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[通过注塑成型、铣削和三维打印制作的义齿基托的精度和固位情况]

[Accuracy and retention of denture bases fabricated by injection molding, milling, and three-dimensional printing].

作者信息

Li D, Yang S T, Yuan Q, Mo A C, Yue L

机构信息

Department of Implant Dentistry, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Chengdu 610041, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2022 Sep 9;57(9):927-931. doi: 10.3760/cma.j.cn112144-20220126-00032.

Abstract

To compare the accuracy and retention of denture bases fabricated by injection molding, milling, and three-dimensional (3D) printing fabricating, in order to provide some references for clinical practice. A maxillary edentulous jaw model made was used to duplicated 10 working casts. The casts were numbered and scanned. The wax pattern was designed by digital ways and conventional methods and then the denture bases were fabricated by injection molding, milling, and 3D printing. The tissue surface of experimental denture base was obtained using a dental laboratory scanner. The deviation between the tissue surface of the fabricated denture bases and the working model was evaluated. A digital force gauge was used to measure the traction force. The milling group [(0.076±0.026) mm] was more accurate than the 3D printing group [(0.117±0.041) mm] (<0.05) and the injection group [(0.120± 0.025) mm] (<0.05). The accuracy of 3D printing group and that of injection group were not statistically significant (>0.05). The milling group [(9.55±2.44) N] demonstrated greater retentive force than 3D printing group [(5.19±0.06) N] and injection molding group [(1.52±0.52) N] (<0.05). The denture base fabricated by milling was more accurate and showed the greatest retentive force than the other groups. And 3D printing group showed better retentive force than the injection molding group. Both digital manufacturing methods can meet the requirements of clinical application.

摘要

为比较注塑成型、铣削和三维(3D)打印制造的义齿基托的精度和固位力,以便为临床实践提供一些参考。制作上颌无牙颌模型并复制10个工作模型。对模型进行编号并扫描。通过数字方式和传统方法设计蜡型,然后通过注塑成型、铣削和3D打印制作义齿基托。使用牙科实验室扫描仪获取实验性义齿基托的组织面。评估制作的义齿基托组织面与工作模型之间的偏差。使用数字测力计测量牵引力。铣削组[(0.076±0.026)mm]比3D打印组[(0.117±0.041)mm]更精确(<0.05),也比注塑组[(0.120±0.025)mm]更精确(<0.05)。3D打印组和注塑组的精度无统计学差异(>0.05)。铣削组[(9.55±2.44)N]的固位力大于3D打印组[(5.19±0.06)N]和注塑成型组[(1.52±0.52)N](<0.05)。铣削制作的义齿基托比其他组更精确,固位力最大。3D打印组的固位力优于注塑成型组。两种数字化制造方法均能满足临床应用要求。

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