Dimensional precision of implant-supported frameworks fabricated by 3D printing.

Autor: Presotto AGC; Doctoral student, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, Brazil., Barão VAR; Assistant Professor, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, Brazil. Electronic address: vbarao@unicamp.br., Bhering CLB; Assistant Professor, Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil., Mesquita MF; Professor, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, Brazil.
Jazyk: angličtina
Zdroj: The Journal of prosthetic dentistry [J Prosthet Dent] 2019 Jul; Vol. 122 (1), pp. 38-45. Date of Electronic Publication: 2019 Mar 25.
DOI: 10.1016/j.prosdent.2019.01.019
Abstrakt: Statement of Problem: Selective laser melting (SLM) is a promising additive technology for clinical practice, but data on dimensional precision assessed by marginal fit combined with stress and strain investigations of implant-supported fixed partial dentures (FPDs) are lacking.
Purpose: The purpose of this in vitro study was to verify whether the SLM additive manufacturing technology provides better dimensional precision for 3-unit FPD frameworks than subtractive manufacturing with soft metal block (SMB) milling and the standard casting technique.
Material and Methods: Thirty 3-unit implant-supported FPDs with Co-Cr frameworks were made by the casting, SMB milling, and SLM methods (n=10). The marginal fit between the framework and the implant abutment was evaluated with photoelastic (PH) and strain gauge (SG) models. Stress and strain in the implant-supported system were measured by quantitative PH and SG analyses after prosthetic screw tightening. Data were subjected to the Kruskal-Wallis test, Mann-Whitney U test, and Spearman correlation test (α=.05).
Results: The framework manufacturing method affected the marginal fit (P<.001), stress, and strain values (P<.05). The SLM group showed the best mean ±standard deviation marginal fit (μm) (PH model: 8.4 ±3.2; SG model: 6.9 ±2.1) in comparison with SMB milling (PH model: 42.3 ±15.7; SG model: 41.3 ±15.3) and casting (PH model: 43.5 ±27.8; SG model: 41.3 ±24.6) (P<.05). SLM showed lower mean ±standard deviation stress and strain values (60.3 ±11.6 MPa; 91.4 ±11.1 μstrain) than casting (225.5 ±142.8 MPa; 226.95 ±55.4 μstrain) and SMB milling (218.6 ±101.7 MPa; 289.7 ±89.3 μstrain) (P<.05). A positive correlation was observed between fit and stress or strain for all groups (P<.05).
Conclusions: Three-unit FPD frameworks made using the SLM technology showed better dimensional precision than those obtained with the casting or SMB milling methods.
(Copyright © 2019 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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