Department of Orthodontics, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Prosthodontics, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran.
Int Orthod. 2023 Dec;21(4):100790. doi: 10.1016/j.ortho.2023.100790. Epub 2023 Jul 6.
This study assessed the shear bond strength (SBS) of stainless steel (SS) orthodontic brackets to specimens fabricated from polymethyl methacrylate (PMMA) temporary restorative material by 3D-printing, computer-aided design/computer-aided manufacturing (CAD/CAM) technology, and the conventional technique, after surface treatment by sandblasting and laser.
In this in vitro study, 60 disc-shaped specimens with 8mm diameter and 1mm height were fabricated from PMMA temporary restorative material by 3D-printing, CAD/CAM, and the conventional technique. In each group (n=20), half of the specimens were sandblasted while the other half underwent Er,Cr:YSGG laser irradiation. Brackets were bonded to the specimens and underwent thermocycling followed by SBS testing. Data were analysed by one-way ANOVA, independent t-test, and LSD test (alpha=0.05).
A significant difference existed among the three fabrication methods in SBS in both laser (P<0.001) and sandblasting (P<0.001) surface treatment groups. In laser group, the mean SBS of CAD/CAM (P=0.000) and conventional (P=0.000) groups was significantly lower than that of 3D-printing group. In sandblasting group, the SBS of CAD/CAM group was significantly lower than 3D-printing (P=0.000) and conventional (P=0.000) groups. The mean SBS of laser-treated specimens was significantly higher than sandblasted specimens in 3D-printing group (P=0.000), and significantly lower than sandblasted specimens in the conventional group (P=0.000). A significantly higher SBS was obtained by laser treatment compared with sandblasting irrespective of the fabrication method (P=0.000).
The highest SBS of SS orthodontic brackets to temporary restorative material was recorded for 3D-printed specimens treated by Er,Cr:YSGG laser irradiation.
本研究评估了经喷砂和激光表面处理后,通过 3D 打印、计算机辅助设计/计算机辅助制造 (CAD/CAM) 技术和传统技术制造的聚甲基丙烯酸甲酯 (PMMA) 临时修复材料制成的不锈钢 (SS) 正畸托槽的剪切结合强度 (SBS)。
在这项体外研究中,通过 3D 打印、CAD/CAM 和传统技术从 PMMA 临时修复材料中制造了 60 个直径为 8mm、高度为 1mm 的圆盘状样本。在每组 (n=20) 中,一半的样本进行喷砂处理,另一半进行 Er,Cr:YSGG 激光照射。将托槽粘接到样本上,进行热循环后进行 SBS 测试。数据采用单因素方差分析、独立 t 检验和 LSD 检验 (alpha=0.05) 进行分析。
在激光和喷砂表面处理组中,三种制造方法的 SBS 存在显著差异 (P<0.001)。在激光组中,CAD/CAM (P=0.000) 和传统 (P=0.000) 组的 SBS 均值明显低于 3D 打印组。在喷砂组中,CAD/CAM 组的 SBS 明显低于 3D 打印 (P=0.000) 和传统 (P=0.000) 组。激光处理组的 SBS 均值明显高于 3D 打印组的喷砂处理组 (P=0.000),明显低于传统组的喷砂处理组 (P=0.000)。与喷砂处理相比,激光处理无论制造方法如何,均能获得更高的 SBS (P=0.000)。
经 Er,Cr:YSGG 激光处理的 3D 打印 SS 正畸托槽与临时修复材料的最高 SBS。