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3D打印无牙颌模型的尺寸精度评估:使用三种实验室扫描仪的对比分析

Dimensional Accuracy Assessment of 3D-Printed Edentulous Jaw Models: A Comparative Analysis Using Three Laboratory Scanners.

作者信息

Yanakiev Spartak, Dimova-Gabrovska Mariana

机构信息

Medical College "Y. Filaretova", Medical University-Sofia, Yordanka Filaretova 3 Str., 1606 Sofia, Bulgaria.

Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University-Sofia, Georgi Sofiiski Str., 1431 Sofia, Bulgaria.

出版信息

Materials (Basel). 2025 Jul 15;18(14):3323. doi: 10.3390/ma18143323.

Abstract

The dimensional accuracy of 3D-printed edentulous jaw models is critical for successful prosthetic treatment outcomes. This study investigated the accuracy of 3D-printed working models of a completely edentulous jaw through comparative analysis of digital images generated by three laboratory scanners. A reference plaster model of a mandibular edentulous arch was digitized and used to produce ten resin models via digital light processing (DLP) technology. Each model was scanned using three different laboratory scanners: AutoScan-DS-EX, AutoScan-DS-EX Pro(H), and Optical 3D Scanner Vinyl. Digital comparison was performed using specialized software, evaluating the root mean square (RMS) deviation and percentage of values within an acceptable deviation range ±0.05 mm. All printed models showed significant deviations from the reference model ( < 0.05), with RMS values ranging from 109.2-139.7 µm and acceptable deviation percentages ranging from 29.34 to 32.31%. The mean precision RMS value was 66.37 µm. The mean intraclass correlation coefficient of 0.544 indicated moderate precision. Optical 3D Scanner Vinyl demonstrated the highest consistency, while AutoScan-DS-EX Pro(H) showed maximum variability. No statistically significant differences were found between scanners ( = 0.075). While the investigated scanners demonstrated reliable performance and sufficient accuracy, the additive manufacturing process introduced clinically significant deviations, highlighting the importance of verification between printed models and their digital originals before proceeding with clinical stages. Clinical practice should prioritize scanning systems with advanced software algorithms over those with superior hardware specifications alone.

摘要

3D打印无牙颌模型的尺寸精度对于成功的修复治疗结果至关重要。本研究通过对三种实验室扫描仪生成的数字图像进行对比分析,调查了3D打印的完全无牙颌工作模型的精度。将下颌无牙弓的参考石膏模型数字化,并通过数字光处理(DLP)技术制作十个树脂模型。每个模型使用三种不同的实验室扫描仪进行扫描:AutoScan-DS-EX、AutoScan-DS-EX Pro(H)和光学3D扫描仪Vinyl。使用专门软件进行数字比较,评估均方根(RMS)偏差以及在±0.05 mm可接受偏差范围内的值的百分比。所有打印模型均显示与参考模型存在显著偏差(<0.05),RMS值范围为109.2 - 139.7 µm,可接受偏差百分比范围为29.34%至32.31%。平均精度RMS值为66.37 µm。平均组内相关系数为0.544,表明精度中等。光学3D扫描仪Vinyl表现出最高的一致性,而AutoScan-DS-EX Pro(H)表现出最大的变异性。扫描仪之间未发现统计学上的显著差异(=0.075)。虽然所研究的扫描仪表现出可靠的性能和足够的精度,但增材制造过程引入了具有临床意义的偏差,突出了在进入临床阶段之前对打印模型与其数字原件进行验证的重要性。临床实践应优先选择具有先进软件算法的扫描系统,而不是仅具有卓越硬件规格的系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b985/12301033/07b5d04c65a9/materials-18-03323-g001.jpg

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本文引用的文献

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