대한치과기공학회지 (Journal of Technologic Dentistry)

  • 제45권2호
  • /
  • Pages.31-38
  • /
  • 2023
  • /
  • 1229-3954(pISSN)
  • /
  • 2288-5218(eISSN)
대한치과기공학회 (Korean Academy of Dental Technology)
권호 표지
DOI QR코드

DOI QR Code

다양한 CAD/CAM 제조 방식으로 제작한 3본 고정성 임시 치과 보철물의 정확도 비교

Accuracy comparison of 3-unit fixed dental provisional prostheses fabricated by different CAD/CAM manufacturing methods

  • 이혁준 (고려대학교 일반대학원 보건과학과 치의기공학전공) ;
  • 이하빈 (고려대학교 일반대학원 보건과학과 치의기공학전공) ;
  • 노미준 (고려대학교 일반대학원 보건과학과 치의기공학전공) ;
  • 김지환 (고려대학교 일반대학원 보건과학과 치의기공학전공)
  • Hyuk-Joon Lee (Department of Dental Laboratory Science and Engineering, Graduate School, Korea University) ;
  • Ha-Bin Lee (Department of Dental Laboratory Science and Engineering, Graduate School, Korea University) ;
  • Mi-Jun Noh (Department of Dental Laboratory Science and Engineering, Graduate School, Korea University) ;
  • Ji-Hwan Kim (Department of Dental Laboratory Science and Engineering, Graduate School, Korea University)
  • 투고 : 2023.02.10
  • 심사 : 2023.04.05
  • 발행 : 2023.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This in vitro study aimed to compare the trueness of 3-unit fixed dental provisional prostheses (FDPs) fabricated by three different additive manufacturing and subtractive manufacturing procedures. Methods: A reference model with a maxillary left second premolar and the second molar prepped and the first molar missing was scanned for the fabrication of 3-unit FDPs. An anatomically shaped 3-unit FDP was designed on computer-aided design software. 10 FDPs were fabricated by subtractive (MI group) and additive manufacturing (stereolithography: SL group, digital light processing: DL group, liquid crystal displays: LC group) methods, respectively (N=40). All FDPs were scanned and exported to the standard triangulated language file. A three-dimensional analysis program measured the discrepancy of the internal, margin, and pontic base area. As for the comparison among manufacturing procedures, the Kruskal-Wallis test and the Mann-Whitney test with Bonferroni correction were evaluated statistically. Results: Regarding the internal area, the root mean square (RMS) value of the 3-unit FDPs was the lowest in the MI group (31.79±6.39 ㎛) and the highest in the SL group (69.34±29.88 ㎛; p=0.001). In the marginal area, those of the 3-unit FDPs were the lowest in the LC group (25.39±4.36 ㎛) and the highest in the SL group (48.94±18.98 ㎛; p=0.001). In the pontic base area, those of the 3-unit FDPs were the lowest in the LC group (8.72±2.74 ㎛) and the highest in the DL group (20.75±2.03 ㎛; p=0.001). Conclusion: A statistically significant difference was observed in the RMS mean values of all the groups. However, in comparison to the subtractive manufacturing method, all measurement areas of 3-unit FDPs fabricated by three different additive manufacturing methods are within a clinically acceptable range.

키워드

참고문헌

  1. Kang SY, Park JH, Kim JH, Kim WC. Accuracy of provisional crowns made using stereolithography apparatus and subtractive technique. J Adv Prosthodont. 2018;10:354-360.  https://doi.org/10.4047/jap.2018.10.5.354
  2. Ehrenberg D, Weiner GI, Weiner S. Long-term effects of storage and thermal cycling on the marginal adaptation of provisional resin crowns: a pilot study. J Prosthet Dent 2006;95:230-236.  https://doi.org/10.1016/j.prosdent.2005.12.012
  3. Rakhshan V. Marginal integrity of provisional resin restoration materials: a review of the literature. Saudi J Dent Res. 2015;6:33-40.  https://doi.org/10.1016/j.sjdr.2014.03.002
  4. Tom TN, Uthappa MA, Sunny K, Begum F, Nautiyal M, Tamore S. Provisional restorations: an overview of materials used. J Adv Clin Res Insights. 2016;3:212-214.  https://doi.org/10.15713/ins.jcri.141
  5. Alharbi N, Osman R, Wismeijer D. Effects of build direction on the mechanical properties of 3D-printed complete coverage interim dental restorations. J Prosthet Dent. 2016;115:760-767.  https://doi.org/10.1016/j.prosdent.2015.12.002
  6. Abdullah AO, Tsitrou EA, Pollington S. Comparative in vitro evaluation of CAD/CAM vs conventional provisional crowns. J Appl Oral Sci. 2016;24:258-263.  https://doi.org/10.1590/1678-775720150451
  7. Beuer F, Schweiger J, Edelhoff D. Digital dentistry: an overview of recent developments for CAD/CAM generated restorations. Br Dent J. 2008;204:505-511.  https://doi.org/10.1038/sj.bdj.2008.350
  8. van Noort R. The future of dental devices is digital. Dent Mater. 2012;28:3-12.  https://doi.org/10.1016/j.dental.2011.10.014
  9. Khaledi AA, Farzin M, Akhlaghian M, Pardis S, Mir N. Evaluation of the marginal fit of metal copings fabricated by using 3 different CAD-CAM techniques: milling, stereolithography, and 3D wax printer. J Prosthet Dent. 2020;124:81-86.  https://doi.org/10.1016/j.prosdent.2019.09.002
  10. Lee WS, Lee DH, Lee KB. Evaluation of internal fit of interim crown fabricated with CAD/CAM milling and 3D printing system. J Adv Prosthodont. 2017;9:265-270.  https://doi.org/10.4047/jap.2017.9.4.265
  11. Torabi K, Farjood E, Hamedani S. Rapid prototyping technologies and their applications in prosthodontics, a review of literature. J Dent (Shiraz). 2015;16:1-9. 
  12. Choi EJ, Kim SA, Bae JY, Kwon YJ, Lee KH. A study on the state-of-the-art of 3D printers. Proc Korean Soc Comput Inf Conf. 2013;21:385-388. 
  13. Kang W, Lee HK. A study of three-dimensional evaluation of the accuracy of resin provisional restorations fabricated with the DLP printer. J Korean Acad Dent Technol. 2020;42:35-41.  https://doi.org/10.14347/kadt.2020.42.1.35
  14. Lee JS, LEE JJ. A study on the development of fashion design based on FDM 3D printing. J Korean Soc Fash Des. 2016;16:101-115.  https://doi.org/10.18652/2016.16.1.7
  15. Moon W, Kim S, Lim BS, Park YS, Kim RJ, Chung SH. Dimensional accuracy evaluation of temporary dental restorations with different 3D printing systems. Materials (Basel). 2021;14:1487. 
  16. Jo KH, Jang HS, Ha YM, Lee SH. Development of high-performance, low-cost 3D printer using LCD and UVLED. J Korean Soc Precis Eng. 2015;32:917-923.  https://doi.org/10.7736/KSPE.2015.32.10.917
  17. Kim HD. Application of 3D printer in dental clinic. J Korean Acad Esthet Dent. 2018;27:82-96.  https://doi.org/10.5933/JKAPD.2018.45.1.82
  18. Yu BY, Son K, Lee KB. Evaluation of intaglio surface trueness and margin quality of interim crowns in accordance with the build angle of stereolithography apparatus 3-dimensional printing. J Prosthet Dent. 2021;126:231-237.  https://doi.org/10.1016/j.prosdent.2020.04.028
  19. Alharbi N, Alharbi S, Cuijpers VMJI, Osman RB, Wismeijer D. Three-dimensional evaluation of marginal and internal fit of 3D-printed interim restorations fabricated on different finish line designs. J Prosthodont Res. 2018;62:218-226.  https://doi.org/10.1016/j.jpor.2017.09.002
  20. Grajower R, Zuberi Y, Lewinstein I. Improving the fit of crowns with die spacers. J Prosthet Dent. 1989;61:555-563.  https://doi.org/10.1016/0022-3913(89)90275-8
  21. Hung SH, Hung KS, Eick JD, Chappell RP. Marginal fit of porcelain-fused-to-metal and two types of ceramic crown. J Prosthet Dent. 1990;63:26-31.  https://doi.org/10.1016/0022-3913(90)90260-J
  22. Huh JB, Park CG, Kim HY, Park CK, Shin SW. Evaluation using replica technique on the marginal and internal fitness of zirconia cores by several CAD/CAM systems. J Korean Acad Prosthodont. 2010;48:135-142.  https://doi.org/10.4047/jkap.2010.48.2.135
  23. Lee H, Lee DH, Lee KB. In vitro evaluation methods on adaptation of fixed dental prosthesis. J Dent Rehabil Appl Sci. 2017;33:63-70.  https://doi.org/10.14368/jdras.2017.33.2.63
  24. Kim RJ, Park JM, Shim JS. Accuracy of 9 intraoral scanners for complete-arch image acquisition: a qualitative and quantitative evaluation. J Prosthet Dent. 2018;120:895-903.e1.  https://doi.org/10.1016/j.prosdent.2018.01.035
  25. Hamza TA, Ezzat HA, El-Hossary MM, Katamish HA, Shokry TE, Rosenstiel SF. Accuracy of ceramic restorations made with two CAD/CAM systems. J Prosthet Dent. 2013;109:83-87.  https://doi.org/10.1016/S0022-3913(13)60020-7
  26. Cho BM, Lee DJ. A study on cutting characteristics according to cutting direction in ball-end milling. Trans Korean Soc Mach Tool Eng. 2007;16:191-197. 
  27. Cho BM, Yoo IS, Lee DJ. A study on the geometric characteristics according to semi-cylindrical tool path in ball-end milling. Paper presented at: Annual Spring Conferences of the 2009 Korean Society of Machine Tool Engineers; 2009 May 7-8; Seoul, Korea. Seoul: Korean Society of Manufacturing Technology Engineers, 2009. p. 362-367. 
  28. Schaefer O, Kuepper H, Thompson GA, Cachovan G, Hefti AF, Guentsch A. Effect of CNC-milling on the marginal and internal fit of dental ceramics: a pilot study. Dent Mater. 2013;29:851-858.  https://doi.org/10.1016/j.dental.2013.04.018
  29. Shin GS, Kweon HK, Kang YG. The influence of experiment variables on DLP 3D printing using ART resin. J Korean Soc Manuf Process Eng. 2017;16:101-108.  https://doi.org/10.14775/ksmpe.2017.16.6.101
  30. Shin GS, Kweon HK, Kang YG. Study on hardness of DLP 3D printer according to wavelength and light power. Paper presented at: 2018 Korean Society of Manufacturing Process Engineers Spring Conference; 2018 Apr 19-20; Yeosu, Korea. Daegu: Korean Society of Manufacturing Process Engineers, 2018. p. 182. 
  31. Noh MJ, Lee HB, Kim JH. Evaluation of marginal and internal accuracy of provisional crowns manufactured using digital light processing three-dimensional printer. J Tech Dent. 2022;44:31-37.  https://doi.org/10.14347/jtd.2022.44.2.31
  32. Kim CM, Kim SR, Kim JH, Kim HY, Kim WC. Trueness of milled prostheses according to number of ball-end mill burs. J Prosthet Dent. 2016;115:624-629.  https://doi.org/10.1016/j.prosdent.2015.10.014
  33. Kim DY, Jeon JH, Kim JH, Kim HY, Kim WC. Reproducibility of different arrangement of resin copings by dental microstereolithography: evaluating the marginal discrepancy of resin copings. J Prosthet Dent. 2017;117:260-265.  https://doi.org/10.1016/j.prosdent.2016.07.007
  34. Berger U. Aspects of accuracy and precision in the additive manufacturing of plastic gears. Virtual Phys Prototyp. 2015;10:49-57.  https://doi.org/10.1080/17452759.2015.1026127
  35. Christensen GJ. The state of fixed prosthodontic impressions: room for improvement. J Am Dent Assoc. 2005;136:343-346.  https://doi.org/10.14219/jada.archive.2005.0175
  36. Ahn JJ, Huh JB, Choi JW. In vitro evaluation of the wear resistance of provisional resin materials fabricated by different methods. J Korean Acad Prosthodont. 2019;57:110-117.  https://doi.org/10.4047/jkap.2019.57.2.110
  37. Cho WT, Choi JW. Comparison analysis of fracture load and flexural strength of provisional restorative resins fabricated by different methods. J Korean Acad Prosthodont. 2019;57:225-231.  https://doi.org/10.4047/jkap.2019.57.3.225
  38. McLean JW. Polycarboxylate cements. Five years' experience in general practice. Br Dent J. 1972;132:9-15.  https://doi.org/10.1038/sj.bdj.4802795
  39. Assif D, Rimer Y, Aviv I. The flow of zinc phosphate cement under a full-coverage restoration and its effect on marginal adaptation according to the location of cement application. Quintessence Int. 1987;18:765-774. 
  40. Gulker I. Margins. N Y State Dent J. 1985;51:213-215, 217.  https://doi.org/10.1055/s-2007-969460
  41. Kim DY, Kim JH, Kim HY, Kim WC. Comparison and evaluation of marginal and internal gaps in cobalt-chromium alloy copings fabricated using subtractive and additive manufacturing. J Prosthodont Res. 2018;62:56-64.  https://doi.org/10.1016/j.jpor.2017.05.008
  42. Pyo SW, Lee JJ, Han JS, Lim YJ. Study on methodology for the assessment of internal and marginal adaptation on fixed dental prosthesis. J Dent Rehabil Appl Sci. 2016;32:158-168.  https://doi.org/10.14368/jdras.2016.32.3.158
  43. Stappert CF, Dai M, Chitmongkolsuk S, Gerds T, Strub JR. Marginal adaptation of three-unit fixed partial dentures constructed from pressed ceramic systems. Br Dent J. 2004;196:766-770; discussion 760, quiz 780.  https://doi.org/10.1038/sj.bdj.4811390
  44. Tinschert J, Natt G, Mautsch W, Spiekermann H, Anusavice KJ. Marginal fit of alumina-and zirconia-based fixed partial dentures produced by a CAD/CAM system. Oper Dent. 2001;26:367-374. 
  45. Groten M, Axmann D, Probster L, Weber H. Determination of the minimum number of marginal gap measurements required for practical in-vitro testing. J Prosthet Dent. 2000;83:40-49.  https://doi.org/10.1016/S0022-3913(00)70087-4
  46. Kim JH, Jeong JH, Lee JH, Cho HW. Fit of lithium disilicate crowns fabricated from conventional and digital impressions assessed with micro-CT. J Prosthet Dent. 2016;116:551-557.  https://doi.org/10.1016/j.prosdent.2016.03.028
  47. Bae SY, Park JY, Jeong ID, Kim HY, Kim JH, Kim WC. Three-dimensional analysis of marginal and internal fit of copings fabricated with polyetherketoneketone (PEKK) and zirconia. J Prosthodont Res. 2017;61:106-112.  https://doi.org/10.1016/j.jpor.2016.07.005
  48. Kim KB, Jung JK, Kim JH. Accuracy of digital impression made from different elastomeric impression materials: three-dimensional superimpositional analysis. J Dent Hyg Sci. 2014;14:94-100. 
  49. Schaefer O, Watts DC, Sigusch BW, Kuepper H, Guentsch A. Marginal and internal fit of pressed lithium disilicate partial crowns in vitro: a three-dimensional analysis of accuracy and reproducibility. Dent Mater. 2012;28:320-326. https://doi.org/10.1016/j.dental.2011.12.008