Evaluating the accuracy (trueness and precision) of interim crowns manufactured using digital light processing according to post-curing time: An in vitro study

Influence of different post-processing methods on the dimensional accuracy of 3D-printed photopolymers for dental crown applications - A systematic review

OBJECTIVES

To perform a systematic review that provides an overview of the current literature on the influence of different post-processing methods on the accuracy of additive-manufactured (3D-printed) photopolymer crown materials, and whether more research is needed.

MATERIALS AND METHODS

The search used three online databases, Ovid (MEDLINE), Scopus and Web of Science which were screen for publications that involved assessing dimensional accuracy in post-processing of 3D printed dental crown materials. Publications that were literature reviews, abstracts, written in a language different from English, or publications that did not assess dimensional accuracy were excluded.

RESULTS

The included articles were published between 1995 and 2023. After the removal of duplicates using Endnote, 135 studies remained for further screening, 13 were selected for full-text analysis, and 7 studies were included in the systematic review. A total of 7 articles were examined and categorised based on several factors, such as the type of material, number of specimens per group, print layer thickness, print angle of specimens, 3D printer used, properties of the specimens studied, and the method of analysing the accuracy of the specimens.

CONCLUSION

It was found that post-processing washing times outside the prescribed instruction for use (IFU) may have an impact on the physical and biocompatibility characteristics of the material. Studies focusing on inert mediums during post-processing require more detailed investigation. The use of different post-curing conditions does not significantly affect the materials dimensional accuracy.

3D Printing of Dental Prostheses: Current and Emerging Applications

Revolutionary fabrication technologies such as three-dimensional (3D) printing to develop dental structures are expected to replace traditional methods due to their ability to establish constructs with the required mechanical properties and detailed structures. Three-dimensional printing, as an additive manufacturing approach, has the potential to rapidly fabricate complex dental prostheses by employing a bottom-up strategy in a layer-by-layer fashion. This new technology allows dentists to extend their degree of freedom in selecting, creating, and performing the required treatments. Three-dimensional printing has been narrowly employed in the fabrication of various kinds of prostheses and implants. There is still an on-demand production procedure that offers a reasonable method with superior efficiency to engineer multifaceted dental constructs. This review article aims to cover the most recent applications of 3D printing techniques in the manufacturing of dental prosthetics. More specifically, after describing various 3D printing techniques and their advantages/disadvantages, the applications of 3D printing in dental prostheses are elaborated in various examples in the literature. Different 3D printing techniques have the capability to use different materials, including thermoplastic polymers, ceramics, and metals with distinctive suitability for dental applications, which are discussed in this article. The relevant limitations and challenges that currently limit the efficacy of 3D printing in this field are also reviewed. This review article has employed five major scientific databases, including Google Scholar, PubMed, ScienceDirect, Web of Science, and Scopus, with appropriate keywords to find the most relevant literature in the subject of dental prostheses 3D printing.

Antifungal activity, mechanical properties, and accuracy of three-dimensionally printed denture base with microencapsulated phytochemicals on varying post-polymerization time

BACKGROUND

Studies on the antifungal activity, flexural strength, Vickers hardness, and intaglio surface trueness of three-dimensionally printed (3DP) denture bases with microencapsulated phytochemicals with respect to changes in post-polymerization time (PPT) are lacking.

METHODS

Specimens of various shapes and dimensions were fabricated with a 3DP denture base resin mixed with 5 wt% phytoncide-filled microcapsules. Each specimen was subjected to different PPT protocols of 5, 10, 20, and 30 min. Specimens without microcapsules with 5-min PPT were used as the negative control group. Cell colonies were counted to evaluate antifungal activity. Three-point bending and Vickers hardness tests were performed to measure the flexural strengths and hardness of the specimens. Fourier-transform infrared spectrometry was used to inspect the degree of conversion (DC). The intaglio surface trueness was measured using root-mean-square estimates calculated by superimposition analysis. A non-parametric Kruskal-Wallis test or one-way analysis of variance was performed (α = 0.05).

RESULTS

The specimens with microcapsules and 10-min PPT showed the highest antifungal activity among the tested groups. Compared with the positive control group (5-min PPT), the specimens with PPTs of 10 min or longer showed significantly higher mean flexural strength, higher DC, greater hardness, and better trueness (all, P < 0.05). Except for the difference in antifungal activity, no statistically significant differences were detected between the specimens subjected to 10-, 20-, and 30-min PPT.

CONCLUSION

The 3DP denture base filled with microencapsulated phytoncide showed different antifungal activity and physical properties on changing PPT. The 3DP denture base containing phytoncide-filled microcapsules at 5 wt% concentration and subjected to 10-min PPT exhibited sufficient antifungal activity as well as mechanical properties and accuracy within clinical acceptance.

Additively Manufactured Surgical Implant Guides: A Review

Static computer assisted implant surgery (s-CAIS) is an integral part of the digital workflow in implant dentistry and provides the link between the virtual planning environment and surgical field. The accuracy of s-CAIS is influenced by many cumulative factors including the fit of the template which is related to the manufacturing process. This critical review provides an overview of the current research on additively manufactured surgical implant guides.

Extended Post-Curing Light Exposure and Sandblasting Effects on Surface Hydrophobicity of 3D-Printed Denture Base Resin

This in vitro study evaluated the surface hydrophobicity of 3D-printed denture base resin exposed to either an extended post-curing light exposure time or a sandblasting procedure. MATERIALS AND METHODS: Disk-shaped samples (diameter × height: 10 mm × 3 mm) were 3D-printed with stereolithography SLA technology using the denture-base resin. Samples were divided into three groups: control, extended UV-post-curing, and sandblasted. The surface roughness parameters for each group were calculated, and the surface hydrophobicity was evaluated by measuring the drop contact angle. Analysis was done using the T-test; significance was when p < 0.05. RESULTS: The comparison of surface roughness parameters showed significant differences between the control group and the sandblasted group (Sa: p = 0.001, Sz: p < 0.001, Str: p < 0.001, Spc: p = 0.044) as well as between the extended-cure group and the sandblasted group (Sa: p = 0.006, Sz: p < 0.001, Str: p < 0.001, Spc: p = 0.036) except for the Sdr measures. The surface hydrophobicity was also statistically lower in the sandblasted group compared to both the control and extended curing groups (p < 0.001). CONCLUSION: The sandblasting procedure created a less hydrophobic surface of the 3D-printed denture base resin, and the altered surface roughness could be a contributor to this observation.

Influence of 3D analysis software on measured deviations of CAD-CAM resin crowns from virtual design file: an in-vitro study

OBJECTIVES

To evaluate a nonmetrology-grade and a metrology-grade 3D analysis software when measuring the deviations of CAD-CAM fabricated crowns from the virtual design file.

MATERIALS AND METHODS

A right first molar on a mandibular dentate model was prepared and scanned by using an intraoral scanner, i500 (Medit). A complete coverage crown was designed in standard tessellation language format and 20 resin crowns were fabricated by using computer aided design-computer aided manufacturing (CAD-CAM). The crowns were then digitized by using the same intraoral scanner (test-scans). Root mean square (RMS) method was used to evaluate the deviations between the test-scans and the design file of the crowns on 3 surfaces (overall, external, and internal) by using a metrology-grade, Geomagic Control X (3D Systems) and a nonmetrology-grade, Medit Link (Medit) software. The data were analyzed with Welch two-sample t-tests to compare two software for the non-inferiority of the nonmetrology-grade software with a 50 µm threshold and the potential superiority of the metrology-grade software (α = 0.05).

RESULTS

The Welch two-sample t-tests for the non-inferiority analysis showed that the differences between the nonmetrology-grade and the metrology-grade software were below the threshold of 50 µm for each surface tested (p <.001). The differences between the two-tested software were nonsignificant for each surface analyzed when superiority was considered (p ≥.194).

CONCLUSION

The nonmetrology-grade software performed similar to the metrology-grade software when analyzing the deviations of CAD-CAM crowns. Therefore, the nonmetrology-grade 3D analysis software may be considered for the deviation measurements of similar restorations.

CLINICAL SIGNIFICANCE

The trueness of crowns after fabrication may affect their fit, and 3D analysis of trueness prior to the delivery appointment with the tested nonmetrology-grade software after fabrication may facilitate potential clinical adjustments and delivery of the crowns.