Deng K H, Wang Y, Chen H, Zhao Y J, Zhou Y S, Sun Y C
Center of Digital Dentistry, Faculty of Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Research Center of Engineering and Technology for Digital Dentistry of Ministry of Health & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2017 Jun 9;52(6):342-345. doi: 10.3760/cma.j.issn.1002-0098.2017.06.004.
To quantitatively evaluate the adaptation of polylactic acid (PLA) pattern of mandibular complete denture fabricated by fused deposition modeling (FDM) technology. A mandibular complete denture digital model was designed through a complete denture design software based on a pair of standard maxillomandibular edentulous plaster model and their occlusion bases. Ten PLA mandibular complete dentures were printed with a FDM machine. The dentures were scanned with and without the plaster model using a three-dimensional (3D) scanner. In Geomagic software, the scanning data of printed dentures were registered to its computer aided design (CAD) data, and the printing error was analyzed using the multipoint registration command. For quantitatively evaluating the adaptation of the denture, the data of plaster model and PLA denture were registered to the whole data of denture located in the plaster model using the best-fit alignment command, the 3D deviation of the plaster model and tissue surface of the denture represent the space between them. The overall area was separated into three parts: primary stress-bearing area, secondary stress-bearing area and border seal area, and the average deviations of these three parts were measured. The values were analyzed using analysis of variance. Compared with the CAD data, the printing error was (0.013±0.004) mm. The overall 3D deviation between PLA denture and plaster model was (0.164±0.033) mm, in which the primary stress-bearing area was (0.165± 0.045) mm, the secondary stress-bearing area was (0.153 ± 0.027) mm, the border seal area was (0.186 ± 0.043) mm. These showed a good fit in the majority parts of the FDM denture to the plaster model. No statistically significant difference was observed between the three areas (=1.857, =0.175>0.05). Combined with the 3D scanning, CAD and FDM technology, a FDM 3D printing process of complete denture for injection moulding can be established. As a result, high efficiency and low cost can be used to print out the complete denture, to lay the basis for further clinical applications.
为定量评估通过熔融沉积建模(FDM)技术制作的下颌全口义齿的聚乳酸(PLA)模型的适配性。基于一对标准的上下颌无牙石膏模型及其咬合基托,通过全口义齿设计软件设计下颌全口义齿数字模型。使用FDM机器打印10副PLA下颌全口义齿。使用三维(3D)扫描仪在有和没有石膏模型的情况下对义齿进行扫描。在Geomagic软件中,将打印义齿的扫描数据与其计算机辅助设计(CAD)数据进行配准,并使用多点配准命令分析打印误差。为定量评估义齿的适配性,使用最佳拟合对齐命令将石膏模型和PLA义齿的数据与位于石膏模型中的义齿整体数据进行配准,石膏模型与义齿组织面的3D偏差代表它们之间的间隙。将总面积分为三个部分:主承托区、副承托区和边缘封闭区,并测量这三个部分的平均偏差。使用方差分析对这些值进行分析。与CAD数据相比,打印误差为(0.013±0.004)mm。PLA义齿与石膏模型之间的整体3D偏差为(0.164±0.033)mm,其中主承托区为(0.165±0.045)mm,副承托区为(0.153±0.027)mm,边缘封闭区为(0.186±0.043)mm。这些表明FDM义齿的大部分与石膏模型拟合良好。三个区域之间未观察到统计学上的显著差异(=1.857,=0.175>0.05)。结合3D扫描、CAD和FDM技术,可以建立用于注塑成型的全口义齿的FDM 3D打印工艺。结果,可以高效、低成本地打印出全口义齿,为进一步的临床应用奠定基础。