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Occupational stress in clinical and non-clinical staff in Child and Adolescent Mental Health Services (CAMHS): a cross-sectional study. 儿童和青少年心理健康服务机构(CAMHS)临床和非临床工作人员的职业压力:横断面研究。
IF 5.1 4区 医学 Pub Date : 2024-03-01 Epub Date: 2022-04-11 DOI: 10.1017/ipm.2022.12
F McNicholas, D Adamis, E Minihan, N Doody, B Gavin

Background: Previous literature has highlighted high rates of burnout among doctors and nurses in healthcare settings. Non-clinical and support staff such as administrative, housekeeping and managerial staff are also exposed to the stressors of a health care setting, but fewer studies report on their experiences. Therefore, the aim of this research is to examine occupational stress in all staff working in Child and Adolescent Mental Health Services (CAMHS) in Ireland and identify risk and protective factors.

Method: Fifty-nine clinical and non-clinical staff (44% response rate) were surveyed. Participants completed the Copenhagen Burnout Inventory (CBI) and the Effort Reward Imbalance scale, as well as survey-specific questions.

Results: Both clinical and non-clinical staff were found to experience moderate or high rates of work-related, personal and patient-related burnout (57.6%, 52.2% and 50.8%, respectively). Univariate general linear modelling showed an association between total CBI scores and effort reward index (B = 64 306, t = 3.430, p = 0.001); overcommitment (B = 1.963, t = 3.061, p = 0.003); and an unwillingness to work in CAMHS (B = 28.429, t = 3.247, p = 0.002).

Conclusion: Pre-pandemic levels of stress were high among clinical and non-clinical staff surveyed. Given the anticipated increased demand on CAMHS post COVID-19, urgent action is needed to protect all staff from intolerable levels of occupational stress and burnout.

背景:以往的文献强调了医疗机构中医生和护士的高职业倦怠率。行政、家政和管理人员等非临床和辅助人员也面临着医疗机构的压力,但有关他们经历的研究报告却较少。因此,本研究旨在调查在爱尔兰儿童和青少年心理健康服务机构(CAMHS)工作的所有员工的职业压力,并确定风险和保护因素:调查了 59 名临床和非临床工作人员(回复率为 44%)。参与者填写了哥本哈根倦怠量表(CBI)和努力奖赏失衡量表,以及调查的特定问题:结果发现,临床和非临床工作人员在工作倦怠、个人倦怠和与患者相关的倦怠方面都存在中度或高度倦怠(分别为 57.6%、52.2% 和 50.8%)。单变量一般线性模型显示,CBI 总分与努力回报指数(B = 64 306,t = 3.430,p = 0.001)、过度承诺(B = 1.963,t = 3.061,p = 0.003)和不愿在 CAMHS 工作(B = 28.429,t = 3.247,p = 0.002)之间存在关联:结论:接受调查的临床和非临床工作人员在大流行前的压力水平都很高。鉴于 COVID-19 后对 CAMHS 的需求预计会增加,因此需要采取紧急行动,保护所有员工免受无法忍受的职业压力和职业倦怠的影响。
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引用次数: 0
The Observation of the Effect of Lidocaine Combined with Homemade Warm Compress Sleeve in Alleviating Venous Catheter-Related Injuries in Otolaryngology Surgery Patients 利多卡因联合自制热敷套对缓解耳鼻喉科手术患者静脉导管相关损伤的效果观察
IF 0.1 4区 医学 Pub Date : 2024-01-01 DOI: 10.1166/jbt.2024.3352
Chengyan Zhang, Daolan Xu
To assess lidocaine’s combined impact with a self-crafted hot compress cuff in diminishing venous indwelling needle injuries during otolaryngology surgeries. 70 patients undergoing otolaryngology surgeries at our hospital between July 2020 and September 2022 were chosen. All underwent venous indwelling needle procedures. Equally divided into an control group (CG) and an experimental group (EG), each with 35 cases, the CG received standard intervention with lidocaine, while the EG received additional self-made hot compress sleeves. Evaluation parameters included changes in skin temperature at the infusion site, needle indwelling duration, phlebitis incidence, needle blockage, pain, and comfort. The EG exhibited significantly higher skin temperatures at the infusion site compared to the CG (P <0.05). Needle indwelling duration was notably prolonged in the EG versus the CG (P <0.05). Phlebitis incidence was notably lower in the EG (14.29%) than the CG (37.14%) (P <0.05). No significant difference was found in needle blockage rates between groups (25.71% in CG, 17.14% in experimental) (P > 0.05). Pain scores were notably lower, and comfort scores were higher in the EG (all, P < 0.05). Combining lidocaine with a self-made hot compress cuff significantly mitigates venous indwelling needle injuries in otolaryngology surgeries. This combined approach enhances skin temperature, extends needle indwelling time, reduces phlebitis and needle blockage risks, alleviates patient discomfort, and elevates overall comfort during venous indwelling needle procedures.
评估利多卡因与自制热敷袖带联合使用对减少耳鼻喉科手术中静脉留置针损伤的影响。选取 2020 年 7 月至 2022 年 9 月期间在我院接受耳鼻喉科手术的 70 名患者。所有患者均接受了静脉留置针手术。分为对照组(CG)和实验组(EG),每组35例,对照组接受利多卡因标准干预,实验组接受额外的自制热敷套。评估参数包括输液部位皮肤温度变化、留置针持续时间、静脉炎发生率、针头堵塞、疼痛和舒适度。与 CG 相比,EG 输液部位的皮肤温度明显更高(P 0.05)。EG 的疼痛评分明显较低,舒适度评分较高(均为 P <0.05)。将利多卡因与自制热敷袖带相结合,可显著减轻耳鼻喉科手术中的静脉留置针损伤。这种组合方法可提高皮肤温度,延长留置针时间,降低静脉炎和针头堵塞风险,减轻患者不适感,提高静脉留置针手术的整体舒适度。
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引用次数: 0
In Vivo Study on the Effect of Tetrahydropalmatine on the Activation of NLRP3 Inflammasome in BV-2 Cells 四氢巴马汀对 BV-2 细胞中 NLRP3 炎症小体激活作用的体内研究
IF 0.1 4区 医学 Pub Date : 2024-01-01 DOI: 10.1166/jbt.2024.3353
Mingjuan Zhang, Xiajun Yi, Qingying Zhan, Li Huang, Yadong Xiao, Jihui Zhong
Background: The paper aimed to explore the effect of Tetrahydropalmatine on the activation of NLRP3 inflammasomes in BV-2 cells and its mechanism in vitro. Material and methods: ELISA determine the IL-1β and IL-18 in the BV-2 cell culture medium of each group. WB was employed to detect NLRP3 inflammasome-related components including NLRP3, ASC, NEK7 and Caspase-1, as well as p-NF-κB, NF-κB, p-Iκ-Bα and Iκ-Bα in cell lysates of each group. The effects of Tetrahydropalmatine on NLRP3 inflammasome activation and NF-κB signaling pathway were analyzed. Immunofluorescence labeling method was used to detect the expressions of NLRP3 in BV-2 cells in each group. Mito-tracker Red labeled mitochondrial confocal microscope was employed to observe and evaluate mitochondrial damage. Fluorescent probe DCFH-DA was used to label cells. Flow cytometry technology was applied to detect ROS production and evaluate the effect of Tetrahydropalmatine on ROS production. Results: After Tetrahydropalmatine treatment, p-NF-κB/NF-κB and p-Iκ-Bα/Iκ-Bα were significantly lower than that in the model group. Tetrahydropalmatine can inhibit the production of ROS and improve the mitochondrial membrane potential. Conclusion: Tetrahydropalmatine can mitigate mitochondrial damage, reduce ROS production, and inhibit the NF-κB signaling pathway, thereby inhibiting the activation of NLRP3 inflammasomes in BV-2 cells.
研究背景本文旨在探讨四氢巴马汀对 BV-2 细胞中 NLRP3 炎症小体活化的影响及其体外机制。材料与方法ELISA 检测各组 BV-2 细胞培养液中的 IL-1β 和 IL-18。WB检测各组细胞裂解液中NLRP3炎症体相关成分,包括NLRP3、ASC、NEK7和Caspase-1,以及p-NF-κB、NF-κB、p-Iκ-Bα和Iκ-Bα。分析四氢巴马汀对 NLRP3 炎性体活化和 NF-κB 信号通路的影响。免疫荧光标记法检测各组 BV-2 细胞中 NLRP3 的表达。采用线粒体追踪红标记共聚焦显微镜观察和评估线粒体损伤。荧光探针 DCFH-DA 用于标记细胞。应用流式细胞术检测 ROS 的产生,并评估四氢巴马汀对 ROS 产生的影响。结果四氢巴马汀治疗后,p-NF-κB/NF-κB和p-Iκ-Bα/Iκ-Bα明显低于模型组。四氢巴马汀可抑制 ROS 的产生,提高线粒体膜电位。结论四氢巴马汀可减轻线粒体损伤,减少 ROS 的产生,抑制 NF-κB 信号通路,从而抑制 BV-2 细胞中 NLRP3 炎性体的活化。
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引用次数: 0
Comparison of Marginal Seal and Tensile Bond Strength of an Alkasite, Zircomer, and Bulk Fill Composite to Carious Affected Primary Molars 钙钛矿、锆石和大量填充复合材料对受龋齿影响的初级磨牙的边缘密封和拉伸粘接强度比较
IF 0.1 4区 医学 Pub Date : 2024-01-01 DOI: 10.1166/jbt.2024.3351
Faisal Ali Alqhtani, Anshad M. Abdullah, Shan Sainudeen, Rida batool, M. Kamran
Assessment of the micro tensile bond strength (μTBS) and microleakage of contemporary restorative materials (Cention N cement (CN), Bulk-fill Resin-based composite (BF-RBC), and Zirconomer Improved) bonded to carious affected dentin (CAD) of primary molars as compared to conventional control Glass ionomer cement (GIC). Eighty human primary molars having scores 4 and 5 of the International Caries Detection and Assessment System (ICDAS) were included. Specimens were randomly allocated into four groups (n = 20) Group I = GIC, Group 2: Zirconomer Improved, Group 3: CN, and Group 4: BF-RBC. All the samples were thermocycled followed by marginal leakage, μTBS, and failure mode assessment using a dye penetration test, universal testing machine, and a stereomicroscope. The μTBS and microleakage results were examined using (ANOVA) and Tukey post hoc tests. Samples from Group 1 (GIC) revealed the highest value of marginal leakage (30.55±10.31 nm) and the lowest recorded value of μTBS (12.28±0.32 MPa). In contrast, the specimens from Group 3 (CN) demonstrated the lowest levels of microleakage (14.89±4.33 nm) and highest bond integrity (18.12±0.79 MPa). Cention N cement and Bulk-fill composite have shown to be reliable options as a restorative material in primary dentition due to their superior tensile bond strength and reduced marginal leakage scores when applied to caries-affected dentin.
与传统对照组玻璃离子水泥(GIC)相比,评估粘结在初级磨牙龋坏牙本质(CAD)上的当代修复材料(Cention N 水泥(CN)、团填树脂基复合材料(BF-RBC)和 Zirconomer Improved)的微拉伸粘结强度(μTBS)和微渗漏。研究对象包括 80 颗国际龋病检测和评估系统(ICDAS)评分为 4 分和 5 分的人类初级磨牙。标本被随机分为四组(n = 20),第一组 = GIC,第二组:Zirconomer 改良型,第三组:Zirconomer 改良型:第 3 组:CN,第 4 组:BF-RBC。所有样品都经过热循环,然后使用染料渗透测试、万能试验机和体视显微镜进行边缘泄漏、μTBS 和失效模式评估。μTBS和微渗漏结果采用(方差分析)和Tukey事后检验进行检验。第 1 组(GIC)样品的边缘渗漏值最高(30.55±10.31 nm),μTBS 值最低(12.28±0.32 MPa)。相比之下,第 3 组(CN)的试样显示出最低水平的微渗漏(14.89±4.33 nm)和最高的粘结完整性(18.12±0.79 MPa)。Cention N 水泥和 Bulk-fill 复合材料在应用于受龋病影响的牙本质时,由于其卓越的拉伸粘结强度和较低的边缘渗漏分数,已被证明是基牙修复材料的可靠选择。
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引用次数: 0
The Predictive Value of Conventional Ultrasound Signs Plus Serological Indices for Neck Lymph Node Metastasis in Papillary Thyroid Cancer 常规超声征象和血清学指标对甲状腺乳头状癌颈淋巴结转移的预测价值
IF 0.1 4区 医学 Pub Date : 2024-01-01 DOI: 10.1166/jbt.2024.3354
Sha Liu, MengMeng Chou
The present study aimed to evaluate the predictive value of conventional ultrasound signs and serological indices in the detection of neck lymph node metastasis in papillary thyroid cancer (PTC). A total of 80 patients with PTC scheduled for surgery in our hospital between August 2019 and December 2022 were recruited. Patients with neck lymph node metastasis were categorized as the experimental group, and patients without neck lymph node metastasis were included in the control group. Patients’ ultrasound signs were analyzed, and serological indices were determined. Logistic analysis was performed to determine the risk factors for the development of postoperative neck lymph node metastasis in papillary thyroid cancer, and the receiver operating characteristic (ROC) curve was employed to assess their diagnostic efficiency. Significant differences were observed in the number of lesions, nodule size, calcification, blood flow RI, and PI values comparison between the two arms (P < 0.05), while no significant differences were found in other ultrasound signs (P > 0.05). Patients with neck lymph node metastasis exhibited significantly higher serum concentrations of thyroid stimulating hormone (TSH) and anti-thyroglobulin antibodies (TG-Ab) versus those without metastasis (P < 0.05). Nodule size, number of lesions, and serum TSH level were independent risk factors for metastasis in neck lymph nodes in patients with papillary thyroid cancer (P <0.05). Conventional ultrasound signs, combined with serologic indices, demonstrated the highest diagnostic efficiency for predicting neck lymph node metastasis in patients with papillary thyroid cancer. These findings showed a sensitivity of 0.868, specificity of 0.894, and an area under the ROC curve (AUC) of 0.918. Additionally, the Jorden index was calculated to be 0.761. Analysis revealed that nodule size, number of lesions, and serum TSH concentration were independent risk factors for neck lymph node metastasis in papillary thyroid cancer patients. The combination of conventional ultrasound signs and serologic indices provided a higher diagnostic value compared to using a single diagnostic modality, thus indicating promising clinical benefits.
本研究旨在评估常规超声征象和血清学指标在检测甲状腺乳头状癌(PTC)颈部淋巴结转移中的预测价值。本研究共招募了80名计划于2019年8月至2022年12月期间在我院接受手术治疗的PTC患者。有颈部淋巴结转移的患者为实验组,无颈部淋巴结转移的患者为对照组。对患者的超声体征进行分析,并测定血清学指标。采用逻辑分析法确定甲状腺乳头状癌术后发生颈淋巴结转移的危险因素,并采用接收者操作特征曲线(ROC)评估其诊断效率。两组患者的病灶数量、结节大小、钙化程度、血流RI和PI值比较有显著差异(P<0.05),而其他超声征象无显著差异(P>0.05)。有颈部淋巴结转移的患者血清中促甲状腺激素(TSH)和抗甲状腺球蛋白抗体(TG-Ab)的浓度明显高于无转移者(P < 0.05)。结节大小、病灶数量和血清促甲状腺激素水平是甲状腺乳头状癌患者颈部淋巴结转移的独立危险因素(P <0.05)。在预测甲状腺乳头状癌患者颈部淋巴结转移方面,常规超声体征结合血清学指标的诊断效率最高。这些结果显示灵敏度为0.868,特异性为0.894,ROC曲线下面积(AUC)为0.918。此外,乔登指数的计算结果为 0.761。分析表明,结节大小、病灶数量和血清促甲状腺激素浓度是甲状腺乳头状癌患者颈部淋巴结转移的独立危险因素。与使用单一诊断方法相比,将常规超声波征象和血清学指数结合使用可提供更高的诊断价值,因此具有良好的临床效益。
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引用次数: 0
Application and Potential of Nanobiomaterials in Bone Regeneration 纳米生物材料在骨再生中的应用和潜力
IF 0.1 4区 医学 Pub Date : 2024-01-01 DOI: 10.1166/jbt.2024.3350
Wenting Zhou, Rui He, Ran Du, Bingyang Chu
This review thoroughly investigates the latest developments and challenges of nanobiomaterials in bone regeneration. It begins by elucidating the fundamental properties of nanomaterials and their unique role in promoting bone cell proliferation and differentiation. The review further explores innovative applications of nanobiomaterials in enhancing bone regeneration efficiency, and reducing immune reactions and toxicity, while also discussing the current technological limitations and future possibilities. Conclusively, the article predicts the future applications of nanobiomaterials in bone regeneration treatments, especially highlighting their potential role in personalized medicine and bioprinting technologies.
这篇综述深入研究了纳米生物材料在骨再生方面的最新发展和挑战。文章首先阐明了纳米材料的基本特性及其在促进骨细胞增殖和分化方面的独特作用。综述进一步探讨了纳米生物材料在提高骨再生效率、减少免疫反应和毒性方面的创新应用,同时还讨论了当前的技术局限性和未来的可能性。最后,文章预测了纳米生物材料在骨再生治疗中的未来应用,特别强调了其在个性化医疗和生物打印技术中的潜在作用。
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引用次数: 0
Significant Effect of Ritodrine Hydrochloride Combined with Magnesium Sulfate for Treatment of Patients with Premature Rupture of Membranes 盐酸利托君联合硫酸镁治疗胎膜早破患者的显著效果
IF 0.1 4区 医学 Pub Date : 2024-01-01 DOI: 10.1166/jbt.2024.3355
Fulin Tian, Jun Zhang, Jun Liu
To investigate the effect of magnesium sulfate combined with ritodrine hydrochloride on maternal and infant outcomes in patients with premature rupture of membranes (PROM), a total of 76 PROM patients admitted to our hospital from July 2021 to July 2022 were selected as the research objects, and they were divided into observation group and experimental group according to the treatment methods of the patients. The observation group consisted of 38 patients who received magnesium sulfate monotherapy, whereas the experimental group received ritodrine hydrochloride in addition to the treatment received by the patients in the observation group. The treatment effects, levels of inflammatory factors, negative emotions, as well as maternal and child outcomes, along with any adverse reactions during the medication, were compared between the two groups. The effective rate of treatment in the observation group was 78.95%, and that in the experimental group was 97.37%. The effective rate in the experimental group was significantly higher than that in the observation group (P < 0.05). The levels of α and IFN-y were significantly lower than those of the observation group (all, P < 0.05); the SAS scores and SDS scores of the experimental group after treatment were significantly lower than those of the observation group (all, P < 0.05). The observation group showed significantly lower uterine contraction inhibition time and postpartum hemorrhage compared to the observation group, along with significantly higher gestational age extension time (all, P <0.05). In terms of neonatal outcomes, the birth weight, Apgar. The scores were significantly higher than those of the observation group, and the incidence of complications was significantly lower than that of the observation group (all, P < 0.05). The incidence of adverse reactions in the observation group was 21.05%, compared to 23.68% in the experimental group. There was no significant difference in the incidence of adverse reactions between the two groups of patients (P > 0.05). Magnesium sulfate combined with ritodrine hydrochloride has a significant effect in the treatment of patients with PROM. The application of the combined program can effectively reduce the inflammatory response of patients, regulate the negative emotions of patients, and improve the maternal and infant outcomes of patients. Moreover, the combined program does not increase the risk of adverse reactions in patients, demonstrating its ideal safety in clinical medication.
为探究硫酸镁联合盐酸利托君对胎膜早破(PROM)患者母婴结局的影响,选取我院2021年7月-2022年7月收治的76例胎膜早破(PROM)患者作为研究对象,根据患者的治疗方法分为观察组和实验组。观察组 38 例患者接受硫酸镁单药治疗,实验组在观察组患者治疗的基础上加用盐酸利托君。对两组患者的治疗效果、炎症因子水平、负面情绪、母婴结局以及用药期间的不良反应进行了比较。观察组的治疗有效率为 78.95%,实验组为 97.37%。实验组的有效率明显高于观察组(P < 0.05)。实验组的α和IFN-y水平明显低于观察组(均P<0.05);实验组治疗后的SAS评分和SDS评分明显低于观察组(均P<0.05)。观察组的子宫收缩抑制时间和产后出血量明显低于观察组,胎龄延长时间明显高于观察组(均为 P 0.05)。硫酸镁联合盐酸利托君治疗PROM患者效果显著。联合方案的应用能有效减轻患者的炎症反应,调节患者的不良情绪,改善患者的母婴预后。此外,联合方案不会增加患者出现不良反应的风险,体现了其在临床用药中的理想安全性。
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引用次数: 0
The Real-Time Detection of Mouse Double Minute-2 mRNA Expression in Living Cells with the Gold Nanoparticle (Journal of Biomaterials and Tissue Engineering, Vol. 8(1), pp. 27–34 (2018)) 利用金纳米粒子实时检测活细胞中小鼠双敏-2 mRNA的表达(《生物材料与组织工程学报》,第8(1)卷,第27-34页(2018)))
IF 0.1 4区 医学 Pub Date : 2024-01-01 DOI: 10.1166/jbt.2024.3360
Ying Zhang, Kai Li, Changfeng Li, Meng Ding, Ruisi Xu
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引用次数: 0
Assessment of Enamel Demineralization Following the Use of Different Orthodontic Bracket Materials, Etchants, and Adhesive Systems: An In Vitro Study 使用不同正畸托槽材料、蚀刻剂和粘合剂系统后的釉质脱矿评估:体外研究
IF 0.1 4区 医学 Pub Date : 2023-07-01 DOI: 10.1166/jbt.2023.3322
Rahaf Zawawi, Naif A. Almosa
The aim of this study was to assess enamel demineralization depth following the use of different bracket materials, etchants, and adhesive systems. Ninety-nine extracted human premolars were assigned to nine groups (eight experimental and one control), each including 11 specimens. The experimental groups were bonded to either metal or ceramic brackets and prepared using a total-or self-etchant with a pre-coated or flash-free adhesive system. All specimens were immersed in an artificial demineralization solution for 7 days at pH 4.5 and 37 °C. The brackets were debonded, and the specimens were sectioned buccolingually at the right and left sides of the bracket base margins. Scanning electron microscopy was used to assess the demineralization depth using ImageJ software. Significantly deeper enamel demineralization was observed in all bonded teeth compared to non-bonded teeth (p < 0.001). The adhesive system had no significant effect on the demineralization depth. Metal brackets caused significantly deeper enamel demineralization than ceramic brackets (p <0.005). The use of the total-etch surface treatment caused deeper demineralization compared to that of the self-etch treatment. In conclusion, bonded teeth exhibit deeper enamel demineralization than non-bonded teeth. Metal brackets contribute to deeper demineralization than ceramic brackets. The total-etch surface treatment caused deeper demineralization than self-etch when combined with metal brackets and a pre-coated adhesive system.
本研究旨在评估使用不同托槽材料、蚀刻剂和粘接剂系统后牙釉质脱矿的深度。将拔出的 99 颗人类前臼齿分成九组(八组实验组和一组对照组),每组包括 11 个标本。实验组粘接金属或陶瓷托槽,并使用全蚀剂或自蚀剂以及预涂或免闪光粘接剂系统进行制备。所有试样都在 pH 值为 4.5、温度为 37 °C 的人工脱矿溶液中浸泡 7 天。脱开托槽,在托槽基底边缘的左右两侧对试样进行颊舌侧切片。使用 ImageJ 软件扫描电子显微镜评估脱矿深度。与非粘接牙齿相比,所有粘接牙齿的釉质脱矿深度都明显加深(p < 0.001)。粘接系统对脱矿深度没有明显影响。金属支架造成的牙釉质脱矿深度明显高于陶瓷支架(p <0.005)。与自酸蚀处理相比,使用全酸蚀处理表面会导致更深的脱矿。总之,粘结牙齿比非粘结牙齿的牙釉质脱矿程度更深。与陶瓷托槽相比,金属托槽导致的脱矿化程度更深。当与金属托槽和预涂粘合剂系统结合使用时,全蚀刻表面处理比自蚀刻造成的脱矿更深。
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引用次数: 0
Dimensional Accuracy of 3D-Printed, Digital and Conventional Stone Dental Cast of Dentate Patients Using Arch and Teeth Measurements 使用牙弓和牙齿测量牙病患者的 3D 打印、数字和传统石质牙模型的尺寸精度
IF 0.1 4区 医学 Pub Date : 2023-07-01 DOI: 10.1166/jbt.2023.3316
K. Al-Aali, Abeer R. Alshehri, Hiba R. Talic, Ayaan A. Magan, Felwa K. Alhomody
Aim: This study aimed to compare the conventional, digital, and three-dimensional (3D)-printed casts in terms of their accuracy in quantifying arch and teeth measurements. Materials and Methods: The conventional casts were prepared using polyether dental impressions. Digital impressions of the typodont reference casts were accomplished using an intra-oral scanner. The digital casts were first converted to stereolithography (STL) files which were then edited, and printed using an SLA printer and photo-polymer resin material. The measurements of the first two groups were completed using a digital caliper, while an imaging software was used to measure digital casts. The occlusocervial (OC) height and mesiodistal (MD) width of canines, second premolars (PMs), and molars of each jaw were measured. Additionally, intercanine width (ICW) and intermolar width (IMW) were also measured. Results: Overall, the lowest OC measurement errors were observed for 3D-printed casts for the upper canine, lower canine, and lower molar (0.003±0.01 mm). Similarly, the lowest MD measurement errors were observed for 3D-printed casts for upper canine, upper PM, and lower PM (0.002±0.01 mm). The ICW and IMW measurement errors for the 3D-printed casts were significantly lower (p < 0.01) for the upper ICW (0.011±0.01 mm) and lower IMW (0.017±0.01 mm) than the other two groups. Compared to the conventional and digital casts, the lower ICW (0.013±0.01 mm) and upper IMW (0.017±0.01 mm) measurement errors observed for the 3D-printed casts were also lower, but non-significantly (p > 0.01). Conclusions: 3D-printed casts presented the lowest OC, MD, ICW, and IMW measurement errors, than the conventional and digital casts. The highest measurement errors were associated with the digital casts.
目的:本研究旨在比较传统铸模、数字化铸模和三维(3D)打印铸模在量化牙弓和牙齿测量方面的准确性。材料与方法:使用聚醚牙模制备传统模型。使用口内扫描仪完成正畸参考模型的数字化印模。首先将数字铸模转换为立体光刻(STL)文件,然后对其进行编辑,并使用 SLA 打印机和光聚合物树脂材料进行打印。前两组的测量使用数字卡尺完成,而数字铸模的测量则使用成像软件。测量了每个颌骨的犬齿、第二前臼齿和臼齿的咬合颈(OC)高度和牙间隙(MD)宽度。此外,还测量了犬齿间宽度(ICW)和臼齿间宽度(IMW)。结果:总体而言,上犬齿、下犬齿和下臼齿的 3D 打印铸模的 OC 测量误差最小(0.003±0.01 毫米)。同样,上犬齿、上臼齿和下臼齿的 3D 打印铸模的 MD 测量误差也最小(0.002±0.01 毫米)。三维打印铸型的 ICW 和 IMW 测量误差在上 ICW(0.011±0.01 mm)和下 IMW(0.017±0.01 mm)上显著低于其他两组(p < 0.01)。与传统铸模和数字铸模相比,三维打印铸模的下部 ICW(0.013±0.01 mm)和上部 IMW(0.017±0.01 mm)测量误差也更小,但无显著性差异(p > 0.01)。结论:与传统铸模和数字铸模相比,三维打印铸模的 OC、MD、ICW 和 IMW 测量误差最小。数字铸型的测量误差最大。
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Journal of Biomaterials and Tissue Engineering
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