Gündoğ Hilal, Arman Özçırpıcı Ayça, Pamukçu Hande
Private Practice, Ankara, Turkey.
Department of Orthodontics, School of Dentistry Başkent University, Ankara, Turkey.
Turk J Orthod. 2023 Mar 21;36(1):1-9. doi: 10.4274/TurkJOrthod.2022.2022.34.
The goal of the current study is to compare the transfer accuracy of two different conventional indirect bonding trays with 3D-printed trays.
Twenty-two patients' upper dental models were duplicated, scanned and brackets were bonded digitally. Different indirect bonding trays (double vacuum formed, transparent silicone and 3D-printed) were prepared according to three groups. These trays were used for the transfer of the brackets to the patients' models, then models with brackets were scanned. GOM Inspect software was used for the superimposition of virtual bracket setups and models with brackets. A total of 788 brackets and tubes were analyzed. Transfer accuracies were determined according to the clinical limit of 0.5 mm for linear and 2° for angular measurements.
3D-printed trays had significantly lower linear deviation values than other trays for all planes (p<0.05). 3D-printed trays have significantly lower torque and tip deviation values than other groups (p<0.05). Transfer deviations were within the clinically acceptable limit for all transfer trays in horizontal, vertical and transverse planes. Deviation values of the molars were higher than those of the other tooth groups for all trays in the horizontal and vertical planes (p<0.05). Brackets were generally deviated toward the buccal direction in all tray groups.
The transfer accuracy of 3D-printed transfer trays was more successful than the double vacuum formed and transparent silicone trays in the indirect bonding technique procedure. Deviations in the molar group were greater than those in the other tooth groups for all transfer trays.
本研究的目的是比较两种不同的传统间接粘结托盘与3D打印托盘的转移精度。
复制22例患者的上颌牙模型,进行扫描并数字化粘结托槽。根据三组准备不同的间接粘结托盘(双层真空成型、透明硅橡胶和3D打印)。这些托盘用于将托槽转移到患者模型上,然后扫描带有托槽的模型。使用GOM Inspect软件对上颌虚拟托槽定位和带有托槽的模型进行叠加。共分析788个托槽和颊面管。根据线性测量0.5mm和角度测量2°的临床限值确定转移精度。
在所有平面上,3D打印托盘的线性偏差值均显著低于其他托盘(p<0.05)。3D打印托盘的扭矩和倾斜偏差值显著低于其他组(p<0.05)。在水平、垂直和横向平面上,所有转移托盘的转移偏差均在临床可接受范围内。在水平和垂直平面上,所有托盘的磨牙偏差值均高于其他牙组(p<0.05)。在所有托盘组中,托槽总体上向颊侧方向偏移。
在间接粘结技术过程中,3D打印转移托盘的转移精度比双层真空成型和透明硅橡胶托盘更成功。所有转移托盘的磨牙组偏差均大于其他牙组。