Ryniewicz Wojciech, Bojko Łukasz, Ryniewicz Anna M
Department of Dental Prosthodontics and Orthodontics, Dental Institute, Faculty of Medicine, Jagiellonian University Medical College, 4 Montelupich Street, 31-155 Krakow, Poland.
Faculty of Mechanical Engineering and Robotics, AGH University of Science and Technology, 30 Mickiewicza Ave., 30-059 Krakow, Poland.
Materials (Basel). 2022 Aug 24;15(17):5835. doi: 10.3390/ma15175835.
The aim of the study is to evaluate the marginal and internal fit of titanium alloy (Ti6Al4V) crowns using the Selective Laser Melting (SLM) method and CAD/CAM milling.
The research materials are abutment teeth and prosthetic crowns. The method is based on scanning the abutments and the interior of the substructures, creating their 3D models, using the program for comparison, and determining error maps of fitting crowns to the reference models, in the form of positive and negative deviations. Adding the deviations gives information about the tightness of the crowns. The Shapiro-Wilk test and the one-way ANOVA analysis were performed. The level of significance was = 0.05.
The crowns made in SLM, a slightly better internal fit was found than for milled crowns, as well as a comparable marginal fit. The mean deviations for the sintering were the values [mm]: -0.039 and +0.107 for tooth 15 and -0.033 and +0.091 for tooth 36, and for the milling -0.048 and +0.110 for tooth 15 and -0.038 and +0.096 and for tooth 36.
Based on the research conducted and the experience in therapeutic procedures, it can be indicated that the fitting of titanium alloy crowns in SLM and milling meets the clinical requirements. To evaluate the technology, a method was developed that determines the accuracy of mapping the shape of the tooth abutments in the crown substructures for the individual conditions of the patient.
本研究的目的是评估使用选择性激光熔化(SLM)方法和计算机辅助设计/计算机辅助制造(CAD/CAM)铣削技术制作的钛合金(Ti6Al4V)牙冠的边缘适合性和内部适合性。
研究材料为基牙和修复牙冠。该方法基于扫描基牙和下部结构的内部,创建其三维模型,使用程序进行比较,并以正偏差和负偏差的形式确定牙冠与参考模型的适合性误差图。将偏差相加可得出牙冠贴合度的信息。进行了夏皮罗-威尔克检验和单因素方差分析。显著性水平为α = 0.05。
发现通过SLM制作的牙冠,其内部适合性略优于铣削制作的牙冠,边缘适合性相当。烧结的平均偏差值[毫米]为:15号牙为-0.039和+0.107,36号牙为-0.033和+0.091;铣削的平均偏差值为:15号牙为-0.048和+0.110,36号牙为-0.038和+0.096。
基于所进行的研究和治疗程序中的经验,可以表明SLM和铣削制作的钛合金牙冠适合性符合临床要求。为评估该技术,开发了一种方法,可确定针对患者个体情况在牙冠下部结构中映射牙基形状的准确性。