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数字光处理制作的上颌和下颌全口义齿基托的构建角度对组织表面适应性的影响。

The effect of build angle on the tissue surface adaptation of maxillary and mandibular complete denture bases manufactured by digital light processing.

机构信息

Graduate student, Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.

Assistant Professor, Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.

出版信息

J Prosthet Dent. 2020 Mar;123(3):473-482. doi: 10.1016/j.prosdent.2018.12.014. Epub 2019 Jun 18.

Abstract

STATEMENT OF PROBLEM

The effect of different build angles on the tissue surface adaptation of complete denture bases manufactured by digital light processing (DLP) is unclear.

PURPOSE

The purpose of this in vitro study was to evaluate the effect of build angle on the tissue surface adaptation of DLP-printed complete denture bases.

MATERIAL AND METHODS

Both maxillary and mandibular denture bases were virtually designed based on reference casts and fabricated by the DLP technique. For each arch, a total of 40 denture bases were fabricated with 4 different build angle conditions (90, 100, 135, and 150 degrees) and divided into 4 groups (90D, 100D, 135D, and 150D; 10 denture bases per group). The scanned intaglio surface of each DLP denture base was superimposed on the scanned edentulous area of the reference cast to compare the degree of tissue surface adaptation. Root-mean-square estimate, positive average deviation, and negative average deviation values were measured and displayed with a color deviation map. The Mann-Whitney test and Kruskal-Wallis analysis of variance were used for statistical analyses (α=.05).

RESULTS

No statistically significant differences were found for root-mean-square estimate values among any build angle groups in either the maxillary or mandibular arch. With the increase of build angles, the area of positive deviation in the maxillary arch moved from the palatal region to the posterior palatal seal area, and negative deviation became pronounced at the posterior tuberosity. In the maxillary arch, the 135D group showed favorable color distribution of surface deviation. In the mandibular arch, a positive deviation was detected at the labial slope to the crest of the ridge, whereas a negative deviation was observed at the buccal shelf and the retromolar pad. The 100D group showed favorable distribution of surface deviation in the mandible.

CONCLUSIONS

In both arches, the difference of overall tissue surface adaptation was not statistically significant in the 4 different build angles. However, the color deviation map revealed that the 135-degree build angle may be appropriate in the maxillary DLP-printed denture base and the 100-degree angle, in the mandibular denture base.

摘要

问题陈述

不同构建角度对数字光处理(DLP)制作的全口义齿基托的组织表面适应性的影响尚不清楚。

目的

本体外研究的目的是评估构建角度对 DLP 打印全口义齿基托组织表面适应性的影响。

材料和方法

根据参考模型虚拟设计上颌和下颌义齿基托,并采用 DLP 技术制作。对于每个弓,共制作了 40 个义齿基托,采用 4 种不同的构建角度条件(90、100、135 和 150 度),并分为 4 组(90D、100D、135D 和 150D;每组 10 个义齿基托)。将每个 DLP 义齿基托的凹面扫描与参考模型的无牙颌区域的扫描进行叠加,以比较组织表面适应性。测量并以颜色偏差图显示均方根估计值、正平均偏差和负平均偏差值。采用曼-惠特尼检验和克鲁斯卡尔-沃利斯方差分析进行统计学分析(α=.05)。

结果

在上颌或下颌弓的任何构建角度组中,均方根估计值没有统计学显著差异。随着构建角度的增加,上颌弓的正偏差区域从腭部区域移动到后腭部密封区域,而在后结节处负偏差变得明显。在上颌弓中,135D 组显示出表面偏差的良好颜色分布。在下颌弓中,在颊侧斜坡到牙槽嵴顶检测到正偏差,而在颊棚和磨牙后垫处观察到负偏差。在下颌弓中,100D 组显示出良好的表面偏差分布。

结论

在上、下颌中,4 种不同构建角度之间的整体组织表面适应性差异无统计学意义。然而,颜色偏差图显示 135 度的构建角度在上颌 DLP 打印义齿基托中可能是合适的,而 100 度的角度在下颌义齿基托中可能是合适的。

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