Shenoy Amrutha, Rajaraman Vaishnavi, Maiti Subhabrata
Department of Prosthodontics and Implantology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S130-S135. doi: 10.4103/japtr.japtr_119_22. Epub 2022 Nov 30.
With recent advancements in digital dentistry, computer-aided design/computer-aided manufacturing (CAD/CAM) processed prostheses have been in very much use recently. This study aims to assess and compare the properties of these materials to better enable the practitioners to select the type of materials for use in a normal clinical practice. This research study was commenced after the approval by our Institutional Review Board (IHEC/SDC/PROSTHO/21/119). Twelve specimens of each group (group 1: CAD/CAM milled prostheses and group 2: three-dimensional (3D) printed prostheses using rapid prototyping) were prepared using the ISO standardization 10477:2004. The flexural strength of the samples that were prepared was tested using a universal testing machine and the values obtained were evaluated. Other samples (ISO standardized) were collected for evaluation of color changes postaging and surface roughness of both groups. Unpaired -test to analyze flexural strength and surface roughness and Paired -test was used to statistically analyze the values obtained for color stability. Group 1 showed significantly higher flexural strength and significantly better color stability when the samples were subjected to thermocycling. The mean strength obtained for 3D printed polymethyl methacrylate (PMMA) was 80.06MPa, whereas the mean flexural strength recorded for milled PMMA was 128.32 MPa. There was not much difference observed in the surface roughness of both groups. CAD/CAM milled specimens presented with better color stability and strength when compared to 3D printed specimens. Practitioners should be cautious while using three-dimensionally printed temporary prostheses in the posterior tooth region.
随着数字牙科技术的最新进展,计算机辅助设计/计算机辅助制造(CAD/CAM)加工的假体最近得到了广泛应用。本研究旨在评估和比较这些材料的性能,以便更好地帮助从业者在正常临床实践中选择使用的材料类型。本研究在获得我们机构审查委员会(IHEC/SDC/PROSTHO/21/119)批准后开始。使用ISO标准化10477:2004制备每组的十二个标本(第1组:CAD/CAM铣削假体和第2组:使用快速成型的三维(3D)打印假体)。使用万能试验机测试制备样品的抗弯强度,并对获得的值进行评估。收集其他样品(ISO标准化)以评估两组样品老化后的颜色变化和表面粗糙度。使用非配对t检验分析抗弯强度和表面粗糙度,使用配对t检验对颜色稳定性获得的值进行统计分析。当样品进行热循环时,第1组显示出显著更高的抗弯强度和显著更好的颜色稳定性。3D打印聚甲基丙烯酸甲酯(PMMA)获得的平均强度为80.06MPa,而铣削PMMA记录的平均抗弯强度为128.32MPa。两组的表面粗糙度没有观察到太大差异。与3D打印标本相比,CAD/CAM铣削标本具有更好的颜色稳定性和强度。从业者在在后牙区域使用三维打印临时假体时应谨慎。