关键词: 3D printing additive manufacturing custom dental implant osseointegration zirconia

来  源:   DOI:10.3390/jfb15060156   PDF(Pubmed)

Abstract:
BACKGROUND: The advent of three-dimensional (3D) printing technology has revolutionized the field of dentistry, enabling the precise fabrication of dental implants. By utilizing 3D printing, dentists can devise implant plans prior to surgery and accurately translate them into clinical procedures, thereby eliminating the need for multiple surgical procedures, reducing surgical discomfort, and enhancing surgical efficiency. Furthermore, the utilization of digital 3D-printed implant guides facilitates immediate restoration by precisely translating preoperative implant design plans, enabling the preparation of temporary restorations preoperatively.
METHODS: This comprehensive study aimed to assess the postoperative oral health status of patients receiving personalized 3D-printed implants and investigate the advantages and disadvantages between the 3D-printed implant and conventional protocol. Additionally, variance analysis was employed to delve into the correlation between periodontal status and overall oral health. Comparisons of continuous paired parameters were made by t-test.
RESULTS: The results of our study indicate a commendable one-year survival rate of over 94% for 3D-printed implants. This finding was corroborated by periodontal examinations and follow-up surveys using the Oral Health Impact Profile-14 (OHIP-14) questionnaire, revealing excellent postoperative oral health status among patients. Notably, OHIP-14 scores were significantly higher in patients with suboptimal periodontal health, suggesting a strong link between periodontal health and overall oral well-being. Moreover, we found that the operating time (14.41 ± 4.64 min) was less statistically significant than for the control group (31.76 ± 6.83 min).
CONCLUSIONS: In conclusion, personalized 3D-printed implant surgery has emerged as a reliable clinical option, offering a viable alternative to traditional implant methods. However, it is imperative to gather further evidence-based medical support through extended follow-up studies to validate its long-term efficacy and safety.
摘要:
背景:三维(3D)打印技术的出现彻底改变了牙科领域,使牙科植入物的精确制造。通过使用3D打印,牙医可以在手术前设计植入计划,并将其准确地转化为临床程序,从而消除了对多个外科手术的需要,减少手术不适,提高手术效率。此外,利用数字3D打印的植入物指南,通过精确翻译术前植入物设计计划,促进立即恢复,能够在术前准备临时修复。
方法:这项综合研究旨在评估接受个性化3D打印植入物的患者的术后口腔健康状况,并研究3D打印植入物与常规方案之间的优缺点。此外,方差分析用于研究牙周状况与整体口腔健康之间的相关性。连续配对参数的比较采用t检验。
结果:我们的研究结果表明,3D打印植入物的一年生存率超过94%。牙周检查和使用口腔健康影响概况14(OHIP-14)问卷进行的随访调查证实了这一发现,揭示患者术后良好的口腔健康状况。值得注意的是,牙周健康欠佳患者的OHIP-14评分明显较高,表明牙周健康和整体口腔健康之间有很强的联系。此外,我们发现,手术时间(14.41±4.64min)与对照组(31.76±6.83min)相比,差异无统计学意义.
结论:结论:个性化的3D打印植入手术已成为一种可靠的临床选择,提供了一个可行的替代传统的植入方法。然而,我们必须通过长期随访研究进一步收集循证医学支持,以验证其长期疗效和安全性.
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