Neoh Siew Peng, Khantachawana Anak, Chintavalakorn Rochaya, Santiwong Peerapong, Srikhirin Toemsak
Department of Orthodontics, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Department of Mechanical Engineering, Faculty of Engineering, King Mongkut's University of Technology Thonburi, Bangkok, Thailand.
Am J Orthod Dentofacial Orthop. 2025 Jan;167(1):95-109.e1. doi: 10.1016/j.ajodo.2024.06.010.
This study investigated the physical, mechanical, and optical properties of 3-dimensional (3D) printing resins compared with thermoplastic materials to evaluate their suitability for the fabrication of orthodontic clear retainers.
Samples were prepared from thermoplastic sheets (Duran [Scheu-Dental GmbH, Iserlohn, Germany] and Zendura [Bay Materials LLC, Fremont, Calif]) and biocompatible 3D-printing resins (Dental LT Clear V2 [Formlabs Inc, Somerville, Mass] and OrthoFlex [Nextdent BV, Soesterberg, The Netherlands]) according to the manufacturer's instructions. The materials were characterized by Fourier transform infrared spectroscopy, differential scanning calorimetry, and water sorption tests. Mechanical properties were assessed by tensile tests and hardness under 3 different conditions: dry, wet (24-hour water immersion), and aged (thermocyled for 10,000 cycles). Surface characteristics were qualitatively and quantitatively evaluated by scanning electron microscopy and 3D confocal imaging, respectively. Optical properties were assessed by ultraviolet-visible spectroscopy and color stability tests by immersion into various staining solutions.
The mechanical properties of the 3D-printing resins were more markedly altered in different testing conditions (dry, wet, and aged) than in thermoplastic materials. The surface roughness, transparency, and color stability of 3D-printing resins are significantly inferior, especially NextDent OrthoFlex.
The evaluated 3D-printing resins are more brittle and less ductile compared with the thermoplastic materials. The 3D-printing resins also do not meet the clinical thresholds of surface roughness and optical properties for the fabrication of orthodontic clear retainers. Further postprocessing of the 3D-printing resins may be required to improve these properties.
本研究调查了三维(3D)打印树脂与热塑性材料相比的物理、机械和光学性能,以评估它们用于制作正畸透明保持器的适用性。
根据制造商说明,从热塑性片材(Duran [德国伊瑟隆的Scheu-Dental GmbH公司] 和Zendura [美国加利福尼亚州弗里蒙特的Bay Materials LLC公司])以及生物相容性3D打印树脂(Dental LT Clear V2 [美国马萨诸塞州萨默维尔的Formlabs Inc公司] 和OrthoFlex [荷兰索斯特贝赫的Nextdent BV公司])制备样品。通过傅里叶变换红外光谱、差示扫描量热法和吸水率测试对材料进行表征。在三种不同条件下通过拉伸试验和硬度评估机械性能:干燥、潮湿(24小时水浸)和老化(热循环10000次)。分别通过扫描电子显微镜和3D共聚焦成像对表面特征进行定性和定量评估。通过紫外可见光谱和浸入各种染色溶液的颜色稳定性测试评估光学性能。
与热塑性材料相比,3D打印树脂的机械性能在不同测试条件(干燥、潮湿和老化)下变化更为明显。3D打印树脂的表面粗糙度、透明度和颜色稳定性明显较差,尤其是NextDent OrthoFlex。
与热塑性材料相比,所评估的3D打印树脂更脆且延展性更差。3D打印树脂也不符合制作正畸透明保持器的表面粗糙度和光学性能的临床阈值。可能需要对3D打印树脂进行进一步的后处理以改善这些性能。