数字化与传统全口义齿基托的适合性评价

doi:10.19439/j.sjos.2024.05.005

上海口腔医学 ›› 2024, Vol. 33 ›› Issue (5): 471-475.doi: 10.19439/j.sjos.2024.05.005

数字化与传统全口义齿基托的适合性评价

林瑞, 周曼莉, 闵敏, 张献芳^*, 钱文昊^*

徐汇区牙病防治所, 上海 200032

收稿日期:2023-08-07 修回日期:2023-12-07 出版日期:2024-10-25 发布日期:2024-11-14
通讯作者: 张献芳,E-mail: zxf0524@163.com;钱文昊,E-mail: pingyanlaoto@163.com。^*共同通信作者
作者简介:林瑞（1993-）,女,硕士,主治医师 E-mail: dianelin3@163.com
基金资助:
上海市徐汇区牙病防治院级课题（SHXYF201901）

Evaluation of the trueness and tissue surface adaptation of digital and traditional complete denture bases

LIN Rui, ZHOU Man-li, MIN Min, ZHANG Xian-fang, QIAN Wen-hao

Dental Disease Control Institute, Xuhui District. Shanghai 20032, China

Received:2023-08-07 Revised:2023-12-07 Online:2024-10-25 Published:2024-11-14

摘要/Abstract

摘要： 目的： 通过数据收集和分析,对比切削全口义齿、三维打印全口义齿与传统全口义齿基托组织面的适合性。方法： 随机选取3例全口义齿石膏模型,每个模型均制作3副全口义齿—切削义齿、三维打印义齿和传统全口义齿,分为试验组（切削组、打印组）和对照组（传统组）。口外光学扫描模型组织面和全口义齿基托组织面,获得三维数字化模型和三维数字化组织面。通过三维逆向工程软件Geomagic Studio12.0,将获得的模型与组织面信息拟合。在全口义齿中选取8个区域,每个区域随机选取10个点,计算每个区域的偏差绝对值平均值,代表该区的平均偏差值（mean deviation,Dm）。采用SPSS 22.0软件包对3组共24个区域的Dm进行统计学分析。结果： 切削组偏差值为（0.056±0.025） mm,打印组偏差值为（0.103±0.038） mm,传统组偏差值为（0.096±0.039） mm,3组偏差值差异显著（P<0.05）。切削组适合性优于传统组（P<0.05）,打印组适合性劣于传统组,但差异无统计学意义（P>0.05）。结论： 切削全口义齿的适合性优于传统义齿,三维打印全口义齿适合性相比传统全口义齿无明显优势。

关键词: 全口义齿, 数字化义齿, 适合性

Abstract: PURPOSE: To compare the trueness of the tissue surface of the complete denture base among the digital cutting complete denture, the digital 3D printing complete denture and the conventional complete denture. METHODS: Three edentulous patients were selected, and three complete dentures were made for each case. Cutting dentures (cutting group), 3D printed dentures(printing group) were considered as the experimental groups, traditional dentures (traditional group) were considered as the control group. The tissue surface of complete denture model and denture base were scanned and their 3D data were obtained. Geomagic software was used to fit the model information with the tissue surface information of the denture base. A total of 8 regions were selected in the upper and lower complete dentures, and 10 points were randomly selected in each region. The average value of the absolute deviation value(Dm) of each region was calculated. SPSS 22.0 software package was used to analyze the Dm in a total of 24 regions of the three pairs of dentures. RESULTS: The absolute mean deviation was (0.056±0.025) mm in the cutting group, (0.103±0.038) mm in the printing group, and (0.096±0.039) mm in the traditional group, which were significantly different among the three groups(P<0.05). The trueness of the ablation group was better than that of the conventional group, and the difference was significant (P<0.05). The trueness of the printing group was worse than that of the traditional group, and the difference was not significant(P>0.05). CONCLUSIONS: The trueness of cutting dentures is better than that of traditional dentures, while the trueness of 3D printed dentures is not significantly better than that of traditional dentures.

Key words: Complete denture, Digital denture, Adaption

中图分类号:

R783.6

林瑞, 周曼莉, 闵敏, 张献芳, 钱文昊. 数字化与传统全口义齿基托的适合性评价[J]. 上海口腔医学, 2024, 33(5): 471-475.

LIN Rui, ZHOU Man-li, MIN Min, ZHANG Xian-fang, QIAN Wen-hao. Evaluation of the trueness and tissue surface adaptation of digital and traditional complete denture bases[J]. Shanghai Journal of Stomatology, 2024, 33(5): 471-475.

参考文献

[1] Infante L, Yilmaz B, McGlumphy E, et al. Fabricating complete dentures with CAD/CAM technology[J]. J Prosthet Dent, 2014, 111(5): 351-355.
[2] Wang C, Shi YF, Xie PJ, et al.Accuracy of digital complete dentures: a systematic review of in vitro studies[J]. J Prosthet Dent, 2021, 125(2): 249-256.
[3] Kalberer N, Mehl A, Schimmel M, et al.CAD-CAM milled versus rapidly prototyped (3D-Printed) complete dentures: an in vitro evaluation of trueness[J]. J Prosthet Dent, 2019, 121(4): 637-643.
[4] Takeda Y, Lau J, Nouh H, et al.A 3D printing replication technique for fabricating digitaldentures[J]. J Prosthet Dent, 2020, 124(3): 251-256.
[5] Tasaka A, Matsunaga S, Odaka K, et al.Accuracy and retention of denture base fabricated by heat curing and additive manufacturing[J]. J Prosthodont Res, 2019, 63(1): 85-89.
[6] Alhelal A, Alrumaih HS, Kattadiyil MT, et al.Comparison of retention between maxillary milled and conventional denture bases: a clinical study[J]. J Prosthet Dent, 2017, 117(2): 233-238.
[7] Bidra AS, Farrell K, Burnham D, et al. Prospective cohort pilot study of 2-visit CAD/CAM monolithic complete dentures and implant-retained overdentures: clinical and patient-centered outcomes[J]. J Prosthet Dent, 2016, 115(5): 578-586.e1.
[8] Jacob RF.The traditional therapeutic paradigm: complete denture therapy[J]. J Prosthet Dent, 1998, 79(1): 6-13.
[9] Inokoshi M, Kanazawa M, Minakuchi S.Evaluation of a complete denture trial method applying rapid prototyping[J]. Dent Mater J, 2012, 31(1): 40-46.
[10] Kattadiyil MT, Jekki R, Goodacre CJ, et al.Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting[J]. J Prosthet Dent, 2015, 114(6): 818-825.
[11] Srinivasan M, Gjengedal H, Cattani-Lorente M, et al.CAD/CAM milled complete removable dental prostheses: an in vitro evaluation of biocompatibility, mechanical properties, and surface roughness[J]. Dent Mater J, 2018, 37(4): 526-533.
[12] Arslan M, Murat S, Alp G, et al.Evaluation of flexural strength and surface properties of prepolymerized CAD/CAM PMMA-based polymers used for digital 3D complete dentures[J]. Int J Comput Dent, 2018, 21(1): 31-40.
[13] Ayman AD.The residual monomer content and mechanical properties of CAD/CAM resins used in the fabrication of complete dentures as compared to heat cured resins[J]. Electron Physician, 2017, 9(7): 4766-4772.
[14] Perea-Lowery L, Minja IK, Lassila L, et al.Assessment of CAD-CAM polymers for digitally fabricated complete dentures[J]. J Prosthet Dent, 2021, 125(1): 175-181.
[15] Tasaka A, Matsunaga S, Odaka K, et al.Accuracy and retention of denture base fabricated by heat curing and additive manufacturing[J]. J Prosthodont Res, 2019, 63(1): 85-89.
[16] Alhelal A, Alrumaih HS, Kattadiyil MT, et al.Comparison of retention between maxillary milled and conventional denture bases: a clinical study[J]. J Prosthet Dent, 2017, 117(2): 233-238.
[17] Al-Dwairi ZN, Tahboub KY, Baba NZ, et al.A comparison of the surface properties of CAD/CAM and conventional polymethylmethacrylate (PMMA)[J]. J Prosthodont, 2019, 28(4): 452-457.
[18] Al-Fouzan AF, Al-Mejrad LA, Albarrag AM.Adherence of Candida to complete denture surfaces in vitro: a comparison of conventional and CAD/CAM complete dentures[J]. J Adv Prosthodont, 2017, 9(5): 402-408.
[19] Al-Qarni FD, Goodacre CJ, Kattadiyil MT, et al.Stainability of acrylic resin materials used in CAD-CAM and conventional complete dentures[J]. J Prosthet Dent, 2020, 123(6): 880-887.
[20] Steinmassl O, Dumfahrt H, Grunert I, et al.CAD/CAM produces dentures with improved fit[J]. Clin Oral Investig, 2018, 22(8): 2829-2835.
[21] Goodacre BJ, Goodacre CJ, Baba NZ, et al.Comparison of denture base adaptation between CAD/CAM and conventional fabrication techniques[J]. J Prosthet Dent, 2016, 116(2): 249-256.
[22] Yoon SN, Oh KC, Lee SJ, et al.Tissue surface adaptation of CAD-CAM maxillary and mandibular complete denture bases manufactured by digital light processing: a clinical study[J]. J Prosthet Dent, 2020, 124(6): 682-689.

数字化与传统全口义齿基托的适合性评价

Evaluation of the trueness and tissue surface adaptation of digital and traditional complete denture bases

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