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用于口腔保守治疗实践操作的 3D 打印牙齿模型。

The 3D printed teeth models intended for hands-on practice in conservative dentistry.

机构信息

Department of Conservative Dentistry with Endodontics, Institute of Dentistry, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.

出版信息

Folia Med Cracov. 2022 Jun 29;62(1):29-41. doi: 10.24425/fmc.2022.141689.

Abstract

OBJECTIVES

Designing and printing out a 3D model of a mandible, including the teeth with replicated carious lesions, to be fitted into the Dental Patient Simulator. Students assessed the 3D teeth models against the extracted teeth and the standard models, identifying specific restorative dentistry procedures where they might be applied as the teaching aids.

METHODS

A 3D tooth model was printed out against a patient's Cone Beam Computed Tomography scan. The study was attended by 22, 5th-year students, who, having prior removed the caries, filled in the cavities of different classes and trepanned the pulp chamber in the 3D models, subsequently rating them against a questionnaire.

RESULTS

Over 95% of students recommended introducing the 3D models into teaching conservative dentistry with endodontics at the pre-clinical stage to enhance manual skills in cavity preparation and filling. The replication of tissue hardness and anatomical characteristics in the 3D models was rated significantly higher, as compared to the standard ones (p <0.05). Over 90% of students also asserted that working on the 3D models would enhance their pulp chamber trepanation skills, and rated overall replication of the anatomical characteristics significantly higher, in comparison with the standard teeth models (p <0.05).

CONCLUSIONS

In pre-clinical education, the 3D teeth models offer a viable alternative, as there is an appreciable potential for different types of teeth to be printed out, in full consideration of their anatomical diversity. Further design refinements in the 3D teeth models are required, though, particularly the ones regarding true-to-life replication of the soft tissues.

摘要

目的

设计并打印出带有复制龋损的下颌骨 3D 模型,以便安装在牙科患者模拟器中。学生将 3D 牙齿模型与提取的牙齿和标准模型进行评估,确定可能作为教学辅助工具应用于特定修复牙科程序的位置。

方法

根据患者的锥形束计算机断层扫描打印出 3D 牙齿模型。该研究由 22 名五年级学生参加,他们在去除龋损后,在 3D 模型中填充不同类型的龋洞,并进行牙髓腔开窗,然后通过问卷对其进行评估。

结果

超过 95%的学生建议在临床前阶段将 3D 模型引入保守性牙科和牙髓学教学中,以增强腔预备和填充的手动技能。与标准模型相比,3D 模型在组织硬度和解剖特征的复制方面得到了更高的评价(p<0.05)。超过 90%的学生还表示,在 3D 模型上进行操作将增强他们的牙髓腔开窗技能,并在整体解剖特征的复制方面给予更高的评价,与标准牙齿模型相比(p<0.05)。

结论

在临床前教育中,3D 牙齿模型提供了一种可行的替代方案,因为有很大的潜力可以打印出不同类型的牙齿,充分考虑到它们的解剖多样性。然而,需要进一步改进 3D 牙齿模型的设计,特别是在逼真地复制软组织方面。

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