Akiyama Yo, Kanazawa Manabu, Iwaki Maiko, Hada Tamaki, Soeda Yumika, Otake Ryosuke, Kashiwazaki Kenta, Komagamine Yuriko, Murakami Natsuko, Takaichi Atsushi, Wakabayashi Noriyuki, Minakuchi Shunsuke
Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
Digital Dentistry,Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
J Prosthodont Res. 2023 Oct 13;67(4):647-651. doi: 10.2186/jpr.JPR_D_22_00100. Epub 2023 Feb 2.
Although digital removable partial dentures have been previously described, there have been no reports on how to fabricate them in one piece. This study proposes a new method for fabricating patient-specific digital removable partial dentures using a custom plate.
First, a gypsum model was scanned using a laboratory scanner and a removable partial denture was designed using computer-aided design (CAD) software based on standard tessellation language data. The metal clasp was fabricated from Ti-6Al-4V using a 3D printer. For custom plate fabrication, a resin plate frame was designed using computer-aided design (CAD) software and fabricated using a 3D printer. An artificial tooth and metal clasp were fixed on the base surface of the frame, an auto-polymerizing resin was poured into the frame for the denture base, and the artificial tooth and metal clasp were packed to form a custom plate. The plate was cut using a milling machine. Subsequently, the support attached to the denture was removed and polished for complete fabrication of the denture.
Our novel removable partial denture fabrication method is more efficient than the conventional method. The obtained removable partial dentures demonstrated satisfactory accuracy.
尽管此前已有关于数字化可摘局部义齿的描述,但尚无关于如何一体制作它们的报道。本研究提出一种使用定制托盘制作患者特异性数字化可摘局部义齿的新方法。
首先,使用实验室扫描仪扫描石膏模型,并基于标准镶嵌语言数据,使用计算机辅助设计(CAD)软件设计可摘局部义齿。使用3D打印机由Ti-6Al-4V制作金属卡环。对于定制托盘制作,使用计算机辅助设计(CAD)软件设计树脂托盘框架,并使用3D打印机制作。将人工牙和金属卡环固定在框架的基面上,将自凝树脂倒入框架中制作义齿基托,将人工牙和金属卡环包埋以形成定制托盘。使用铣床切割托盘。随后,去除义齿上附着的支撑并进行抛光以完成义齿的制作。
我们新颖的可摘局部义齿制作方法比传统方法更高效。所获得的可摘局部义齿显示出令人满意的精度。