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椅旁熔融沉积成型 3D 打印单颗牙种植手术模板准确性的体外研究:与光固化模板的对比

Accuracy of a chairside fused deposition modeling 3D-printed single-tooth surgical template for implant placement: An in vitro comparison with a light cured template.

机构信息

Department of Prosthodontics, Peking University School and Hospital of Stomatology, 22 South Street ZhongGuanCun, Haidian District, Beijing, 100081, China.

Department of Prosthodontics, Peking University School and Hospital of Stomatology, 22 South Street ZhongGuanCun, Haidian District, Beijing, 100081, China.

出版信息

J Craniomaxillofac Surg. 2019 Aug;47(8):1216-1221. doi: 10.1016/j.jcms.2019.03.019. Epub 2019 Mar 25.

DOI:10.1016/j.jcms.2019.03.019
PMID:31109740
Abstract

PURPOSE

To compare the accuracy of a chairside fused deposition modeling (FDM) 3D-printed surgical template with that of a light-cured template for implant placement.

MATERIALS AND METHODS

Twenty standard mandibular resin models with missing teeth 36 and 46 were selected. Surgical templates were fabricated using a chairside FDM 3D-printer (test group) or a light-curing 3D printer (control group) (n = 20/group). Forty implants were placed by a clinician blinded to group allocation. The angular, 3D, mesiodistal, buccolingual, and apicocoronal deviations at the implant base and tip between preoperative design and postoperative implant position were recorded.

RESULTS

The mean angular (test vs control groups: 3.22° ± 1.55° vs 2.74° ± 1.24°, p = 0.343) and 3D deviations at the implant base (test vs control groups: 0.41 ± 0.13 mm vs 0.35 ± 0.11 mm, p = 0.127) and tip (test vs control groups: 0.91 ± 0.34 mm vs 0.75 ± 0.28 mm, p = 0.150) were similar. The mesiodistal, buccolingual, and apicocoronal deviations at the implant base and tip also did not differ significantly between groups (p > 0.05).

CONCLUSIONS

For single tooth gap indications, implant placement with an FDM 3D-printed surgical template was as accurate as that with a light-cured template, and more efficient.

摘要

目的

比较椅旁熔融沉积成型(FDM)3D 打印手术模板与光固化模板在种植体植入中的准确性。

材料与方法

选择 20 个标准下颌树脂模型,这些模型均缺失 36 和 46 号牙。使用椅旁 FDM 3D 打印机(试验组)或光固化 3D 打印机(对照组)制作手术模板(n=20/组)。由一名对分组情况不知情的临床医生植入 40 个种植体。记录术前设计与术后种植体位置之间种植体基底和尖端的角度、三维、近远中向、颊舌向和根尖顶向偏差。

结果

种植体基底的平均角度(试验组与对照组:3.22°±1.55°比 2.74°±1.24°,p=0.343)和三维偏差(试验组与对照组:0.41±0.13mm 比 0.35±0.11mm,p=0.127)以及种植体尖端的角度(试验组与对照组:0.91±0.34mm 比 0.75±0.28mm,p=0.150)相似。种植体基底和尖端的近远中向、颊舌向和根尖顶向偏差在组间也无显著差异(p>0.05)。

结论

对于单个牙缺失间隙的适应证,使用 FDM 3D 打印手术模板进行种植体植入与使用光固化模板一样准确,且效率更高。

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