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评估采用数字技术和不同材料制造的可摘局部义齿金属支架的准确性和精密度。

Evaluation of trueness and precision of removable partial denture metal frameworks manufactured with digital technology and different materials.

作者信息

Ciocca Leonardo, Maltauro Mattia, Pierantozzi Elena, Breschi Lorenzo, Montanari Angela, Anderlucci Laura, Meneghello Roberto

机构信息

Oral and Maxillo-Facial Prosthodontics, Section of Prosthodontics, Department of Biomedical and Neuromotor Science, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Department of Management and Engineering, University of Padova, Vicenza, Italy.

出版信息

J Adv Prosthodont. 2023 Apr;15(2):55-62. doi: 10.4047/jap.2023.15.2.55. Epub 2023 Apr 25.

Abstract

PURPOSE

The aim of this study is to evaluate the accuracy of removable partial denture (RPD) frameworks produced using different digital protocols.

MATERIALS AND METHODS

80 frameworks for RPDs were produced using CAD-CAM technology and divided into four groups of twenty (n = 20): Group 1, Titanium frameworks manufactured by digital metal laser sintering (DMLS); Group 2, Co-Cr frameworks manufactured by DMLS; Group 3, Polyamide PA12 castable resin manufactured by multi-jet fusion (MJF); and Group 4, Metal (Co-Cr) casting by using lost-wax technique. After the digital acquisition, eight specific areas were selected in order to measure the Δ-error value at the intaglio surface of RPD. The minimum value required for point sampling density (0.4 mm) was derived from the sensitivity analysis. The obtained Δ-error mean value was used for comparisons: 1. between different manufacturing processes; 2. between different manufacturing techniques in the same area of interest (AOI); and 3. between different AOI of the same group.

RESULTS

The Δ-error mean value of each group ranged between -0.002 (Ti) and 0.041 (Co-Cr) mm. The Pearson's Chi-squared test revealed significant differences considering all groups paired two by two, except for group 3 and 4. The multiple comparison test documented a significant difference for each AOI among group 1, 3, and 4. The multiple comparison test showed significant differences among almost all different AOIs of each group.

CONCLUSION

All Δ-mean error values of all digital protocols for manufacturing RPD frameworks optimally fit within the clinical tolerance limit of trueness and precision.

摘要

目的

本研究旨在评估使用不同数字协议制作的可摘局部义齿(RPD)框架的准确性。

材料与方法

使用CAD-CAM技术制作80个RPD框架,并分为四组,每组20个(n = 20):第1组,通过数字金属激光烧结(DMLS)制造的钛框架;第2组,通过DMLS制造的钴铬框架;第3组,通过多喷射熔融(MJF)制造的聚酰胺PA12可浇铸树脂框架;第4组,使用失蜡技术进行金属(钴铬)铸造。在数字采集后,选择八个特定区域以测量RPD内表面的Δ误差值。点采样密度(0.4 mm)所需的最小值来自敏感性分析。获得的Δ误差平均值用于比较:1. 不同制造工艺之间;2. 同一感兴趣区域(AOI)内不同制造技术之间;3. 同一组不同AOI之间。

结果

每组的Δ误差平均值在-0.002(钛)至0.041(钴铬)mm之间。Pearson卡方检验显示,除第3组和第4组外,所有组两两配对时均存在显著差异。多重比较检验表明,第1组、第3组和第4组中每个AOI均存在显著差异。多重比较检验显示,每组几乎所有不同AOI之间均存在显著差异。

结论

制造RPD框架的所有数字协议的所有Δ平均误差值均最佳地符合真实性和精度的临床公差极限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6380/10154145/49ec4ea28b36/jap-15-55-g001.jpg

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