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颞下颌关节紊乱病的治疗:从规划到评估的3D打印夹板

Therapy for Temporomandibular Disorders: 3D-Printed Splints from Planning to Evaluation.

作者信息

Somogyi Andrea, Végh Dániel, Róth Ivett, Hegedüs Tamás, Schmidt Péter, Hermann Péter, Géczi Zoltán

机构信息

Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, 1085 Budapest, Hungary.

出版信息

Dent J (Basel). 2023 May 8;11(5):126. doi: 10.3390/dj11050126.

Abstract

INTRODUCTION

This article describes the authors' digital workflow-based method for fabricating intraoral occlusal splints, from planning to the evaluation phase.

MATERIALS AND METHODS

In our protocol, first, we had a registration phase. This included taking digital impressions, determining the centric relation (CR) position with the deprogrammer Luci Jig, and using the digital facebow for measuring the individual values. The laboratory phase was next, which included planning and manufacturing with a 3D printer. The last phase was delivery, when we checked the stability of the splint and adjusted the occlusal part.

RESULT

The average cost is lower for a fully digital splint than for conventional methods. In terms of time, there was also a significant difference between the classic and digital routes. From a dental technical point of view, the execution was much more predictable. The printed material was very rigid and, therefore, fragile. Compared to the analog method, the retention was much weaker.

CONCLUSION

The presented method permits time-efficient laboratory production, and may also be performed chairside in a dental office. The technology is perfectly applicable to everyday life. In addition to its many beneficial properties, its negative properties must also be highlighted.

摘要

引言

本文介绍了作者基于数字工作流程制作口腔内咬合板的方法,从计划阶段到评估阶段。

材料与方法

在我们的方案中,首先是记录阶段。这包括获取数字印模,使用脱程序化器Luci Jig确定正中关系(CR)位置,并使用数字面弓测量个体值。接下来是实验室阶段,包括使用3D打印机进行规划和制造。最后阶段是交付,此时我们检查夹板的稳定性并调整咬合部分。

结果

全数字夹板的平均成本低于传统方法。在时间方面,经典方法和数字方法之间也存在显著差异。从牙科技术角度来看,执行过程更具可预测性。打印材料非常坚硬,因此很脆弱。与模拟方法相比,固位力要弱得多。

结论

所介绍的方法可实现高效的实验室制作,也可在牙科诊所的椅旁进行。该技术完全适用于日常生活。除了其许多有益特性外,其负面特性也必须予以强调。

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