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修复方法和材料对3D打印义齿基托树脂弯曲强度的影响

Effect of repair methods and materials on the flexural strength of 3D-printed denture base resin.

作者信息

Viotto Hamile Emanuella do Carmo, Silva Marcela Dantas Dias, Nunes Thaís Soares Bezerra Santos, Coelho Sabrina Romão Gonçalves, Pero Ana Carolina

机构信息

Department of Dental Materials and Prosthodontics, Araraquara Dental School, Univ Estadual Paulista (UNESP), Araraquara, São Paulo, Brazil.

出版信息

J Adv Prosthodont. 2022 Oct;14(5):305-314. doi: 10.4047/jap.2022.14.5.305. Epub 2022 Oct 28.

Abstract

PURPOSE

The aim of this study was to evaluate the flexural strength of a 3D-printed denture base resin (Cosmos Denture), after different immediate repair techniques with surface treatments and thermocycling.

MATERIALS AND METHODS

Rectangular 3D-printed denture base resin (Cosmos Denture) specimens (N = 130) were thermocycled (5,000 cycles, 5℃ and 55℃) before and after the different repair techniques (n = 10 per group) using an autopolymerized acrylic resin (Jet, J) or a hard relining resin (Soft Confort, SC), and different surface treatments: Jet resin monomer for 180 s (MMA), blasting with aluminum oxide (JAT) or erbium: yttrium-aluminum-garnet laser (L). The control group were intact specimens. A three-point flexural strength test was performed, and data (MPa) were analyzed by ANOVA and Games-Howell post hoc test (α = 0.05). Each failure was observed and classified through stereomicroscope images and the surface treatments were viewed by scanning electron microscope (SEM).

RESULTS

Control group showed the highest mean of flexural strength, statistically different from the other groups ( < .001), followed by MMA+J group. The groups with L treatment were statistically similar to the MMA groups ( > .05). The JAT+J group was better than the SC and JAT+SC groups ( < .05), but similar to the other groups ( > .05). Adhesive failures were most observed in JAT groups, especially when repaired with SC. The SEM images showed surface changes for all treatments, except JAT alone.

CONCLUSION

Denture bases fabricated with 3D-printed resin should be preferably repaired with MMA+J. SC and JAT+SC showed the worst results. Blasting impaired the adhesion of the SC resin.

摘要

目的

本研究旨在评估经不同的即时修复技术、表面处理及热循环处理后,3D打印义齿基托树脂(Cosmos义齿)的弯曲强度。

材料与方法

使用自凝丙烯酸树脂(Jet,J)或硬质重衬树脂(Soft Confort,SC)以及不同的表面处理方式,对矩形3D打印义齿基托树脂(Cosmos义齿)试件(N = 130)在不同修复技术前后进行热循环处理(5000次循环,5℃和55℃)(每组n = 10)。表面处理方式包括:Jet树脂单体处理180秒(MMA)、用氧化铝喷砂(JAT)或铒:钇铝石榴石激光处理(L)。对照组为完整试件。进行三点弯曲强度测试,数据(MPa)采用方差分析和Games - Howell事后检验进行分析(α = 0.05)。通过体视显微镜图像观察并分类每种失效情况,用扫描电子显微镜(SEM)观察表面处理情况。

结果

对照组显示出最高的弯曲强度均值,与其他组有统计学差异(P <.001),其次是MMA + J组。L处理组与MMA组在统计学上相似(P >.05)。JAT + J组优于SC组和JAT + SC组(P <.05),但与其他组相似(P >.05)。在JAT组中,尤其是用SC修复时,最常观察到粘结失败。SEM图像显示,除单独的JAT处理外,所有处理的表面均有变化。

结论

用3D打印树脂制作的义齿基托最好用MMA + J进行修复。SC组和JAT + SC组结果最差。喷砂会削弱SC树脂的粘结力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d0/9672696/06d161f5eee6/jap-14-305-g001.jpg

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