Jang Gaejun, Kim Seong-Kyun, Heo Seong-Joo, Koak Jai-Young
Post-Doctor, Department of Prosthodontics & Dental Research Institute, Seoul National University Dental Hospital, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
Professor, Department of Prosthodontics & Dental Research Institute, Seoul National University Dental Hospital, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
J Prosthet Dent. 2024 Feb;131(2):301-312. doi: 10.1016/j.prosdent.2021.11.031. Epub 2023 Jan 17.
Printing conditions can affect the fit of a 3-dimensionally (3D) printed prosthesis. Therefore, it is important to determine the optimal printing conditions for stereolithography (SLA)-manufactured prostheses.
The purpose of this study was to analyze the fit according to the build orientations and layer thicknesses in SLA-manufactured 3-unit resin prostheses.
SLA 3D printed prostheses were produced in 5 build orientations (0, 30, 45, 60, and 90 degrees) and 2 layer thicknesses (50 and 100 μm). Milled prostheses were fabricated from the same design. The mounted prostheses on the master model were scanned with microcomputed tomography (μCT). Data were processed with the NRecon software program. For quantitative analysis, marginal and internal fits were measured by using the imageJ software program in terms of the following metrics: absolute marginal discrepancy, marginal gap, cervical area, midaxial wall area, line-angle area, and occlusal area. Internal gap volume was also measured with the CTAn software program. For statistical analysis, ANOVA and Tukey HSD tests were used (α=.05). For qualitative analysis, μCT cross-sections were compared among groups, and intaglio surfaces were imaged with a scanning electron microscope.
A layer thickness of 50 μm with build orientations of 45 and 60 degrees exhibited smaller mean gap values (P<.05) than the other conditions for all measurements except line-angle area and occlusal area. The scanning electron microscope images showed voids on the intaglio surfaces for the 0- and 90-degree groups.
For SLA 3D printed resin prostheses, a difference in fit occurred based on the printing conditions, although both 3D printed and milled prostheses showed a clinically acceptable fit. When an SLA 3D printed prosthesis is manufactured under appropriate conditions, a clinically acceptable fit can be obtained.
打印条件会影响三维(3D)打印假体的适配性。因此,确定立体光刻(SLA)制造的假体的最佳打印条件很重要。
本研究的目的是分析SLA制造的3单位树脂假体在构建方向和层厚方面的适配情况。
SLA 3D打印假体以5种构建方向(0、30、45、60和90度)和2种层厚(50和100μm)制作。从相同设计制作铣削假体。在主模型上安装的假体用微型计算机断层扫描(μCT)进行扫描。数据用NRecon软件程序处理。为进行定量分析,使用ImageJ软件程序根据以下指标测量边缘和内部适配性:绝对边缘差异、边缘间隙、颈部区域、中轴壁区域、线角区域和咬合区域。还用CTAn软件程序测量内部间隙体积。进行统计分析时,使用方差分析和Tukey HSD检验(α = 0.05)。为进行定性分析,比较各组之间的μCT横截面,并用扫描电子显微镜对凹面进行成像。
对于除线角区域和咬合区域外的所有测量,层厚为50μm且构建方向为45和60度时,平均间隙值比其他条件下更小(P < 0.05)。扫描电子显微镜图像显示0度和90度组的凹面上有空隙。
对于SLA 3D打印树脂假体,尽管3D打印和铣削假体均显示出临床可接受的适配性,但适配性仍因打印条件而异。在适当条件下制造SLA 3D打印假体时,可获得临床可接受的适配性。