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3D打印树脂义齿牙齿的力学性能:一项体外研究。

Mechanical properties of 3D-printed resin denture teeth: An in vitro study.

作者信息

Al-Fodeh Rami S, Al-Dwairi Ziad N, Almasri Mahmoud, Baba Nadim Z

机构信息

Department of Prosthodontics, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.

Dean, Faculty of Dentistry, The Hashemite University, Zarqa, Jordan.

出版信息

J Prosthodont. 2024 Aug 29. doi: 10.1111/jopr.13939.

Abstract

PURPOSE

The purpose of this study was to compare the wear, fracture strength, and mode of failure of various brands of 3D-printed resin denture teeth with prefabricated acrylic resin. Additionally, the study aimed to analyze the different modes of failure exhibited by these teeth.

MATERIALS AND METHODS

The study utilized 90 3D-printed and 30 prefabricated, 3D-printed resin teeth from three brands: L = Optiprint Lumina, A = ASIGA DentaTooth, P = Power resins, along with prefabricated acrylic teeth from M = Major Super Lux. Each of the 30 samples per main group was divided into two subgroups: The first subgroup samples (M1, A1, L1, P1) were subjected to thermal cycling and mechanical loading; M2, A2, L2, and P2 were not aged and tested directly. A scan of a prefabricated acrylic tooth was taken using an intraoral scanner, and then the STL file was printed using an Asiga 3Dprinter. The specimens underwent aging to simulate 5 years of clinical use with 10,000 thermal cycles and 1,200,000 dynamic load cycles on a chewing simulator. Surface roughness parameters (Rz, Ra, Rq) were measured using a 3D Optical Profilometer, fracture resistance was assessed using a universal testing machine, and SEM analysis was performed to observe failure modes. Statistical analysis using T-test, one-way analysis, and two-way analysis processed by the Statistical Package for Social Sciences (SPSS) software version 23.0 (SPSS: Inc., Chicago, IL, USA) was done with a level of significance set at <0.05.

RESULTS

The results showed that the difference in surface roughness parameters (Rz, Ra, Rq) before and after aging for Group M, Group A, Group L, and Group P was statistically significant (p < 0.05). Two-way ANOVA for wear resistance between aging and groups on dependent variable Rz (p = 0.002), Ra (p = 0.001), Rq (p = 0.001) were significant. Multiple comparisons for surface roughness parameters showed Group A and Group L were lower than Group P and Group M (p < 0.05). For fracture strength, One-way ANOVA showed a significant difference between groups for fracture strength either without or after the aging procedure (p < 0.05). Multiple comparisons for fracture strength without aging showed no significant difference between Group M, Group A, and Group L (p > 0.05). After the aging procedure fracture strength for Group M was higher than Group A, Group L, and Group P (p < 0.05).

CONCLUSION

3D-printed resin teeth showed a greater and comparable wear resistance to prefabricated acrylic teeth. Fracture strength was comparable between prefabricated acrylic teeth and 3D-printed resin (Asiga and Lumina) before aging, but after aging 3D-printed resin teeth showed less fracture strength.

摘要

目的

本研究旨在比较不同品牌的3D打印树脂义齿牙与预制丙烯酸树脂义齿牙的磨损情况、断裂强度及失效模式。此外,该研究还旨在分析这些牙齿所呈现的不同失效模式。

材料与方法

本研究使用了90颗3D打印的以及30颗预制的3D打印树脂牙,来自三个品牌:L = Optiprint Lumina,A = ASIGA DentaTooth,P = Power resins,以及来自M = Major Super Lux的预制丙烯酸树脂牙。每个主要组别的30个样本均分为两个亚组:第一个亚组样本(M1、A1、L1、P1)进行热循环和机械加载;M2、A2、L2和P2未进行老化处理,直接进行测试。使用口腔内扫描仪对一颗预制丙烯酸树脂牙进行扫描,然后使用Asiga 3D打印机打印STL文件。通过在咀嚼模拟器上进行10000次热循环和1200000次动态加载循环,对样本进行老化处理,以模拟5年的临床使用情况。使用3D光学轮廓仪测量表面粗糙度参数(Rz、Ra、Rq),使用万能试验机评估抗断裂性,并进行扫描电子显微镜(SEM)分析以观察失效模式。使用社会科学统计软件包(SPSS)23.0版(SPSS:美国伊利诺伊州芝加哥市SPSS公司)进行T检验、单向分析和双向分析的统计分析,显著性水平设定为<0.05。

结果

结果表明,M组、A组、L组和P组老化前后的表面粗糙度参数(Rz、Ra、Rq)差异具有统计学意义(p < 0.05)。关于因变量Rz(p = 0.002)、Ra(p = 0.001)、Rq(p = 0.001),老化与组间耐磨性的双向方差分析具有显著性。表面粗糙度参数的多重比较显示,A组和L组低于P组和M组(p < 0.05)。对于断裂强度,单向方差分析表明,老化前或老化后,各组之间的断裂强度存在显著差异(p < 0.05)。未老化时断裂强度的多重比较显示,M组、A组和L组之间无显著差异(p > 0.05)。老化处理后,M组的断裂强度高于A组、L组和P组(p < 0.05)。

结论

3D打印树脂牙显示出比预制丙烯酸树脂牙更高且相当的耐磨性。预制丙烯酸树脂牙与3D打印树脂(Asiga和Lumina)在老化前的断裂强度相当,但老化后3D打印树脂牙的断裂强度较低。

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