Alsubaiy Ebrahim Fihaid
Technol Health Care. 2023;31(1):259-268. doi: 10.3233/THC-220304.
The provisional crowns (PR) play an important role during the course of fixed prosthesis treatment. The fitting of PR varies and depends on various factors.
The aim of the study was to evaluate the marginal and internal fit of PR produced by three-dimensional (3D) printing technique and to compare those with PR made by the milling technique by using micro computed tomography (μCT) on three commonly used finish line designs.
Ninety study models were made using metal die of #14 tooth (i.e. maxillary 1st premolar molar) prepared for full veneer crown with three different finish line chamfer (C), rounded shoulder (RS) and rounded shoulder with bevel (RSB). PR was fabricated on each study model, using milling (MiL group, n= 45), and 3D printing technique (3D-P group, n= 45). Marginal and internal fit of each study model was measured by micro computed tomography, at 7 Zones Pr-1- Pr-7 on each finish line. Recorded data were statistically analysed by one-way analysis of variance (ANOVA) and using Dunnett t-Test (p> 0.05).
The mean gap at margins was minimum for provisional crowns in 3D-P group in any finish line with minimum in rounded shoulder with bevel at zone Pr-1 30.9 ± 5.3 and at zone Pr-7 32.7 ± 5.3. In the axial region, i.e. zone Pr-2, the smallest gap was recorded in the 3D-P group and in the occlusal region, for zone Pr-3, 4 and 5, the maximum gap was recorded in the MiL group.
The provisional crowns fabricated by 3D printed technique have better marginal and internal fit than the provisional crowns made by milling technique.
临时冠在固定修复治疗过程中起着重要作用。临时冠的贴合度存在差异,且取决于多种因素。
本研究旨在评估三维(3D)打印技术制作的临时冠的边缘和内部贴合度,并通过微计算机断层扫描(μCT)对三种常用的肩台设计,将其与铣削技术制作的临时冠进行比较。
使用#14牙(即上颌第一前磨牙)的金属代型制作90个研究模型,预备全冠修复,采用三种不同的肩台设计:倒角(C)、圆肩(RS)和带斜面的圆肩(RSB)。在每个研究模型上制作临时冠,分别采用铣削技术(铣削组,n = 45)和3D打印技术(3D打印组,n = 45)。通过微计算机断层扫描测量每个研究模型在每条肩台的7个区域(Pr-1 - Pr-7)的边缘和内部贴合度。记录的数据采用单因素方差分析(ANOVA)和Dunnett t检验进行统计学分析(p>0.05)。
在任何肩台设计中,3D打印组临时冠边缘的平均间隙最小,在带斜面的圆肩处的Pr-1区域最小,为30.9±5.3,在Pr-7区域为32.7±5.3。在轴向区域,即Pr-2区域,3D打印组记录到的间隙最小;在咬合区域,对于Pr-3、4和5区域,铣削组记录到的间隙最大。
3D打印技术制作的临时冠比铣削技术制作的临时冠具有更好的边缘和内部贴合度。