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传统全口义齿与3D打印全口义齿固位及义齿基托适合性的比较

Comparison of retention and denture base adaptation between conventional and 3D-printed complete dentures.

作者信息

Emera Radwa Mohsen Kamal, Shady Mohamed, Alnajih Mahmoud Almabrouk

机构信息

Prosthodontics Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.

Faculty of Dentistry, Zawia University, Libya.

出版信息

J Dent Res Dent Clin Dent Prospects. 2022 Summer;16(3):179-185. doi: 10.34172/joddd.2022.030. Epub 2022 Nov 15.

Abstract

In recent years, complete denture construction has been revolutionized using computer-aided designing and computer-aided manufacturing (CAD-CAM) technology. This clinical study compared the retention and denture base adaptation of 3D-printed complete dentures fabricated using dimethacrylate-based resins with a photoinitiator versus conventional complete dentures. Ten completely edentulous patients were nominated for this study. Each patient received two complete dentures. One complete denture was conventionally fabricated, while the other was digitally fabricated through 3D printing of dimethacrylate-based resins with a photoinitiator. Denture base adaptation for both dentures was evaluated using surface matching software. Denture retention was also evaluated using a digital force meter at the time of complete denture insertion (T ), after three months (T ) and six months (T ) of denture use. Regarding adaptation (mean misfit values), a statistically insignificant difference was detected between the two differently fabricated complete dentures. In addition, comparable satisfactory retention values were observed for both conventionally fabricated and 3D-printed dentures; however, there was an insignificant increase in retention over time. 3D-printed complete dentures fabricated using dimethacrylate-based resins could be a promising alternative to conventionally fabricated complete dentures with satisfactory denture base adaptation and retention.

摘要

近年来,利用计算机辅助设计和计算机辅助制造(CAD-CAM)技术,全口义齿制作发生了变革。本临床研究比较了使用含光引发剂的二甲基丙烯酸酯基树脂3D打印的全口义齿与传统全口义齿的固位力和义齿基托贴合度。10名全口无牙患者被纳入本研究。每位患者接受两副全口义齿。一副全口义齿采用传统方法制作,另一副通过含光引发剂的二甲基丙烯酸酯基树脂3D打印数字化制作。使用表面匹配软件评估两副义齿的义齿基托贴合度。在全口义齿插入时(T)、义齿使用三个月后(T)和六个月后(T),还使用数字测力计评估义齿固位力。关于贴合度(平均不贴合值),在两种不同制作方式的全口义齿之间未检测到统计学上的显著差异。此外,传统制作和3D打印的义齿均观察到了相当令人满意的固位值;然而,固位力随时间有不显著的增加。使用含光引发剂的二甲基丙烯酸酯基树脂3D打印的全口义齿可能是传统制作的全口义齿的一种有前景的替代方案,其义齿基托贴合度和固位力令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e38a/9871175/4d6433706b80/joddd-16-179-g001.jpg

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