Lin Wei-Shao, Harris Bryan T, Morton Dean
Associate Professor, Division of Prosthodontics, Department of Oral Health and Rehabilitation, University of Louisville School of Dentistry, Louisville, Kentucky.
Chair and Professor, Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana.
Compend Contin Educ Dent. 2017 Sep;38(8):e5-e8.
This article describes an alternative computer-aided design/computer-aided manufacturing (CAD/CAM) technique that uses cone-beam computed tomography (CBCT) imaging, open-source 3-dimensional (3D) modeling software, and a desktop stereolithography (SLA) 3D printer to duplicate an existing complete removable dental prosthesis (CRDP). Intended to offer a proof of concept, this proposed technique provides dental clinicians who have access to a CBCT imaging unit and a desktop SLA 3D printer an option to manufacture a duplicated prosthesis in-office. The 3D model of the CRDP can be preserved indefinitely, and the CAD/CAM process makes it possible to manufacture the CRDP multiple times with ease, when necessary. Different materials can be selected for the SLA 3D printer, and the duplicated prosthesis could be used for a variety of clinical and laboratory indications, such as a custom tray, a trial prosthesis, a reference record for a definitive prosthesis in laboratory procedures, or a radiographic template. Clinicians should select and use 3D software, printers, and materials with proper biocompatibility and classification and clearance from respective medical device regulatory bodies (such as US Food & Drug Administration) in different intended applications.
本文介绍了一种替代性的计算机辅助设计/计算机辅助制造(CAD/CAM)技术,该技术使用锥束计算机断层扫描(CBCT)成像、开源三维(3D)建模软件和桌面式立体光刻(SLA)3D打印机来复制现有的全口可摘义齿(CRDP)。旨在提供概念验证,该提议的技术为能够使用CBCT成像设备和桌面式SLA 3D打印机的牙科临床医生提供了一种在办公室内制造复制义齿的选择。CRDP的3D模型可以无限期保存,并且CAD/CAM过程使得在必要时可以轻松多次制造CRDP成为可能。可以为SLA 3D打印机选择不同的材料,复制的义齿可用于多种临床和实验室用途,例如定制托盘、试用义齿、实验室程序中确定性义齿的参考记录或放射成像模板。临床医生应根据不同的预期应用,选择并使用具有适当生物相容性且经过各自医疗器械监管机构(如美国食品药品监督管理局)分类和批准的3D软件、打印机和材料。