应用3D打印技术制作全口义齿1例报告

Eun-Goo Lee, Chan Park, Kwidug Yun, Hyun-Pil Lim, Sangwon Park
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摘要

近年来,随着数字牙科技术的发展,使用计算机辅助设计和计算机辅助制造(CAD-CAM)制作假牙的方法越来越多。通过CAD软件设计的义齿可以在三维制造过程中生产。该工艺包括诸如铣削的减法加工方法和诸如3D打印的加法加工方法,并且可以在更复杂的结构中有效地应用。本案例采用基于立体光刻(SLA)的3D打印技术制作全口义齿,缩短脑梗死肢体残疾患者的制作时间和就诊间隔。为了获得确切的印象,现有的临时义齿被数字复制并用作单独的托盘。聚氯乙烯硅氧烷印模材料获得的确切印模包括上颌前牙的倾斜度和长度、垂直尺寸和中心关系等信息。此外,还获得了带临时义齿的面部扫描数据,可作为实验室工作中确定咬合平面和安排义齿的参考。通过CAD程序排列假牙,并进行牙龈装饰。最终义齿使用fda批准的液体光固化树脂,由基于sla的3D打印机打印。修复后的义齿具有良好的固位、支撑力和稳定性,在功能和美观上均获得满意的效果。[韩国口腔医学学报,2022;60:202-10]
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Fabrication of complete denture using 3D printing: a case report
Recently with the advance in digital dentistry, the fabrication of dentures using computer-aided design and computer-aided manufacturing (CAD-CAM) is on the rise. The denture designed through a CAD software can be produced in a 3-di-mensional manufacturing process. This process includes a subtractive processing method such as milling and an additive processing method such as 3D printing and in which it can be applied efficiently in more complex structures. In this case, complete dentures were fabricated using Stereolithography (SLA)-based 3D printing to shorten the production time and interval of visits in patient with phys-ical disabilities due to cerebral infarction. For definitive impression, the existing interim denture was digitally replicated and used as an individual tray. The definitive impression obtained with polyvinyl siloxane impression material was includ-ing information about the inclination and length of the maxillary anterior teeth, vertical dimension, and centric relation. In addition, facial scan data with interim denture was obtained so that it can be used as a reference in determination of the occlusal plane and in arrangement of artificial teeth during laboratory work. Artificial teeth were arranged through a CAD program, and a gingival festooning was performed. The definitive dentures were printed by SLA-based 3D printer using a FDA-approved liquid photocurable resin. The denture showed adequate reten-tion, support, and stability, and results were satisfied functionally and aesthetical-ly. (J Korean Acad Prosthodont 2022;60:202-10)
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