3D-Printed Multi-Coloured Teeth Comprising Material Gradients for Dental Education-A Pilot Study.

IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Maximilian Dosch, Falk Schwendicke, Po-Chun Tseng, Benedikt C Spies, Andreas Keßler
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引用次数: 0

Abstract

Objective: To develop realistic training teeth composed of multi-material colours and gradients and evaluate them in comparison with the standard model and extracted teeth with a group of students.

Material and method: Three different teeth were virtually designed by use of multiple STL-compartments and additively manufactured with different material gradients like colour, hardness and functional properties in a single printing process using MultiJet technology. The teeth included simulated hard-/softissues and restorative materials like enamel, dentin, pulp, carious dentin, composite, amalgam, and gutta-percha. The selected teeth were tested by a group of 25 clinical students in a volunteer hands-on course. They had experience in caries removal, post insertion and preparation on real patients. Study procedures included the removal of a faulty direct and indirect restoration, of gutta-percha as well as of carious dentin. The properties of the printed teeth for each task were assessed by the students using grades (1 = very good, 2 = good, 3 = satisfactory, 4 = sufficient, 5 = poor). Conventional model teeth and extracted real teeth served as reference.

Results: In comparison to standard model teeth, printed teeth were rated 1.1 ± 0.7, with a grade of 2.4 ± 1.2 for haptic impression and 1.2 ± 0.8 for realistic perception of the exercise. In comparison to extracted teeth, the colour of the enamel(2.1 ± 1.4), the dentin(1.8 ± 1.3) and the carious lesion(1.2 ± 0.8) were evaluated with overall good or very good values. The new features were rated with 1.2 ± 0.7 for the Amalgam filling, 1.0 ± 0.3 for the caries lesion, 1.4 ± 1.5 for the crown, and 2.0 ± 1.0 for the gutta-percha.

Conclusion: The results of the pilot study confirm the potential of multi-material additive manufacturing for educational purposes. Students preferred printed teeth in comparison with conventional acrylic and extracted teeth, considering the simulation of a training scenario close to clinical reality.

3d列印多色牙齿,包括牙科教育的材料梯度-试验研究。
目的:研制多材料颜色和梯度组成的逼真训练牙,并与标准模型和拔除牙进行对比评价。材料和方法:通过使用多个stl -隔间虚拟设计三个不同的牙齿,并使用MultiJet技术在单个打印过程中使用不同的材料梯度(如颜色,硬度和功能特性)进行增材制造。这些牙齿包括模拟的硬/软组织和修复材料,如牙釉质、牙本质、牙髓、蛀牙本质、复合材料、汞合金和杜仲胶。在志愿者实践课程中,25名临床学生对选定的牙齿进行了测试。他们对真正的患者进行了龋齿清除,后插入和准备。研究程序包括去除有缺陷的直接修复和间接修复,杜仲胶和龋齿牙本质。每个任务的打印牙齿的性能由学生用等级来评估(1 =非常好,2 =好,3 =满意,4 =一般,5 =差)。以常规模型牙和提取的真牙为对照。结果:与标准模型牙相比,打印牙的触觉印象评分为1.1±0.7,触觉印象评分为2.4±1.2,运动真实感评分为1.2±0.8。与拔牙相比,牙釉质(2.1±1.4)、牙本质(1.8±1.3)和龋齿(1.2±0.8)的总体评价为良好或非常好。新特征对汞合金充填的评分为1.2±0.7,对龋齿的评分为1.0±0.3,对冠的评分为1.4±1.5,对杜仲胶的评分为2.0±1.0。结论:试点研究的结果证实了多材料增材制造用于教育目的的潜力。考虑到模拟训练场景接近临床现实,与传统的丙烯酸牙和拔牙相比,学生更喜欢打印牙。
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
4.10
自引率
16.70%
发文量
127
审稿时长
6-12 weeks
期刊介绍: The aim of the European Journal of Dental Education is to publish original topical and review articles of the highest quality in the field of Dental Education. The Journal seeks to disseminate widely the latest information on curriculum development teaching methodologies assessment techniques and quality assurance in the fields of dental undergraduate and postgraduate education and dental auxiliary personnel training. The scope includes the dental educational aspects of the basic medical sciences the behavioural sciences the interface with medical education information technology and distance learning and educational audit. Papers embodying the results of high-quality educational research of relevance to dentistry are particularly encouraged as are evidence-based reports of novel and established educational programmes and their outcomes.
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