Lee Wan-Sun, Lee Du-Hyeong, Lee Kyu-Bok
Advanced Dental Device Development Institute (A3DI), Kyungpook National University, Daegu, Republic of Korea.
Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.
J Adv Prosthodont. 2017 Aug;9(4):265-270. doi: 10.4047/jap.2017.9.4.265. Epub 2017 Aug 16.
This study is to evaluate the internal fit of the crown manufactured by CAD/CAM milling method and 3D printing method.
The master model was fabricated with stainless steel by using CNC machine and the work model was created from the vinyl-polysiloxane impression. After scanning the working model, the design software is used to design the crown. The saved STL file is used on the CAD/CAM milling method and two types of 3D printing method to produce 10 interim crowns per group. Internal discrepancy measurement uses the silicon replica method and the measured data are analyzed with One-way ANOVA to verify the statistic significance.
The discrepancy means (standard deviation) of the 3 groups are 171.6 (97.4) µm for the crown manufactured by the milling system and 149.1 (65.9) and 91.1 (36.4) µm, respectively, for the crowns manufactured with the two types of 3D printing system. There was a statistically significant difference and the 3D printing system group showed more outstanding value than the milling system group.
The marginal and internal fit of the interim restoration has more outstanding 3D printing method than the CAD/CAM milling method. Therefore, the 3D printing method is considered as applicable for not only the interim restoration production, but also in the dental prosthesis production with a higher level of completion.
本研究旨在评估通过计算机辅助设计与制造(CAD/CAM)铣削法和3D打印法制作的牙冠的内部适合性。
使用数控机床用不锈钢制作母模,并根据乙烯基聚硅氧烷印模制作工作模型。扫描工作模型后,使用设计软件设计牙冠。将保存的STL文件用于CAD/CAM铣削法和两种3D打印法,每组制作10个临时牙冠。内部差异测量采用硅橡胶复制法,测量数据用单因素方差分析进行分析,以验证统计学意义。
铣削系统制作的牙冠3组差异均值(标准差)为171.6(97.4)µm,两种3D打印系统制作的牙冠差异均值分别为149.1(65.9)µm和91.1(36.4)µm。存在统计学显著差异,3D打印系统组的值比铣削系统组更优。
临时修复体的边缘和内部适合性方面,3D打印法比CAD/CAM铣削法更优。因此,3D打印法不仅适用于临时修复体制作,也适用于更高完成度的牙修复体制作。