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1.
PeerJ ; 12: e17646, 2024.
Article in English | MEDLINE | ID: mdl-39071130

ABSTRACT

Background: With the increasing application of guided endodontics to treat complex root canal treatment, the entire process of root canal treatment has become more precise, reducing damage to tooth structure and improving success rates. However, due to the limitations of the operating space, the use of guided endodontic templates in posterior root canal treatment is less common. This study aims to compare the accuracy and reliability of selective laser melting (SLM) and traditional stereolithography etching (SLA) guided endodontic templates for posterior root canals, providing better treatment strategies for posterior root canal treatment. Methods: The teeth were randomly assigned to either SLM or SLA group. Preoperative cone-beam computed tomography (CBCT) and a three-dimensional (3D) scanner were used to establish the 3D root canal system and the accurate occlusal models of the teeth. The virtual access to the canal access was designed using Mimics 19.0 and 3-Matic 11.0. The endodontic access was performed based on either SLM or SLA templates. The accuracy of endodontic preparation was measured in three-dimensions by calculating deviations from planned accesses. The template height and tooth substance loss rates in each group were measured. Results: SLM-guided templates have a low average deviation at the entry point and apical portion of the bur of total posterior teeth (including premolars and molars) and individual molars (P < 0.05). Moreover, there was a significant difference in angular deviations and height of template in total posterior teeth and individual molars (P < 0.05). The mean substance loss rate of the SLA group was slightly greater than that of the SLM group, but the difference was not statistically (P > 0.05). Conclusions: SLM-guided endodontics provides a more predictable and precise location of root canal orifice for the treatment of posterior teeth.


Subject(s)
Cone-Beam Computed Tomography , Lasers , Stereolithography , Humans , Cone-Beam Computed Tomography/methods , Imaging, Three-Dimensional/methods , Root Canal Therapy/methods , Reproducibility of Results , Root Canal Preparation/methods , Molar/diagnostic imaging
2.
Mikrochim Acta ; 191(8): 442, 2024 07 02.
Article in English | MEDLINE | ID: mdl-38954238

ABSTRACT

In stereolithographic (SLA) 3D printing, objects are constructed by exposing layers of photocurable resin to UV light. It is a highly user-friendly fabrication method that opens a possibility for technology sharing through CAD file online libraries. Here, we present a prototyping procedure of a microfluidics-enhanced dot-blot device (Affiblot) designed for simple and inexpensive screening of affinity molecule characteristics (antibodies, oligonucleotides, cell receptors, etc.). The incorporation of microfluidic features makes sample processing user-friendly, less time-consuming, and less laborious, all performed completely on-device, distinguishing it from other dot-blot devices. Initially, the Affiblot device was fabricated using CNC machining, which required significant investment in manual post-processing and resulted in low reproducibility. Utilization of SLA 3D printing reduced the amount of manual post-processing, which significantly streamlined the prototyping process. Moreover, it enabled the fabrication of previously impossible features, including internal fluidic channels. While 3D printing of sub-millimeter microchannels usually requires custom-built printers, we were able to fabricate microfluidic features on a readily available commercial printer. Open microchannels in the size range 200-300 µm could be fabricated with reliable repeatability and sealed with a replaceable foil. Economic aspects of device fabrication are also discussed.


Subject(s)
Printing, Three-Dimensional , Stereolithography , Microfluidic Analytical Techniques/instrumentation , Microfluidic Analytical Techniques/methods , Humans , Lab-On-A-Chip Devices
3.
ACS Appl Bio Mater ; 7(7): 4533-4541, 2024 Jul 15.
Article in English | MEDLINE | ID: mdl-38877987

ABSTRACT

Photothermal microneedle (MN) arrays have the potential to improve the treatment of various skin conditions such as bacterial skin infections. However, the fabrication of photothermal MN arrays relies on time-consuming and potentially expensive microfabrication and molding techniques, which limits their size and translation to clinical application. Furthermore, the traditional mold-and-casting method is often limited in terms of the size customizability of the photothermal array. To overcome these challenges, we fabricated photothermal MN arrays directly via 3D-printing using plasmonic Ag/SiO2 (2 wt % SiO2) nanoaggregates dispersed in ultraviolet photocurable resin on a commercial low-cost liquid crystal display stereolithography printer. We successfully printed MN arrays in a single print with a translucent, nanoparticle-free support layer and photothermal MNs incorporating plasmonic nanoaggregates in a selective fashion. The photothermal MN arrays showed sufficient mechanical strength and heating efficiency to increase the intradermal temperature to clinically relevant temperatures. Finally, we explored the potential of photothermal MN arrays to improve antibacterial therapy by killing two bacterial species commonly found in skin infections. To the best of our knowledge, this is the first time describing the printing of photothermal MNs in a single step. The process introduced here allows for the translatable fabrication of photothermal MN arrays with customizable dimensions that can be applied to the treatment of various skin conditions such as bacterial infections.


Subject(s)
Biocompatible Materials , Materials Testing , Printing, Three-Dimensional , Silicon Dioxide , Stereolithography , Biocompatible Materials/chemistry , Biocompatible Materials/pharmacology , Silicon Dioxide/chemistry , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/administration & dosage , Particle Size , Needles , Silver/chemistry , Silver/pharmacology , Nanoparticles/chemistry , Microbial Sensitivity Tests , Escherichia coli/drug effects , Staphylococcus aureus/drug effects , Metal Nanoparticles/chemistry
4.
Clin Exp Dent Res ; 10(3): e880, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38798134

ABSTRACT

OBJECTIVE: To study the feasibility of using poly methyl methacrylate (PMMA) filament and fused deposition modeling (FDM) to manufacture denture bases via the development of a study that considers both conventional and additive-based manufacturing techniques. MATERIALS AND METHODS: Five sample groups were compared: heat and cold cured acrylic resins, CAD/CAM milled PMMA, 3D-printed PMMA (via FDM), and 3D-printed methacrylate resin (via stereolithography, SLA). All groups were subjected to mechanical testing (flexural strength, impact strength, and hardness), water sorption and solubility tests, a tooth bonding test, microbiological assessment, and accuracy of fit measurements. The performance of sample groups was referred to ISO 20795-1 and ISO/TS 19736. The data was analyzed using one-way ANOVA. RESULTS: Samples manufactured using FDM performed within ISO specifications for mechanical testing, water sorption, and solubility tests. However, the FDM group failed to achieve the ISO requirements for the tooth bonding test. FDM samples presented a rough surface finish which could ultimately encourage an undesirable high level of microbial adhesion. For accuracy of fit, FDM samples showed a lower degree of accuracy than existing materials. CONCLUSIONS: Although FDM samples were a cost-effective option and were able to be quickly manufactured in a reproducible manner, the results demonstrated that current recommended testing regimes for conventionally manufactured denture-based polymers are not directly applicable to additive-manufactured denture base polymers. Therefore, new standards should be developed to ensure the correct implementation of additive manufacturing techniques within denture-based fabrication workflow.


Subject(s)
Acrylic Resins , Computer-Aided Design , Denture Bases , Materials Testing , Polymethyl Methacrylate , Printing, Three-Dimensional , Denture Bases/microbiology , Polymethyl Methacrylate/chemistry , Acrylic Resins/chemistry , Denture Design , Humans , Feasibility Studies , Dental Materials/chemistry , Dental Bonding/methods , Surface Properties , Stereolithography , Flexural Strength , Hardness , Solubility
5.
Biomater Adv ; 161: 213885, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38743993

ABSTRACT

Essential organs, such as the heart and liver, contain a unique porous network that allows oxygen and nutrients to be exchanged, with distinct random to ordered regions displaying varying degrees of strength. A novel technique, referred to here as flow-induced lithography, was developed. This technique generates tunable anisotropic three-dimensional (3D) structures. The ink for this bioprinting technique was made of titanium dioxide nanorods (Ti) and kaolinite nanoclay (KLT) dispersed in a GelMA/PEGDA polymeric suspension. By controlling the flow rate, aligned particle microstructures were achieved in the suspensions. The application of UV light to trigger the polymerization of the photoactive prepolymer freezes the oriented particles in the polymer network. Because the viability test was successful in shearing suspensions containing cells, the flow-induced lithography technique can be used with both acellular scaffolds and cell-laden structures. Fabricated hydrogels show outstanding mechanical properties resembling human tissues, as well as significant cell viability (> 95 %) over one week. As a result of this technique and the introduction of bio-ink, a novel approach has been pioneered for developing anisotropic tissue implants utilizing low-viscosity biomaterials.


Subject(s)
Hydrogels , Printing, Three-Dimensional , Stereolithography , Tissue Scaffolds , Hydrogels/chemistry , Tissue Scaffolds/chemistry , Anisotropy , Humans , Titanium/chemistry , Tissue Engineering/methods , Cell Survival , Bioprinting/methods
6.
J Dent ; 146: 105052, 2024 07.
Article in English | MEDLINE | ID: mdl-38734298

ABSTRACT

PURPOSE: This in vitro study aimed to compare the accuracy of dental implant placement in partially edentulous maxillary models using a mixed reality-based dynamic navigation (MR-DN) system to conventional static computer-assisted implant surgery (s-CAIS) and a freehand (FH) method. METHODS: Forty-five partially edentulous models (with teeth missing in positions #15, #16 and #25) were assigned to three groups (15 per group). The same experienced operator performed the model surgeries using an MR-DN system (group 1), s-CAIS (group 2) and FH (group 3). In total, 135 dental implants were placed (45 per group). The primary outcomes were the linear coronal deviation (entry error; En), apical deviation (apex error; Ap), XY and Z deviations, and angular deviation (An) between the planned and actual (post-surgery) position of the implants in the models. These deviations were computed as the distances between the stereolithographic (STL) files for the planned implants and placed implants captured with an intraoral scanner. RESULTS: Across the three implant sites, the MR-DN system was significantly more accurate than the FH method (in XY, Z, En, Ap and An) and s-CAIS (in Z, Ap and An), respectively. However, S-CAIS was more accurate than MR-DN in XY, and no difference was found between MR-DN and s-CAIS in En. CONCLUSIONS: Within the limits of this study (in vitro design, only partially edentulous models), implant placement accuracy with MR-DN was superior to that of FH and similar to that of s-CAIS. STATEMENT OF CLINICAL RELEVANCE: In vitro, MR-DN showed greater accuracy in implant positioning than FH, and similar accuracy to s-CAIS: it could, therefore, represent a new option for the surgeon. However, clinical studies are needed to determine the feasibility of MR-DN.


Subject(s)
Dental Implantation, Endosseous , Dental Implants , Jaw, Edentulous, Partially , Maxilla , Models, Dental , Surgery, Computer-Assisted , Humans , Surgery, Computer-Assisted/methods , Dental Implantation, Endosseous/methods , Maxilla/surgery , Jaw, Edentulous, Partially/surgery , Imaging, Three-Dimensional/methods , Stereolithography , Patient Care Planning , Cone-Beam Computed Tomography , In Vitro Techniques
7.
J Dent ; 147: 105095, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38788917

ABSTRACT

PURPOSE: To report the clinical results obtained with fixed short-span (single crowns [SCs] and fixed partial prostheses [FPPs]) implant-supported hybrid composite restorations fabricated through tilting stereolithography (TSLA). METHODS: This retrospective clinical study included 85 patients who had been restored with 95 fixed short-span implant-supported hybrid composite (Irix Max®, DWS Systems) restorations (70 SCs and 25 FPPs up to three units) fabricated with TSLA. The full-digital model-free workflow was based on intraoral implant scanning, computer-assisted design (CAD) and 3D printing using TSLA (Dfab®, DWS Systems). The primary outcomes were the marginal adaptation, the quality of the occlusal and interproximal contact points, and the chromatic integration of the restorations, assessed independently by two experienced operators (a prosthodontist and a periodontist). A score from 1 to 5 (with 5 as the highest value, 4 for satisfactory quality, 3 for acceptable quality, and 2 and 1 as the lowest values, expressing unsatisfactory quality) was assigned by each operator to each restoration at delivery. The secondary outcomes were the survival and success of the restorations at the 1-year follow-up. The restoration was defined as successful in the absence of any complications throughout the follow-up period. A statistical analysis was conducted. RESULTS: For the quality of the marginal closure and occlusal and interproximal contact points, the 3D-printed hybrid composite restorations scored highly; the aesthetic integration was satisfactory. One year after placement, all restorations survived, with a low incidence (4.2 % overall, 5.7 % SCs) of complications (two abutment screw loosenings, two decementation of the restorations, and one upper portion of the hybrid abutment decemented from the titanium base), for a success rate of 95.8 %. CONCLUSIONS: Within the limits of this study (retrospective design, follow-up limited to 1 year from the delivery, and only cemented restorations included) fixed short-span implant-supported hybrid composite crowns and bridges fabricated through TSLA were clinically precise, presenting a low incidence of complications at 1 year. STATEMENT OF CLINICAL RELEVANCE: The use of TSLA printing technology can open new perspectives for the treatment of small edentulous gaps with definitive implant-supported prosthetic restorations.


Subject(s)
Composite Resins , Computer-Aided Design , Crowns , Dental Prosthesis, Implant-Supported , Printing, Three-Dimensional , Stereolithography , Humans , Retrospective Studies , Female , Male , Middle Aged , Follow-Up Studies , Adult , Aged , Composite Resins/chemistry , Dental Prosthesis Design , Dental Marginal Adaptation , Denture, Partial, Fixed , Treatment Outcome
8.
Curr Eye Res ; 49(8): 843-852, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38762982

ABSTRACT

PURPOSE: A cataract is a cloudy area in the crystalline lens. Cataracts are the leading cause of blindness and the second cause of severe vision impairment worldwide. During cataract surgery, the clouded lens is extracted and replaced with an artificial intraocular lens, which restores the optical power. The fabrication of intraocular lenses using existing molding and lathing techniques is a complex and time-consuming process that limits the development of novel materials and designs. To overcome these limitations, we have developed a stereolithography-based process for producing models of clear lens designs without refractive function, serving as a proof of concept. This process has the potential to contribute toward new lens development, allowing for unlimited design iterations and an expanded range of materials for scientists to explore. METHODS: Lens-like 3D objects without refractive function were fabricated by using stereolithography. A photopolymerizable resin containing 2-phenoxyethyl acrylate, poly (ethylene glycol) dimethacrylate, and a suitable photoinitiator was developed for the production of lens-like 3D object prototypes. The morphology of the printed devices was characterized by scanning electron microscopy. The transparency and thermal properties were analyzed using spectrophotometry and differential scanning calorimetry, respectively. The biocompatibility of the devices was investigated in a cultured human lens cell line (FHL-124), using a standard lactate dehydrogenase assay, and the lenses were folded and implanted in the human capsular bag model. RESULTS: One-piece lens-like 3D objects without refractive function and with loop-haptic design were successfully fabricated using Stereolithography (SLA) technique. The resulting 3D objects were transparent, as determined by UV spectroscopy. The lactate dehydrogenase test demonstrated the tolerance of lens cells to the prototyping material, and apparent foldability and shape recovery was observed during direct injection into a human capsular bag model in vitro. CONCLUSIONS: This proof-of-principle study demonstrated the potential and significance of the rapid prototyping process for research and development of lens-like 3D object prototypes, such as intraocular lenses.


Subject(s)
Lenses, Intraocular , Proof of Concept Study , Prosthesis Design , Stereolithography , Humans , Refraction, Ocular/physiology , Printing, Three-Dimensional , Cataract
9.
Int J Pharm ; 658: 124195, 2024 Jun 10.
Article in English | MEDLINE | ID: mdl-38703935

ABSTRACT

Microneedles (MN) have emerged as an innovative technology for drug delivery, offering a minimally invasive approach to administer therapeutic agents. Recent applications have included ocular drug delivery, requiring the manufacture of sub-millimeter needle arrays in a reproducible and reliable manner. The development of 3D printing technologies has facilitated the fabrication of MN via mold production, although there is a paucity of information available regarding how the printing parameters may influence crucial issues such as sharpness and penetration efficacy. In this study, we have developed and optimized a 3D-printed MN micro-mold using stereolithography (SLA) 3D printing to prepare a dissolving ocular MN patch. The effects of a range of parameters including aspect ratio, layer thickness, length, mold shape and printing orientation have been examined with regard to both architecture and printing accuracy of the MN micro-mold, while the effects of printing angle on needle fidelity was also examined for a range of basic shapes (conical, pyramidal and triangular pyramidal). Mechanical strength and in vitro penetration of the polymeric (PVP/PVA) MN patch produced from reverse molds fabricated using MN with a range of shapes and height, and aspect ratios were assessed, followed by ex vivo studies of penetration into excised scleral and corneal tissues. The optimization process identified the parameters required to produce MN with the sharpest tips and highest dimensional fidelity, while the ex vivo studies indicated that these optimized systems would penetrate the ocular tissue with minimal applied pressure, thereby allowing ease of patient self-administration.


Subject(s)
Administration, Ophthalmic , Drug Delivery Systems , Needles , Printing, Three-Dimensional , Stereolithography , Animals , Microinjections/methods , Microinjections/instrumentation , Cornea/metabolism , Sclera , Swine , Technology, Pharmaceutical/methods
10.
J Mech Behav Biomed Mater ; 155: 106555, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38640693

ABSTRACT

Recently, the replication of biological microstructures has garnered significant attention due to their superior flexural strength and toughness, coupled with lightweight structures. Among the most intriguing biological microstructures renowned for their flexural strength are those found in the Euplectella Aspergillum (EA) marine sponges. The remarkable strength of this sponge is attributed to its complex microstructure, which consists of concentric cylindrical layers known as spicules with organic interlayers. These features effectively impede large crack propagation, imparting extraordinary mechanical properties. However, there have been limited studies aimed at mimicking the spicule microstructure. In this study, structures inspired by spicules were designed and fabricated using the stereolithography (SLA) 3D printing technique. The mechanical properties of concentric cylindrical structures (CCSs) inspired by the spicule microstructure were evaluated, considering factors such as the wall thickness of the cylinders, the number of layers, and core diameter, all of which significantly affect the mechanical response. These results were compared with those obtained from solid rods used as solid samples. The findings indicated that CCSs with five layers or fewer exhibited a flexural strength close to or higher than that of solid rods. Particularly, samples with 4 and 5 cylindrical layers displayed architecture similar to natural spicules. Moreover, in all CCSs, the absorbed energy was at least 3-4 times higher than solid rods. Conversely, CCSs with a cylinder wall thickness of 0.65 mm exhibited a more brittle behavior under the 3-point bending test than those with 0.35 mm and 0.5 mm wall thicknesses. CCSs demonstrated greater resistance to failure, displaying different crack propagation patterns and shear stress distributions under the bending test compared to solid rods. These results underscore that replicating the structure of spicules and producing structures with concentric cylindrical layers can transform a brittle structure into a more flexible one, particularly in load-bearing applications.


Subject(s)
Porifera , Printing, Three-Dimensional , Porifera/physiology , Animals , Stereolithography , Biomimetic Materials/chemistry , Mechanical Phenomena , Materials Testing
11.
Int J Pharm ; 653: 123862, 2024 Mar 25.
Article in English | MEDLINE | ID: mdl-38307399

ABSTRACT

Pharmaceutical three-dimensional printing (3DP) is now in its golden age. Recent years have seen a dramatic increase in the research in 3D printed pharmaceuticals due to their potential to deliver highly personalised medicines, thus revolutionising the way medicines are designed, manufactured, and dispensed. A particularly attractive 3DP technology used to manufacture medicines is stereolithography (SLA), which features key advantages in terms of printing resolution and compatibility with thermolabile drugs. Nevertheless, the enthusiasm for pharmaceutical SLA has not been followed by the introduction of novel excipients specifically designed for the fabrication of medicines; hence, the choice of biocompatible polymers and photoinitiators available is limited. This work provides an insight on how to maximise the usefulness of the limited materials available by evaluating how different formulation factors affect printability outcomes of SLA 3D printed medicines. 156 photopolymer formulations were systematically screened to evaluate the influence of factors including photoinitiator amount, photopolymer molecular size, and type and amount of liquid filler on the printability outcomes. Collectively, these factors were found highly influential in modulating the print quality of the final dosage forms. Findings provide enhanced understanding of formulation parameters informing the future of SLA 3D printed medicines and the personalised medicines revolution.


Subject(s)
Printing, Three-Dimensional , Stereolithography , Polymers , Excipients , Technology, Pharmaceutical/methods , Dosage Forms
12.
Macromol Rapid Commun ; 45(7): e2300661, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38271638

ABSTRACT

Photocuring 3D printing of hydrogels, with sophisticated, delicate structures and biocompatibility, attracts significant attention by researchers and possesses promising application in the fields of tissue engineering and flexible devices. After years of development, photocuring 3D printing technologies and hydrogel inks make great progress. Herein, the techniques of photocuring 3D printing of hydrogels, including direct ink writing (DIW), stereolithography (SLA), digital light processing (DLP), continuous liquid interface production (CLIP), volumetric additive manufacturing (VAM), and two photon polymerization (TPP) are reviewed. Further, the raw materials for hydrogel inks (photocurable polymers, monomers, photoinitiators, and additives) and applications in tissue engineering and flexible devices are also reviewed. At last, the current challenges and future perspectives of photocuring 3D printing of hydrogels are discussed.


Subject(s)
Hydrogels , Tissue Engineering , Tissue Engineering/methods , Hydrogels/chemistry , Polymers , Printing, Three-Dimensional , Stereolithography
13.
J Mech Behav Biomed Mater ; 152: 106421, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38280269

ABSTRACT

In this paper, the results obtained in the development of ceramic resin feedstock for stereolithography are shown. Hydroxyapatite and silica are used as source of ceramic. Hydroxyapatite is extracted from bovine bone, which enhances bioactivity of ceramic scaffold. The influence of hydroxyapatite amount in polymer-based slurry on the viscosity and printability of feedstock is explored. Hydroxyapatite and silica containing scaffolds are successfully obtained by stereolithography. Influence of hydroxyapatite/silica ratio on the bioactivity, biodegradability and mechanical properties of the scaffolds is also studied. It was observed that higher concentrations of hydroxyapatite led to improved mechanical strength of the scuffolds but increased viscosity of the slurry, affecting printability. Cell viability assays and cell visualization experiments indicated that the scaffolds not cause significant cell toxicity.


Subject(s)
Silicon Dioxide , Stereolithography , Animals , Cattle , Bone Regeneration , Ceramics , Durapatite
14.
J Mech Behav Biomed Mater ; 152: 106418, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38295512

ABSTRACT

Different printing technologies can be used for prosthetically oriented implant placement, however the influence of different printing orientations and steam sterilization remains unclear. In particular, no data is available for the novel technology Continuous Liquid Interface Production. The objective was to evaluate the dimensional accuracy of surgical guides manufactured with different printing techniques in vertical and horizontal printing orientation before and after steam sterilization. A total of 80 surgical guides were manufactured by means of continuous liquid interface production (CLIP; material: Keyguide, Keyprint), digital light processing (DLP; material: Luxaprint Ortho, DMG), stereolithography (SLA; Surgical guide, Formlabs), and fused filament fabrication (FFF; material: Clear Base Support, Arfona) in vertical and horizontal printing orientation (n = 10 per subgroup). Spheres were included in the design to determine the coordinates of 17 reference points. Each specimen was digitized with a laboratory scanner after additive manufacturing (AM) and after steam sterilization (134 °C). To determine the accuracy, root mean square values (RMS) were calculated and coordinates of the reference points were recorded. Based on the measured coordinates, deviations of the reference points and relevant distances were calculated. Paired t-tests and one-way ANOVA were applied for statistical analysis (significance p < 0.05). After AM, all printing technologies showed comparable high accuracy, with an increased deviation in z-axis when printed horizontally. After sterilization, FFF printed surgical guides showed distinct warpage. The other subgroups showed no significant differences regarding the RMS of the corpus after steam sterilization (p > 0.05). Regarding reference points and distances, CLIP showed larger deviations compared to SLA in both printing orientations after steam sterilization, while DLP manufactured guides were the most dimensionally stable. In conclusion, the different printing technologies and orientations had little effect on the manufacturing accuracy of the surgical guides before sterilization. However, after sterilization, FFF surgical guides exhibited significant deformation making their clinical use impossible. CLIP showed larger deformations due to steam sterilization than the other photopolymerizing techniques, however, discrepancies may be considered within the range of clinical acceptance. The influence on the implant position remains to be evaluated.


Subject(s)
Steam , Stereolithography , Analysis of Variance , Cytoskeleton , Sterilization
15.
J Dent ; 141: 104834, 2024 02.
Article in English | MEDLINE | ID: mdl-38217958

ABSTRACT

OBJECTIVES: The aim of this study is to evaluate the accuracy of zirconia crowns fabricated using stereolithography (SLA) and digital light processing (DLP) and to compare their accuracy with those fabricated using the subtractive manufacturing (SM) method. METHODS: A typodont model with a prepared maxillary first molar was scanned, and the anatomical contour crown was designed using dental computer-aided-design (CAD) software. The designed file in standard tessellation language (STL) format was used to fabricate 10 crowns per group. The crowns were manufactured using a dental milling machine (Datron D5; MLC group), SLA (CERAMAKER 900; SLAC group), and DLP (ZIPRO; DLPC group) printers. The fabricated crowns were scanned using a dental laboratory scanner and saved in three parts: the external, intaglio, and marginal surfaces. For accuracy assessment, these parts were superimposed to the reference file. Root mean square (RMS) values were evaluated using three-dimensional analysis software (Geomagic Control X). Statistical significance was evaluated using a nonparametric Kruskal-Wallis test (α = 0.05) and a post-hoc Mann-Whitney U test with Bonferroni correction (α = 0.016). RESULTS: Trueness evaluation revealed the lowest RMS value in all areas in the MLC group, followed by that in the DLPC group. The precision evaluation revealed the lowest RMS value in all areas in the MLC group. Statistically significant differences were observed among the groups in the external, intaglio, and marginal surface (P < 0.05). CONCLUSIONS: Although the restorations fabricated using SM revealed higher accuracy, the crowns manufactured using SLA and DLP methods were considered clinically acceptable. CLINICAL SIGNIFICANCE: In the production of zirconia crowns, subtractive manufacturing continues to demonstrate significantly higher accuracy compared to additive manufacturing. However, crowns fabricated using the additive manufacturing method also demonstrated high accuracy.


Subject(s)
Dental Prosthesis Design , Stereolithography , Zirconium , Crowns , Computer-Aided Design
16.
Drug Deliv Transl Res ; 14(1): 177-190, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37454029

ABSTRACT

Vat photopolymerisation (VP) three-dimensional printing (3DP) has attracted great attention in many different fields, such as electronics, pharmaceuticals, biomedical devices and tissue engineering. Due to the low availability of biocompatible photocurable resins, its application in the healthcare sector is still limited. In this work, we formulate photocurable resins based on urethane dimethacrylate (UDMA) combined with three different difunctional methacrylic diluents named ethylene glycol dimethacrylate (EGDMA), di(ethylene glycol) dimethacrylate (DEGDMA) or tri(ethylene glycol) dimethacrylate (TEGDMA). The resins were tested for viscosity, thermal behaviour and printability. After printing, the 3D printed specimens were measured with a digital calliper in order to investigate their accuracy to the digital model and tested with FT-IR, TGA and DSC. Their mechanical properties, contact angle, water sorption and biocompatibility were also evaluated. The photopolymerizable formulations investigated in this work achieved promising properties so as to be suitable for tissue engineering and other biomedical applications.


Subject(s)
Composite Resins , Stereolithography , Composite Resins/chemistry , Spectroscopy, Fourier Transform Infrared , Printing, Three-Dimensional
17.
J Prosthet Dent ; 131(2): 301-312, 2024 Feb.
Article in English | MEDLINE | ID: mdl-36653209

ABSTRACT

STATEMENT OF PROBLEM: Printing conditions can affect the fit of a 3-dimensionally (3D) printed prosthesis. Therefore, it is important to determine the optimal printing conditions for stereolithography (SLA)-manufactured prostheses. PURPOSE: The purpose of this study was to analyze the fit according to the build orientations and layer thicknesses in SLA-manufactured 3-unit resin prostheses. MATERIAL AND METHODS: SLA 3D printed prostheses were produced in 5 build orientations (0, 30, 45, 60, and 90 degrees) and 2 layer thicknesses (50 and 100 µm). Milled prostheses were fabricated from the same design. The mounted prostheses on the master model were scanned with microcomputed tomography (µCT). Data were processed with the NRecon software program. For quantitative analysis, marginal and internal fits were measured by using the imageJ software program in terms of the following metrics: absolute marginal discrepancy, marginal gap, cervical area, midaxial wall area, line-angle area, and occlusal area. Internal gap volume was also measured with the CTAn software program. For statistical analysis, ANOVA and Tukey HSD tests were used (α=.05). For qualitative analysis, µCT cross-sections were compared among groups, and intaglio surfaces were imaged with a scanning electron microscope. RESULTS: A layer thickness of 50 µm with build orientations of 45 and 60 degrees exhibited smaller mean gap values (P<.05) than the other conditions for all measurements except line-angle area and occlusal area. The scanning electron microscope images showed voids on the intaglio surfaces for the 0- and 90-degree groups. CONCLUSIONS: For SLA 3D printed resin prostheses, a difference in fit occurred based on the printing conditions, although both 3D printed and milled prostheses showed a clinically acceptable fit. When an SLA 3D printed prosthesis is manufactured under appropriate conditions, a clinically acceptable fit can be obtained.


Subject(s)
Dental Implants , Stereolithography , Computer-Aided Design , X-Ray Microtomography , Printing, Three-Dimensional
18.
J Prosthet Dent ; 131(2): 330.e1-330.e9, 2024 Feb.
Article in English | MEDLINE | ID: mdl-37993321

ABSTRACT

STATEMENT OF PROBLEM: Prostheses printed on a 3-dimensional (3D) printer need to undergo the postpolymerization process, which can increase the working time. However, it has been not suggested for reducing workload and improving the properties of prostheses in dental clinical practice. PURPOSE: The purpose of this in vitro study was to evaluate how the printing temperature impacts the dimensional accuracy and fracture load of 3D printed fixed dental prostheses (FDPs). MATERIAL AND METHODS: Dental prostheses were printed at room temperature (RT), 50°C, and 70°C using a stereolithography 3D printer. Subsequently, after rinsing away residual monomer, the printed parts underwent the green condition (it was not subjected to any postprocessing) and postpolymerization. The mechanical properties of the printed FDPs were determined by loading to fracture (n=6). To evaluate their clinical applicability, the dimensional accuracy and fit of FDPs fabricated at various resin polymerization temperatures were measured (n=6). The 1-way analysis of variance was used to perform statistical comparisons, followed by the Tukey honestly significant difference test (α=.05). RESULTS: The specimens printed at RT and 50°C were better than those printed at 70°C in terms of dimensional accuracy and fit (P<.05). Nonetheless, the dimensional accuracy and fit of the specimens printed at 70°C were clinically acceptable. The fracture load of the 3-unit FDPs depended significantly on the printing temperature. CONCLUSIONS: The dimensional accuracy and fracture load of the 70°C group were acceptable for FDP fabrication. Thus, the temperature of 70°C without postprocessing may help make the procedure more efficient.


Subject(s)
Dental Prosthesis , Stereolithography , Temperature , Computer-Aided Design , Polymerization , Materials Testing , Printing, Three-Dimensional
19.
Macromol Rapid Commun ; 45(5): e2300602, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38052160

ABSTRACT

Enhancing the piezoresistivity of polymer-derived silicon oxycarbide ceramics (SiOCPDC ) is of great interest in the advancement of highly sensitive pressure/load sensor technology for use in harsh and extreme working conditions. However, a facile, low cost, and scalable approach to fabricate highly piezoresistive SiOCPDC below 1400 °C still remains a great challenge. Here, the fabrication and enhancement of piezoresistive properties of SiOCPDC reinforced with ß-SiC nanopowders (SiCNP ) through masked stereolithography-based 3D-printing and subsequent pyrolysis at 1100 °C are demonstrated. The presence of free carbon in SiCNP augments high piezoresistivity in the fabricated SiCNP -SiOCPDC composites even at lower pyrolysis temperatures. A gauge factor (GF) in the range of 4385-5630 and 6129-8987 with 0.25 and 0.50 wt% of SiCNP , respectively is demonstrated, for an applied pressure range of 0.5-5 MPa at ambient working conditions. The reported GF is significantly higher compared to those of any existing SiOCPDC materials. This rapid and facile fabrication route with significantly enhanced piezoresistive properties makes the 3D-printed SiCNP -SiOCPDC composite a promising high-performance material for the detection of pressure/load in demanding applications. Also, the overall robustness in mechanical properties and load-bearing capability ensures its long-term stability and makes it suitable for challenging and severe environment applications.


Subject(s)
Carbon Compounds, Inorganic , Printing, Three-Dimensional , Silicon Compounds , Stereolithography , Ceramics , Polymers
20.
J Prosthet Dent ; 131(1): 166.e1-166.e9, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37945512

ABSTRACT

STATEMENT OF PROBLEM: Improvement in the mechanical properties of 3-dimensional (3D) printed dental prostheses is necessary to prevent wear caused by an antagonist or fracture. However, how different printing temperatures affect their mechanical properties is unclear. PURPOSE: The purpose of this in vitro study was to evaluate the mechanical properties of 3D printed parts fabricated at different printing temperatures. MATERIAL AND METHODS: Photopolymer specimens were fabricated at 3 different temperatures (room temperature, 50 °C, and 70 °C) using a stereolithography 3D printer. After rinsing to remove the residual monomer, the specimens were divided into 2 groups: with or without postprocessing. The viscosity of the photopolymerization resin was measured while the temperature was increased. Furthermore, the double-bond conversion (DBC) of the printed part was evaluated (n=3). Mechanical properties were investigated via dynamic mechanical analysis (n=1) and tensile testing (n=5). Statistical comparisons were performed via 1-way analysis of variance, followed by the Tukey honestly significant difference test (α=.05). RESULTS: The DBC rates of the green condition group increased from 66.67% to 86.33% with increasing temperature. In addition, these specimens exhibited improved mechanical properties and reduced residual monomer levels. CONCLUSIONS: Specimens fabricated at a temperature of 70 °C exhibited mechanical properties suitable for clinical application.


Subject(s)
Printing, Three-Dimensional , Stereolithography , Temperature , Polymerization , Materials Testing , Surface Properties
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