Ni D, Dong Y, Peng J P, Xu Y, Yang M X, Dai Y J
Department of Prosthodontics, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
Shanghai Reborn Medical Technology Co., Ltd, Shanghai 201112, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2020 Mar 9;55(3):165-170. doi: 10.3760/cma.j.issn.1002-0098.2020.03.004.
To evaluate the fitness of bilateral free-end dentition defect removable partial denture framework fabricated by selective laser melting (SLM) technique with different support angles. After the control group has been set to eliminate the system error, and according to the standard model of bilateral mandibular posterior teeth loss, eighteen titanium alloy removable partial denture frameworks fabricated by SLM technology were divided into 3 groups with support angles of 0° (horizontal group), 45°(45° group) and 90° (vertical group). Plaster cast with duplicated structure of tissue surface of the removable partial denture (RPD) framework was obtained. A three-dimensional scanner was used to scan original and duplicated plaster casts. The gaps between framework and the model in different parts were analyzed using Geomagic Qualify software to evaluate the fitness of the framework with visual method. The framework fits on the plaster model completely, and its tissue surface fitted on the plaster model well. The deviation between frameworks and plaster casts was calculated as follow: the total deviations of the horizontal, 45°, and vertical group were (0.146±0.017), (0.182±0.015) and (0.185±0.022) mm respectively. The mean deviation of the horizontal group was significantly less than those of the 45° group and the vertical group (0.05). Moreover, there was no significant difference in the total deviation between the 45° group and the vertical group. The total deviation of occlusal rest of the horizontal group was significantly less than that of the 45° group (0.05). However, no significant difference was detected in the deviation of occlusal rest among the vertical group, the horizontal group, and the 45° group (0.05). There was no significant difference in the deviation of occlusal rest among the vertical group, the horizontal group, and the 45° group. The deviation of clasp of the horizontal group was significantly smaller than those of the 45° group and the vertical group (0.05). Whereas, there was no significant difference in the deviation of clasp between the 45° group and the 90° group (0.05). No significant difference was found in the deviation of lingual bar among the three groups (0.05). Among the three kinds of bilateral free-end dentition defect RPD framework fabricated by SLM in different support angles, horizontal printing was proved to reach the minimal deviation, even though the fitness of all three kinds of frameworks can fullfil clinical requirements according to previous studies.
评估采用选择性激光熔化(SLM)技术制作的不同支撑角度的双侧游离端牙列缺损可摘局部义齿支架的适合性。在设置对照组以消除系统误差后,根据双侧下颌后牙缺失的标准模型,将通过SLM技术制作的18个钛合金可摘局部义齿支架分为3组,支撑角度分别为0°(水平组)、45°(45°组)和90°(垂直组)。获得具有可摘局部义齿(RPD)支架组织面复制结构的石膏模型。使用三维扫描仪对原始和复制的石膏模型进行扫描。使用Geomagic Qualify软件分析支架与模型不同部位之间的间隙,以视觉方法评估支架的适合性。支架完全贴合石膏模型,其组织面与石膏模型贴合良好。计算支架与石膏模型之间的偏差如下:水平组、45°组和垂直组的总偏差分别为(0.146±0.017)、(0.182±0.015)和(0.185±0.022)mm。水平组的平均偏差明显小于45°组和垂直组(P<0.05)。此外,45°组和垂直组之间的总偏差无显著差异。水平组支托的总偏差明显小于45°组(P<0.05)。然而,垂直组、水平组和45°组之间支托偏差未检测到显著差异(P>0.05)。垂直组、水平组和45°组之间支托偏差无显著差异。水平组卡环的偏差明显小于45°组和垂直组(P<0.05)。而45°组和90°组之间卡环偏差无显著差异(P>0.05)。三组之间舌杆偏差无显著差异(P>0.05)。在通过SLM制作的不同支撑角度的三种双侧游离端牙列缺损RPD支架中,尽管根据先前研究所有三种支架的适合性均能满足临床要求,但水平打印被证明偏差最小。