Study on functional occlusal morphology by using three-dimensional printed diagnostic crown and functional generated path technology
10.3760/cma.j.issn.1002-0098.2020.01.003
- VernacularTitle: 三维打印及功能引导路径技术获得诊断性全冠功能性面形态初探
- Author:
Ting JIANG
1
;
Mingxuan CHENG
1
;
Yuchun SUN
2
;
Lu JIA
3
Author Information
1. Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
2. Center of Digital Dentistry, Faculty of Prosthodontics, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Research Center of Engineering and Technology for Digital Dentistry of Ministry of Health & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
3. Center of Dental Laboratory Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
- Publication Type:Journal Article
- Keywords:
Dental models;
Occlusal adjustment;
Three-dimensional print;
Functional generated path
- From:Chinese Journal of Stomatology
2020;55(1):9-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish the functional occlusal morphology of fixed prostheses by using functional generated path (FGP) technology on a three-dimensional-printed diagnostic crown in order to decrease the chance of occlusal adjustment during try-in procedure of the complete crown, and to avoid the risk of occlusal interference after cementation of prosthesis.
Methods:A double-blind clinical trial was performed. Ten subjects (4 males, 6 females) who needed a first molar complete crown restoration were enrolled in Department of Prosthodontics, Peking University School and Hospital of Stomatology from July 2018 to December 2018. The working models with the abutment teeth of the ten participants were scanned to obtain the digital models, then the occlusal surfaces of crown were formed by either FGP technology on a three-dimensional (3D) printed diagnostic crown and then were scanned directly for computer aided design and computer aided manufacture (CAD/CAM) crown fabrication as experiment group, or conventional technology based on database as control group. Then zirconia crowns were fabricated for two groups. During crown try-in of the two groups, preferred crowns of subjects were recorded, the occlusal contact criteria including the occlusal contact area (mm2), the heights of occlusal high spot (mm) before and after the adjustment of crowns were digitally analyzed, and the amount of adjustment (mm and mm3) were calculated on digital models by using a reverse engineering software (Giomagic Sudio & Quality). Differences of values were compared statistically with paired t-test (α=0.05).
Results:The amount for occlusal adjustment for crowns in the experiment group [(7.320±4.238) mm3] was statistically less than that in the control group [(20.178±9.650) mm3] (P<0.05), the occlusal contact area of experiment group [(11.430±4.102) mm2] was statistically bigger than that of the control group [(4.808±3.223) mm2] (P<0.05), the heights of occlusal high spots for crowns in the experiment group was (0.043±0.019) mm while it was (0.594±0.201) mm in the control group with statistically significant differences (P<0.05).
Conclusions:This method could lead to a crown with less adjustment of occlusion, less occlusal high spot and less risk of occlusal interferences.
