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芬兰牙医在直接填充技术、采用 CAD/CAM 技术以及对修复治疗的 3D 打印技术的态度方面面临的挑战。

Challenges of the Direct Filling Technique, Adoption of CAD/CAM Techniques, and Attitudes Toward 3D Printing for Restorative Treatments Among Finnish Dentists.

出版信息

Int J Prosthodont. 2019 Sep/Oct;32(5):402-410. doi: 10.11607/ijp.6343.

Abstract

PURPOSE

To evaluate the challenges of the direct filling technique, the use of dental chairside CAD/CAM milling, the use of 3D printing, and the attitudes toward 3D printing-based applications for restorative treatments among Finnish dentists.

MATERIALS AND METHODS

An electronic questionnaire was sent to 3,777 Finnish dentists. Background information, challenges linked to the direct filling technique, use of dental chairside CAD/CAM milling, use of 3D printing, and attitudes toward 3D printing-based applications in restorative dentistry were asked in the questionnaire with multiple-choice questions. The number of replies was 760, and the response rate was 20.1%.

RESULTS

Poor survival rates and moisture sensitivity were the main reported challenges associated with the direct filling technique. Use of chairside CAD/CAM milling was reported by 271 (35.7%) respondents. Use of 3D printing technique was reported by 54 (7.1%) respondents. Most respondents answered that they would consider using 3D printing for manufacturing tooth fillings in the future.

CONCLUSION

If dental chairside CAD/CAM technology can provide a solution for manufacturing long-lasting indirect restorations with good esthetic properties and an effective cost-benefit ratio, the wider use of chairside CAD/CAM systems might be indicated, especially in the public sector. New 3D printing-based applications used for restorative treatments are attracting interest among Finnish dentists, but also indicate a need for further development of 3D printing techniques for cost-effective restorative treatment.

摘要

目的

评估直接充填技术、椅旁 CAD/CAM milling 的使用、3D 打印的应用以及芬兰牙医对基于 3D 打印的修复治疗应用的态度所面临的挑战。

材料与方法

向 3777 名芬兰牙医发送了电子问卷。问卷中采用多项选择题的形式询问了牙医的背景信息、直接充填技术相关的挑战、椅旁 CAD/CAM milling 的使用、3D 打印的使用以及基于 3D 打印的修复治疗应用的态度。共收到 760 份回复,回复率为 20.1%。

结果

较差的存活率和对湿度的敏感性是与直接充填技术相关的主要报告挑战。271 名(35.7%)受访者报告称使用了椅旁 CAD/CAM milling。54 名(7.1%)受访者报告称使用了 3D 打印技术。大多数受访者表示,他们将来可能会考虑使用 3D 打印来制造牙填充物。

结论

如果牙科椅旁 CAD/CAM 技术能够为制造具有良好美观性能和有效成本效益比的长期间接修复体提供解决方案,那么可能需要更广泛地使用椅旁 CAD/CAM 系统,特别是在公共部门。基于 3D 打印的新修复治疗应用正在吸引芬兰牙医的兴趣,但也表明需要进一步开发 3D 打印技术,以实现具有成本效益的修复治疗。

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