Höhne Christian, Del Hougne Michael, Gärtner Laura, Winter Anna, Schmitter Marc
Department of Prosthodontics, University of Würzburg, Würzburg, Germany.
Eur J Dent Educ. 2024 Feb;28(1):347-357. doi: 10.1111/eje.12956. Epub 2023 Oct 7.
At the moment, no commercial model solution is available for the individualisation of the dentition depending on the clinical case scenario. Furthermore, the realistic training of most restorative and prosthodontic procedures on a single dental study model is not possible. The aim of this study was the creation of a new training model to fill this gap.
Complete upper and lower jaw models were created based on existing scans and radiological data from a patient. All components for 100 complete models and 1128 teeth for the training were produced with a SLA-printer. Overall, 94 voluntary students attending the first and second preclinical course in prosthodontics tested the functionality of the model with three different tooth types against a standard dental study model and real teeth. After the training, the model was rated in a questionnaire.
The production of the models and teeth was feasible. The overall rating of the different teeth was worse for type I (Ø 3.6 ± 1.1), significantly better for type II (Ø 2.5 ± 1.0) and type III (Ø 2.4 ± 1.0) than a standard typodont tooth (Ø 2.7 ± 1.1). The new model was rated significantly better overall (Ø 2.6 ± 1.0) than the standard training model (Ø 3.0 ± 1.1).
The aim of this study was fulfilled. A superior training model was created with equivalent and better tooth types. The new teeth were outstanding in terms of cost-efficiency, appearance and feeling during preparation.
目前,尚无适用于根据临床病例情况实现牙列个性化的商业模型解决方案。此外,在单个牙科研究模型上对大多数修复和口腔修复程序进行逼真的训练是不可能的。本研究的目的是创建一种新的训练模型来填补这一空白。
根据患者现有的扫描和放射学数据创建完整的上颌和下颌模型。使用SLA打印机制作了用于训练的100个完整模型的所有组件和1128颗牙齿。总体而言,94名参加口腔修复学第一和第二临床前课程的志愿学生针对标准牙科研究模型和真实牙齿测试了该模型与三种不同类型牙齿的功能。训练后,通过问卷调查对该模型进行评分。
模型和牙齿的制作是可行的。I型牙齿(平均值3.6±1.1)的总体评分低于标准牙模牙齿(平均值2.7±1.1),II型牙齿(平均值2.5±1.0)和III型牙齿(平均值2.4±1.0)的总体评分明显高于标准牙模牙齿。新模型的总体评分(平均值2.6±1.0)明显高于标准训练模型(平均值3.0±1.1)。
本研究的目的得以实现。创建了一种具有同等及更好牙齿类型的优质训练模型。新牙齿在成本效益、外观和制备过程中的手感方面表现出色。