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评估 3D 打印技术制作的定制无牙颌托盘的精度。

Evaluation of Precision of Custom Edentulous Trays Fabricated with 3D Printing Technologies.

出版信息

Int J Prosthodont. 2021 Jan-Feb;34(1):109-117. doi: 10.11607/ijp.7101.

Abstract

PURPOSE

To evaluate the reserved space quantity and printing accuracy of custom edentulous trays produced by two 3D printing methods (fused deposition modeling [FDM] and stereolithography apparatus [SLA]) and to compare them to traditional handmade (HM) methods.

MATERIALS AND METHODS

The tissue surface data of maxillary and mandibular edentulous gypsum models were obtained through a 3D scanner to design the digital custom trays in Geomagic software. The custom trays were then printed with FDM and SLA technologies, and handmade custom trays were used as control. The scanned data of printing trays were registered with their digital data, and the printing errors were analyzed using the deviation analysis function. The distances between the tissue surface of gypsum models and the custom trays were measured in ImageWare and represented by 3D deviation.

RESULTS

None of the six groups revealed a significant difference (P > .05) compared to the set value of 1.00 mm. In the SLA group, the deviation of the mandibular area was significantly closer to the set value than for the HM group (P < .05), while no significant difference was displayed between the other groups. For the printing error between the two 3D groups, the SLA method showed significantly less error and better stability (P < .001).

CONCLUSION

3D-printed custom trays can meet clinical needs in the adaptability of tissue surfaces, and SLA-printed trays revealed better precision and less error than the other two methods. Accordingly, the use of SLA technology to make a 3D-printed custom tray is expected to be promoted in clinical practice.

摘要

目的

评估两种 3D 打印方法(熔融沉积建模 [FDM] 和立体光固化设备 [SLA])和传统手工制作(HM)方法制作的无牙颌托盘的预留空间量和打印精度,并对其进行比较。

材料与方法

通过 3D 扫描仪获取上颌和下颌无牙石膏模型的组织表面数据,在 Geomagic 软件中设计数字定制托盘。然后使用 FDM 和 SLA 技术打印定制托盘,并将手工定制托盘作为对照。将打印托盘的扫描数据与数字数据进行配准,并使用偏差分析功能分析打印误差。在 ImageWare 中测量石膏模型的组织表面和定制托盘之间的距离,并以 3D 偏差表示。

结果

与 1.00mm 的设定值相比,六个组均未显示出显著差异(P>0.05)。在 SLA 组中,下颌区域的偏差明显更接近设定值,而与 HM 组相比差异有统计学意义(P<0.05),而其他组之间无显著差异。对于两种 3D 组之间的打印误差,SLA 方法显示出更小的误差和更好的稳定性(P<0.001)。

结论

3D 打印定制托盘可以满足组织表面适应性的临床需求,SLA 打印托盘的精度优于其他两种方法,误差更小。因此,预计在临床实践中推广使用 SLA 技术制作 3D 打印定制托盘。

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