Ti6Al4V alloy. Design/methodology/approach: The extensive review of the literature presents the state-of-the-art in the field of regenerative medicine and tissue engineering. General ageing of societies, increasing the incidence of oncological diseases and some transport and sports accidents, and also the spread of tooth decay and tooth cavities in many regions of the world has taken place nowadays. Those reasons involve resection of many tissues and organs and the need to replace cavities, among others bones and teeth through implantation, more and more often hybridized with tissue engineering methods. Findings: The results of investigations of the structure and properties of skeleton microporous materials produced from titanium and Ti6Al4V alloy powders by the method of selective laser sintering have been presented. Particularly valuable are the original and previously unpublished results of structural research using high-resolution transmission electron microscope HRTEM. Particular attention has been paid to the issues of surface engineering, in particular, the application of flat TiO2 and Al2O3 coatings applied inside micropores using the atomic layers deposition ALD method and hydroxyapatite applied the dip-coating sol-gel method, including advanced HRTEM research. The most important part of the work concerns the research of nesting and proliferation of live cells of osteoblasts the hFOB 1.19 (Human ATCC - CRL - 11372) culture line on the surface of micropores with surfaces covered with the mentioned layers. Research limitations/implications: The investigations reported in the paper fully confirmed the idea of the hybrid technology of producing microporous implants and implant-scaffolds to achieve original Authors’ biological-engineering materials. The surface engineering issues, including both flat-layered nonorganic coatings and interactions of those coverings with flat layers of living cells, play a crucial role. Originality/value: Materials commonly used in implantology and the most commonly used materials processing technologies in those applications have been described. Against that background, the original Authors' concept of implant-scaffolds and the application of microporous skeleton materials for this purpose have been presented.

This paper presents a comparison of the impact of milling technology in the computer numerically controlled (CNC) machining centre and selective laser sintering (SLS) and on the structure and properties of solid Ti6Al4V alloy. It has been shown that even small changes in technological conditions in the SLS manufacturing variant significantly affect changes from two to nearly two and a half times in tensile and bending strengths. Both the tensile and bending strength obtained in the most favourable manufacturing variant by the SLS method is over 25% higher than in the case of cast materials subsequently processed by milling. Plug-and-play SLS conditions provide about 60% of the possibilities. Structural, tribological and electrochemical tests were carried out. In vitro biological tests using osteoblasts confirm the good tendency for the proliferation of live cells on the substrate manufactured under the most favourable SLS conditions. The use of SLS additive technology for the manufacturing of dental implants and abutments made of Ti6Al4V alloy in combination with the digitisation of dental diagnostics and computer-aided design and manufacture of computer-aided design/manufacturing (CAD/CAM) following the idea of Dentistry 4.0 is the best choice of technology for manufacturing of prosthetic and implant devices used in dentistry.

The purpose of this paper is to compare the impact of selective laser-sintering (SLS) technology and computer numerical control (CNC) machining methods on the structure and properties of solid Co-Cr-W-Mo-Si alloys. Structural tests were carried out using x-ray structural analysis; energy-dispersive x-ray spectroscopy chemical composition analysis; metallographic investigations using stereoscopic, light, and scanning electron microscopes using computerized methods of quantitative metallography; and tests of tensile, bending, and compression strength. Individually designed microsamples were used, and the results were statistically processed. It was shown that if optimal conditions of SLS technology are used, it is possible to obtain a structure with a pore content of 0.1 % smaller than in the case of solid cast materials. This ensures better mechanical properties than cast materials. At the same time, it was pointed out that even minor technological errors associated with SLS technology caused a lowering of all strength properties associated with a significant increase in porosity by up to 10 %. Allowing small changes in technological conditions, including the width of the laser spot, the width of the laser beam, the allowance associated with the overlap of the laser beam, disturbances in the flow of inert gas, and uncontrolled changes in the laser power, can cause a significant reduction in strength. A plug and play approach is unacceptable. If even one layer with a thickness of 25 μm is produced in suboptimal conditions, the manufactured element cannot meet the assumed requirements. The use of SLS additive technology for the production of prosthetic components made of Co-Cr alloys is the best choice among the methods currently used in dentistry. The use of SLS technology together with the digitization of design and manufacturing processes is an important element in implementing the Dentistry 4.0 approach as part of the Industry 4.0 stage of the industrial revolution.

The aim of the research, the results of which are presented in the paper, is to fabricate, by Selective Laser Melting (SLM), a metallic scaffold with Ti6Al4V powder based on a virtual model corresponding to the actual loss of a patient’s craniofacial bone. A plaster cast was made for a patient with a palate recess, and the cast was then scanned with a 3D scanner to create a virtual 3D model of a palate recess, according to which a 3D model of a solid implant was created using specialist software. The virtual 3D solid implant model was converted into a 3D porous implant model after designing an individual shape of the unit cell conditioning the size and three-dimensional shape of the scaffold pores by multiplication of unit cells. The data concerning a virtual 3D porous implant model was transferred into a selective laser melting (SLM) device and a metallic scaffold was produced from Ti6Al4V powder with this machine, which was subjected to surface treatment by chemical etching. An object with certain initially adopted assumptions, i.e. shape and geometric dimensions, was finally achieved, which perfectly matches the patient bone recesses. The scaffold created was subjected to micro-and spectroscopic examinations.