Accuracy of three-dimensionally printed retainers and aligners : A systematic review.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Hui Shan Boo, Saritha Sivarajan, Norhidayah Nor Zahidah Mohd Tahir, Aufa Dahlia Bahar
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引用次数: 0

Abstract

Background: With the constant improvement of photopolymerizable resin, direct three-dimensional (3D) printing of retainers and aligners (R&A) has gained popularity in recent years. The primary objective of this research was to systematically evaluate the evidence regarding the accuracy of 3D-printed R&A in terms of trueness and precision (T&P).

Methods: Electronic database searches were performed on PubMed, Science Direct, Web of Science, Scopus, Ovid, and Clinicaltrial.gov through 17 November 2023. The Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool was used to assess the risk of bias and applicability concerns of the methodologic quality of the articles.

Results: A total of 12 in vitro studies were selected. Five studies reported the accuracy of 3D-printed retainers and another seven reported on aligners. For the 3D-printed retainer group, only Naeem et al. [1] reported both T&P and found that stereolithography (SLA) and PolyJet photopolymer (PPP) printers demonstrated higher accuracy than digital light processing (DLP) and continuous digital light processing (cDLP) printers. For the 3D-printed aligners group, only Koenig et al. [2] reported both T&P and found that 3D-printed aligners fabricated with photopolymerizable polyurethane resin demonstrated higher trueness (0.14 ± 0.020 mm) compared to conventional thermoformed aligners (0.188 ± 0.074 and 0.209 ± 0.094).

Conclusion: The existing digital workflow involving various printing materials, angulations, printing thickness, and printing technologies is feasible for the fabrication of direct 3D printing of R&A with variable degrees of accuracy. Most techniques worked within the clinically acceptable level of accuracy of 0.25 mm.

Trial registration number: PROSPERO CRD 42022312907.

三维打印固位器和矫直器的精度:系统回顾。
背景:随着光聚合树脂的不断改进,直接三维打印固位器和矫直器(R&A)近年来得到了广泛的应用。本研究的主要目的是系统地评估关于3d打印R&A在准确性和精度(T&P)方面的准确性的证据。方法:到2023年11月17日,在PubMed、Science Direct、Web of Science、Scopus、Ovid和Clinicaltrial.gov上进行电子数据库检索。使用诊断准确性研究质量评估(QUADAS-2)工具评估文章方法学质量的偏倚风险和适用性问题。结果:共选择12个体外研究。五项研究报告了3d打印固位器的准确性,另外七项研究报告了对准器的准确性。对于3d打印固位器组,只有Naeem等人报告了T&P,并发现立体光版(SLA)和PolyJet光聚合物(PPP)打印机比数字光处理(DLP)和连续数字光处理(cDLP)打印机具有更高的精度。对于3d打印的矫形器组,只有Koenig等人报道了T&P,并发现用光聚合聚氨酯树脂制作的3d打印矫形器比传统的热成型矫形器(0.188 ±0.074和0.209 ±0.094)具有更高的准确性(0.14 ±0.020 mm)。结论:现有的数字化工作流程涉及到各种打印材料、角度、打印厚度和打印技术,对于制造R&A的直接3D打印具有可变精度是可行的。大多数技术在临床可接受的0.25 毫米的准确度范围内工作。试验注册号:PROSPERO CRD 42022312907。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
64
审稿时长
>12 weeks
期刊介绍: The Journal of Orofacial Orthopedics provides orthodontists and dentists who are also actively interested in orthodontics, whether in university clinics or private practice, with highly authoritative and up-to-date information based on experimental and clinical research. The journal is one of the leading publications for the promulgation of the results of original work both in the areas of scientific and clinical orthodontics and related areas. All articles undergo peer review before publication. The German Society of Orthodontics (DGKFO) also publishes in the journal important communications, statements and announcements.
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