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上颌 3D 打印全口义齿的准确性和拟合精度。

Trueness and fitting accuracy of maxillary 3D printed complete dentures.

机构信息

Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Yokohama, Japan.

Dental Technician Training Institute, Tsurumi University Dental Hospital, Yokohama, Japan.

出版信息

J Prosthodont Res. 2021 Oct 15;65(4):559-564. doi: 10.2186/jpr.JPR_D_20_00240. Epub 2021 May 11.

Abstract

Purpose The trueness and fitting accuracy of complete dentures (CDs) manufactured digitally from wax dentures have not been investigated yet. This study evaluated the trueness and fitting accuracy of maxillary CDs manufactured using computer-aided design technology.Methods CD bases were manufactured from fully edentulous maxillary casts using a milling machine and three three-dimensional (3D) printers (two stereolithography apparatus (SLA) and one digital light processing (DLP)). 3D printing was performed using an SLA printer with eight build support angles (0° to 315°). As a control, a CD base was conventionally fabricated using a heat-polymerized PMMA resin. After the tissue surfaces of the casts and the cameo surfaces of all the CD bases were scanned, their STL data were superimposed with a best-fit alignment. The deviations of all the CD bases were evaluated using data-matching software.Results The milled CD bases showed higher trueness and fitting accuracy compared with the 3D-printed and conventional bases. SLA showed a higher fitting accuracy than DLP. The best support angles for the fitting accuracy were 45° and 225°. The fitting accuracy of the SLA 3D-printed CD bases with an angle of 45° was comparable to or slightly higher than that of conventionally fabricated bases.Conclusions The milled CD bases showed an excellent fitting accuracy. The SLA-printed CDs demonstrated a clinically acceptable fitting accuracy.

摘要

目的

尚未研究过从蜡义齿数字化制造的全口义齿(CDs)的准确性和拟合精度。本研究评估了使用计算机辅助设计技术制造的上颌 CD 的准确性和拟合精度。

方法

使用铣床和三台三维(3D)打印机(两台立体光固化机(SLA)和一台数字光处理机(DLP))从全口无牙颌上颌模型制造 CD 基底。3D 打印使用具有八个构建支撑角度(0°至 315°)的 SLA 打印机进行。作为对照,使用热聚合 PMMA 树脂常规制造 CD 基底。在扫描模型和所有 CD 基底的阳模表面后,将其 STL 数据与最佳拟合对齐进行叠加。使用数据匹配软件评估所有 CD 基底的偏差。

结果

铣削 CD 基底的准确性和拟合精度高于 3D 打印和常规基底。SLA 的拟合精度高于 DLP。拟合精度最佳的支撑角度为 45°和 225°。45°角的 SLA 3D 打印 CD 基底的拟合精度与常规制造基底相当或略高。

结论

铣削 CD 基底具有优异的拟合精度。SLA 打印的 CDs 具有临床可接受的拟合精度。

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