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高压灭菌对用于美学牙冠延长术的3D打印手术导板尺寸稳定性的影响

Impact of Autoclaving on the Dimensional Stability of 3D-Printed Surgical Guides for Aesthetic Crown Lengthening.

作者信息

González-Barnadas Albert, Ribas-Garcia Anna, Jorba-García Adrià, Figueiredo Rui, Valmaseda-Castellón Eduard, Camps-Font Octavi

机构信息

Department of Dentistry, Faculty of Medicine and Health Sciences, Universitat de Barcelona, 08907 Barcelona, Spain.

Dental and Maxillofacial Pathology and Therapeutics Research Group, IDIBELL Research Institute, 08908 Barcelona, Spain.

出版信息

J Funct Biomater. 2025 Aug 2;16(8):284. doi: 10.3390/jfb16080284.

DOI:10.3390/jfb16080284
PMID:40863304
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12387451/
Abstract

The aim of this study was to evaluate the impact of autoclaving on the dimensional stability of surgical guides (SGs) for aesthetic crown lengthening (ACL) using different resins/printing methods. Fifty SGs for ACL were printed using five different resin/printer combinations (FL, SR, ND, KS and VC). All the SGs were scanned before (T0) and after (T1) sterilization. Autoclaving was conducted at 134 °C during 4 min. The STL files of each SG at T0 and T1 were compared with the original design (TR). Dimensional stability was measured using trueness and precision. Deviations from TR to T1 were calculated in the three space axes and by measuring the area between three reference landmarks. At T0, the FL group showed the best trueness and precision, while the SR group performed significantly worse than the other groups. At T1, all the groups except VC exhibited significant dimensional alterations compared with T0. Also, VC showed the best trueness and precision values. All the groups had a significant deviation in at least one space axis, while only the SR group exhibited significant variations from T1 to TR in the area between the reference landmarks. Most of the evaluated resin/3D printer combinations suffered significant dimensional alterations after autoclaving.

摘要

本研究的目的是评估高压灭菌对使用不同树脂/打印方法制作的美学牙冠延长术(ACL)手术导板(SGs)尺寸稳定性的影响。使用五种不同的树脂/打印机组合(FL、SR、ND、KS和VC)打印了50个用于ACL的SGs。所有SGs在灭菌前(T0)和灭菌后(T1)均进行了扫描。在134°C下进行4分钟的高压灭菌。将每个SG在T0和T1时的STL文件与原始设计(TR)进行比较。使用准确性和精确性来测量尺寸稳定性。计算从TR到T1在三个空间轴上的偏差,并通过测量三个参考标志之间的面积来计算偏差。在T0时,FL组显示出最佳的准确性和精确性,而SR组的表现明显比其他组差。在T1时,与T0相比,除VC组外的所有组均表现出明显的尺寸变化。此外,VC组显示出最佳的准确性和精确性值。所有组在至少一个空间轴上都有明显偏差,而只有SR组在参考标志之间的面积上从T1到TR表现出明显变化。大多数评估的树脂/3D打印机组合在高压灭菌后都出现了明显的尺寸变化。

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本文引用的文献

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Impact of Autoclaving on the Dimensional Stability of 3D-Printed Guides for Orthodontic Mini-Implant Insertion - An In Vitro Study.高压蒸汽灭菌对正畸微型种植体植入用3D打印导板尺寸稳定性的影响——一项体外研究
Clin Exp Dent Res. 2025 Feb;11(1):e70111. doi: 10.1002/cre2.70111.
2
The Effects of Light Crystal Display 3D Printers, Storage Time and Steam Sterilization on the Dimensional Stability of a Photopolymer Resin for Surgical Guides: An In Vitro Study.光晶体显示器3D打印机、储存时间和蒸汽灭菌对手术导板用光敏聚合物树脂尺寸稳定性的影响:一项体外研究。
Materials (Basel). 2025 Jan 21;18(3):474. doi: 10.3390/ma18030474.
3
Accuracy of Guided Dual Technique in Esthetic Crown Lengthening: A Prospective Case-Series Study.
美学牙冠延长术中引导双重技术的准确性:一项前瞻性病例系列研究。
J Esthet Restor Dent. 2025 Jun;37(6):1284-1296. doi: 10.1111/jerd.13405. Epub 2025 Jan 14.
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Effect of Storage Conditions and Time on the Dimensional Stability of 3D Printed Surgical Guides: An In Vitro Study.储存条件和时间对3D打印手术导板尺寸稳定性的影响:一项体外研究
Clin Oral Implants Res. 2025 Jan;36(1):92-99. doi: 10.1111/clr.14362. Epub 2024 Sep 25.
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Accuracy of surgical guides manufactured with four different 3D printers. A comparative in vitro study.使用四种不同3D打印机制造的手术导板的准确性。一项体外比较研究。
J Dent. 2024 Sep;148:105226. doi: 10.1016/j.jdent.2024.105226. Epub 2024 Jul 4.
6
Digital resources for surgical and restorative treatment of excessive gingival display in one session.一次性手术和修复治疗过度牙龈显露的数字化资源。
J Esthet Restor Dent. 2024 Dec;36(12):1596-1603. doi: 10.1111/jerd.13269. Epub 2024 Jun 4.
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Effects of sterilization and disinfection methods on digitally designed surgical implant guide accuracy: An in vitro study.消毒方法对数字化设计手术植入导板精度的影响:一项体外研究。
Clin Implant Dent Relat Res. 2024 Oct;26(5):889-898. doi: 10.1111/cid.13350. Epub 2024 May 29.
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Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials.计算机辅助静态、动态和机器人辅助手术中植入物放置的准确性:临床试验的系统评价和荟萃分析。
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