采用两种制造技术制作的种植体支持临时固定局部义齿的边缘密合度评估:体外研究

Dr. Sarah Mostafa Sleem, Dr. Ahmad Aboel-Fadl, Dr. Doaa Taha Sayed Taha
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摘要

目的:本研究比较了使用两种制造技术制造的种植体支持临时固定局部义齿的边缘密合度。材料和方法:用两颗种植体制作三维打印模型,分别替代上第一前磨牙和第一臼齿。将与 CAD/CAM 钛基底相对应的扫描基台拧入种植体模拟体中。然后使用 Primescan AC 口内扫描仪对模型进行扫描,并将扫描文件以 STL 文件格式导入 CAD 软件,最终完成临时种植体支持固定局部义齿的设计。设计好的临时 IFPD 的 CAD 文件被送往减法和加法制造机,制造出 24 个临时 IFPD,每组 12 个。然后将临时 IFPD 安装到 ti 基托上,并使用体视显微镜评估边缘间隙。对数据进行独立 t 检验。结果:在边缘间隙方面,减法制造的临时 IFPD 的间隙值明显低于加法制造的临时 IFPD。结论:研究显示,减法制造的临时 IFPD 与加法制造的临时 IFPD 之间存在差异,这表明减法制造的临时 IFPD 具有可靠的边缘贴合性。
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Marginal fit evaluation of implant supported interim fixed partial dentures fabricated using two manufacturing techniques: An in vitro study
Aim: This study compared the marginal fit of implant-supported interim fixed partial dentures manufactured using two manufacturing techniques. Materials and Methods: 3D printed model was constructed with two implants analogues replacing upper first premolar and first molar. Scan abutments, corresponding to CAD/CAM titanium bases, were screwed into implant analogues. The model was then scanned using Primescan AC intraoral scanner and scan file was imported into CAD software as STL file to finalize the design for fabrication of interim implant-supported fixed partial dentures. The CAD file of the designed interim IFPDs was sent to subtractive and additive manufacturing machines to fabricate 24 interim IFPDs, 12 per group. Interim IFPDs were then seated onto ti-bases and marginal gap was evaluated using stereomicroscope. Independent t-tests were performed to analyze data. Results: Regarding marginal gap, subtractively manufactured interim IFPDs showed statistically significant lower gap values than additively manufactured ones. Conclusion: The study exhibited a difference between the subtractively and additively manufactured interim IFPDs, showing that subtractively manufactured ones are of reliable marginal fit.
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