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三维打印全牙弓牙模的准确性:一项系统评价。

Accuracy of 3-Dimensionally Printed Full-Arch Dental Models: A Systematic Review.

作者信息

Etemad-Shahidi Yasaman, Qallandar Omel Baneen, Evenden Jessica, Alifui-Segbaya Frank, Ahmed Khaled Elsayed

机构信息

School of Dentistry and Oral Health, Griffith University, Griffith Health Centre (G40), Office: 7.59, Brisbane, QLD 4215, Australia.

出版信息

J Clin Med. 2020 Oct 20;9(10):3357. doi: 10.3390/jcm9103357.

Abstract

The use of additive manufacturing in dentistry has exponentially increased with dental model construction being the most common use of the technology. Henceforth, identifying the accuracy of additively manufactured dental models is critical. The objective of this study was to systematically review the literature and evaluate the accuracy of full-arch dental models manufactured using different 3D printing technologies. Seven databases were searched, and 2209 articles initially identified of which twenty-eight studies fulfilling the inclusion criteria were analysed. A meta-analysis was not possible due to unclear reporting and heterogeneity of studies. Stereolithography (SLA) was the most investigated technology, followed by digital light processing (DLP). Accuracy of 3D printed models varied widely between <100 to >500 μm with the majority of models deemed of clinically acceptable accuracy. The smallest (3.3 μm) and largest (579 μm) mean errors were produced by SLA printers. For DLP, majority of investigated printers ( = 6/8) produced models with <100 μm accuracy. Manufacturing parameters, including layer thickness, base design, postprocessing and storage, significantly influenced the model's accuracy. Majority of studies supported the use of 3D printed dental models. Nonetheless, models deemed clinically acceptable for orthodontic purposes may not necessarily be acceptable for the prosthodontic workflow or applications requiring high accuracy.

摘要

牙科领域中增材制造的应用呈指数级增长,其中牙科模型构建是该技术最常见的用途。因此,确定增材制造牙科模型的准确性至关重要。本研究的目的是系统回顾文献并评估使用不同3D打印技术制造的全牙弓牙科模型的准确性。检索了七个数据库,最初识别出2209篇文章,其中对符合纳入标准的28项研究进行了分析。由于研究报告不明确和异质性,无法进行荟萃分析。立体光刻(SLA)是研究最多的技术,其次是数字光处理(DLP)。3D打印模型的准确性差异很大,在<100至>500μm之间,大多数模型被认为具有临床可接受的准确性。SLA打印机产生的平均误差最小(3.3μm)和最大(579μm)。对于DLP,大多数研究的打印机(=6/8)产生的模型精度<100μm。制造参数,包括层厚、底座设计、后处理和存储,显著影响模型的准确性。大多数研究支持使用3D打印牙科模型。尽管如此,对于正畸目的临床可接受的模型不一定适用于修复工作流程或需要高精度的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24d2/7589154/6de3e0617062/jcm-09-03357-g001.jpg

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