Kalman Les
Assistant Professor, Restorative Dentistry, Chair, Dental Outreach, Schulich School of Medicine & Dentistry, Western University, 1151 Richmond Street, London, Ontario, Canada.
J Clin Exp Dent. 2021 Feb 1;13(2):e99-e103. doi: 10.4317/jced.57389. eCollection 2021 Feb.
Dental implant temporization remains a clinical challenge. A novel abutment simplifying the procedure was developed, but conventional fabrication was costly and unpredictable. A workflow was developed to fabricate the novel abutment using additive manufacturing. This in vitro investigation assessed the additive manufactured (AM) novel abutments to conventionally manufactured (CM) abutments.
The AM abutments were fabricated in dental-grade titanium (Ti-6Al-4V) using Selective Laser Melting and were post-processed. The CM abutments were milled and subsequently laser welded manually. Pin strength of the abutments was assessed using a universal loading machine. Torque was measured by tightening the AM and CM abutments into dental implants within artificial bone.
Average pin strength was 364.4 N for the AM abutments and 62.5 N for the CM abutments. Average torque was 49.9 Ncm for the AM abutments and 62.9 Ncm for the CM abutments. AM abutment's pin strength was higher than the CM abutments. CM abutments measured a higher torque than the AM abutments.
Additive manufacturing with titanium using SLM provided an alternative fabrication pathway of a novel implant abutment. The AM approach was cost-effective, predictable, efficient and demonstrated pin strength and torque suitable for temporization procedures in implant dentistry. Abutment, dental implant, temporization, medical device, prototype design, additive manufacturing, 3D printing, titanium.
牙种植体临时修复仍然是一项临床挑战。一种简化该过程的新型基台已被研发出来,但传统制造成本高昂且不可预测。已开发出一种使用增材制造来制造新型基台的工作流程。这项体外研究评估了增材制造(AM)的新型基台与传统制造(CM)的基台。
AM基台采用选择性激光熔化技术在牙科级钛(Ti-6Al-4V)中制造并进行后处理。CM基台通过铣削加工,随后手动进行激光焊接。使用万能加载机评估基台的销钉强度。通过将AM和CM基台拧入人工骨内的牙种植体中来测量扭矩。
AM基台的平均销钉强度为364.4 N,CM基台为62.5 N。AM基台的平均扭矩为49.9 Ncm,CM基台为62.9 Ncm。AM基台的销钉强度高于CM基台。CM基台测得的扭矩高于AM基台。
使用选择性激光熔化技术进行钛的增材制造为新型种植体基台提供了一种替代制造途径。AM方法具有成本效益、可预测、高效,并展示出适合牙种植体临时修复程序的销钉强度和扭矩。基台、牙种植体、临时修复、医疗器械、原型设计、增材制造、3D打印、钛。