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三维打印临时义齿材料与传统制作和 CAD/CAM 铣削材料的表面粗糙度和颜色可染性比较。

Comparison of surface roughness and color stainability of 3-dimensionally printed interim prosthodontic material with conventionally fabricated and CAD-CAM milled materials.

机构信息

Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Cyprus Health and Social Sciences University, Mersin, Turkey.

Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, University of Kyrenia, Mersin, Turkey.

出版信息

J Prosthet Dent. 2022 Nov;128(5):1094-1101. doi: 10.1016/j.prosdent.2021.01.027. Epub 2021 Mar 11.

Abstract

STATEMENT OF PROBLEM

Studies on the surface roughness and color stainability of interim prostheses produced with 3-dimensional-printing technology are lacking.

PURPOSE

The purpose of this in vitro study was to investigate the effect of different surface treatments on the surface roughness and stainability of 3-dimensionally printed, computer-aided design and computer-aided manufacturing (CAD-CAM) milled and conventional interim materials.

MATERIAL AND METHODS

A total of 320 specimens were fabricated from autopolymerizing polymethyl methacrylate, bis-acryl composite resin, CAD-CAM polymethyl methacrylate resin (milled), and 3-dimensionally printed composite resin (printed) (n=80). A group of each material was divided into 2 groups (n=40) as per the applied surface treatment procedure: conventional polishing (C) or coated with a surface sealant (B). Surface roughness values were measured with a profilometer. Each group of specimens was then divided into 4 subgroups (n=10) and stored for 1 day, 7 days, and 30 days at 37 °C in different solutions: distilled water, cola, coffee, and red wine. Color parameters were measured with a spectrophotometer before and after each storage period, and color differences (CIEDE2000 [ΔE]) were calculated. Data were statistically analyzed with the Shapiro-Wilk test, Kruskal-Wallis test, and Mann-Whitney U test followed by the Friedman test (α=.05).

RESULTS

The highest surface roughness values were determined for the polymethyl methacrylate -C, and the lowest were observed in the printed-B. After 30 days, the highest mean ΔE values were observed in polymethyl methacrylate-C for all staining solutions (P=.001). The highest ΔE for all materials was observed in the red wine group. Color change increased significantly with storage duration (P=.001).

CONCLUSIONS

All tested materials had a surface roughness higher than the plaque accumulation threshold (0.2 μm). The surface roughness values of coated materials were significantly lower than those of their conventionally polished groups, except for the printed groups. The application of a surface sealant agent significantly decreased the staining of the materials.

摘要

问题陈述

缺乏关于使用三维打印技术制作临时修复体的表面粗糙度和颜色可染性的研究。

目的

本体外研究的目的是调查不同表面处理对三维打印、计算机辅助设计和计算机辅助制造(CAD-CAM)铣削和常规临时材料的表面粗糙度和可染性的影响。

材料和方法

从自聚合聚甲基丙烯酸甲酯、双丙烯酸复合材料树脂、CAD-CAM 聚甲基丙烯酸甲酯树脂(铣削)和三维打印复合树脂(打印)中制备了 320 个试件(n=80)。每组材料分为 2 组(n=40),根据应用的表面处理程序:常规抛光(C)或涂覆表面密封剂(B)。用轮廓仪测量表面粗糙度值。然后将每组试件分为 4 个亚组(n=10),并在 37°C 的不同溶液中储存 1 天、7 天和 30 天:蒸馏水、可乐、咖啡和红酒。在每个储存期前后用分光光度计测量颜色参数,并计算颜色差异(CIEDE2000[ΔE])。数据用 Shapiro-Wilk 检验、Kruskal-Wallis 检验和 Mann-Whitney U 检验进行统计学分析,然后用 Friedman 检验(α=.05)。

结果

聚甲基丙烯酸甲酯-C 的表面粗糙度值最高,而打印-B 的表面粗糙度值最低。30 天后,所有染色溶液中聚甲基丙烯酸甲酯-C 的平均ΔE 值最高(P=.001)。所有材料中,红酒组的ΔE 值最高。随着储存时间的延长,颜色变化显著增加(P=.001)。

结论

所有测试材料的表面粗糙度均高于菌斑堆积阈值(0.2μm)。除了打印组外,涂覆材料的表面粗糙度值明显低于其常规抛光组。表面密封剂的应用显著降低了材料的染色。

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