采用开放式和专有 3D 打印模式制造的临时牙冠与铣削技术的密合度比较:体外研究。

IF 4.6 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Esthetic and Restorative Dentistry Pub Date : 2024-08-09 DOI:10.1111/jerd.13295
Belén Morón-Conejo DDS, MSc, Santiago Berrendero DDS, PhD, Shizhu Bai DDS, PhD, Francisco Martínez-Rus DDS, PhD, Guillermo Pradies DDS, PhD
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引用次数: 0

摘要

研究目的本研究旨在评估使用基于DLP的三维打印技术制作的临时牙冠与铣削技术的匹配性:方法:使用复制技术评估了120个牙冠。对照组(Mill,n = 30)采用减法技术制造。实验组使用 DLP 打印机(SprintRay Pro95)打印。在专有模式(SR100,n = 30)中,使用的是制造商生产的树脂,层厚(LT)为 100μm,并进行了喷溅清洗后处理。在开放模式中,使用的是验证过的树脂。B100 组(n = 30)的层厚为 100μm,B50 组(n = 30)的层厚为 50μm,然后在超声波浴中进行后处理,并完全浸泡在异丙醇中。结果显示,B50 组的总体拟合度最佳:B50 组的总体拟合度最高(123.87 ± 67.42 μm),与黄金标准 Milling 组相当,后者的边缘拟合度最低(p = 0.760)。SR100 与 Mill、B50 和 B100 相比,表现明显较差(p 结论:SR100 与 B50 和 B100 相比,表现明显较差(p 结论:SR100 与 B50 和 B100 相比,表现明显较差):除 SR100 组外,3D 打印和铣削临时牙冠的密合度普遍符合临床要求。后处理对牙冠的密合度有显著影响,完全浸泡在异丙醇中的开放模式更优:本研究表明,选择最佳的制造和后处理工作流程会使临时牙冠的密合度更优。临床意义:本研究表明,选择最佳的制造和后处理工作流程可使临时冠获得更佳的密合度,从而使牙科专业人员能够评估规程并确保可靠的结果,改善临时冠制造的临床效果。
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Fit comparison of interim crowns manufactured with open and proprietary 3D printing modes versus milling technology: An in vitro study

Objectives

This study aimed to assess the fit of interim crowns produced using DLP-based 3D printing with different manufacturing workflows—open and proprietary—versus milling technology.

Methods

A total of 120 crowns were evaluated using the replica technique. The control group (Mill, n = 30) was manufactured via subtractive technology. Experimental groups were printed using a DLP printer (SprintRay Pro95). In the proprietary mode (SR100, n = 30), manufacturer resin was used with a 100-μm layer thickness (LT) and a splashing cleaning postprocessing. In the open mode, validated resin was used. Group B100 (n = 30) had a 100-μm LT, and group B50 (n = 30) had a 50-μm followed by postprocessing in an ultrasonic bath with full immersion in isopropyl alcohol. Kruskal–Wallis tests with Bonferroni correction was applied after normal analysis (α = 0.05).

Results

Group B50 exhibited the best overall fit (123.87 ± 67.42 μm), which was comparable to the gold standard Milling group, which demonstrated the lowest marginal fit (p = 0.760). SR100 showed significantly poorer performance compared to Mill, B50, and B100 (p < 0.001).

Conclusions

3D printed and milled interim crowns generally demonstrated clinically acceptable fit, with the exception of the SR100 group. Postprocessing notably influenced crown fit, with the open mode with total immersion in isopropyl alcohol being superior.

Clinical Significance

The present study demonstrates that the selection of an optimal manufacturing and postprocessing workflow results in superior fit for interim crowns. This enables dental professionals to evaluate protocols and ensure reliable outcomes with improved clinical outcomes in interim crown fabrication.

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来源期刊
Journal of Esthetic and Restorative Dentistry
Journal of Esthetic and Restorative Dentistry 医学-牙科与口腔外科
CiteScore
6.30
自引率
6.20%
发文量
124
审稿时长
>12 weeks
期刊介绍: The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features. The range of topics covered in the journal includes: - Interdisciplinary esthetic concepts - Implants - Conservative adhesive restorations - Tooth Whitening - Prosthodontic materials and techniques - Dental materials - Orthodontic, periodontal and endodontic esthetics - Esthetics related research - Innovations in esthetics
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