3D printing restorative materials using a stereolithographic technique: a systematic review.

3D printing restorative materials using a stereolithographic technique: a systematic review.
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使用立体扫描技术的3D打印修复材料:系统评价。

DOI:
10.1016/j.dental.2020.11.030
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发表时间:
2021-03
期刊:
Dental materials : official publication of the Academy of Dental Materials
影响因子:
--
通讯作者:
Stansbury JW
Stansbury JW
中科院分区:
其他
文献类型:
--
作者:
Della Bona A;Cantelli V;Britto VT;Collares KF;Stansbury JW

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通过系统综述,对已发表的基于立体平版印刷的修复材料3D打印的研究及其临床适用性进行定性分析。文献检索是基于这样一个问题:“基于立体光刻的3D打印的现有修复材料的最新情况是什么?在线检索三个数据库(MEDLINE/PubMed,Scope us和Web of Science),不受发表年份的限制。数据是根据PRISMA报告的,包括作者及其国家、出版年份和期刊以及研究设计等出版细节。重点介绍了牙科修复材料和性能的评价、应用方法、3D打印机的应用和临床适用性。符合纳入标准的研究在亚洲(21个)、欧洲(16个)和美国(10个)进行,主要使用基于聚合物的修复材料(38个)用于3D打印构造。通过9项研究对立体平版印刷陶瓷基修复体结构进行评价。许多研究报告了印刷结构的尺寸精度(14)、强度(11)和表面形态(9)。抗菌反应、细胞毒性、内部和边缘适合性、断裂和耐磨性、密度、粘度、弹性模数、硬度、结构收缩和可靠性、转化率、层固化深度、疲劳和颜色也通过纳入的研究进行评估。他们中的许多人(11人)发表了一份概念证明,试图证明该技术在临床上打印修复材料的可行性和适用性,但只有5项研究实际将3D打印的修复结构应用于患者,这突显了人们对3D打印修复结构越来越感兴趣,但限制了早期翻译。基于立体平版印刷的3D打印的快速扩张令人印象深刻,代表着一项具有巨大颠覆性潜力的伟大技术进步。牙科已经表现出令人难以置信的意愿,愿意调整材料、方法和工作流程,以适应这种前景光明的数字技术。然而,美观的外观、耐磨性、湿强度和尺寸精度是目前制约3D打印生产功能部件的主要临床限制因素,这可能解释了为什么缺乏关于永久性/确定性牙科修复材料和结构的临床试验和报告。
To present through a systematic review a qualitative analysis of studies published on stereolithography-based 3D printing of restorative materials and their clinical applicability. The literature search was conducted based on the question: “What is the state-of-the-art of available restorative materials for 3D printing based on stereolithography?önline search was conducted in three databases (MEDLINE/PubMed, Scopus and Web of Science) with no restriction for year of publication. Data are reported based on PRISMA, including publication details such as authors and their countries, year and journal of publication, and study design. The synthesis is focused on describing the dental restorative materials and properties evaluated, applied methods, 3D printers used and clinical applicability. Studies that fit the inclusion criteria were performed in Asia (21), Europe (16) and USA (10), mostly using polymer-based restorative materials (38) for 3D printing constructs. Stereolithographic-printed ceramic-based restorative structures were evaluated by 9 studies. Many studies reported on dimensional accuracy (14), strength (11) and surface morphology (9) of the printed structures. Antibacterial response, cytotoxicity, internal and marginal fit, fracture and wear resistance, density, viscosity, elastic modulus, hardness, structural shrinkage and reliability, degree of conversion, layer cure depth, fatigue, and color were also evaluated by the included studies. Many of them (11) published a proof of concept as an attempt to demonstrate the clinical feasibility and applicability of the technology to print restorative materials, but only 5 studies actually applied the 3D printed restorative structures in patients, which highlights an increasing interest but limited early-stage translation. The fast expansion of stereolithographic-based 3D printing has been impressive and represents a great technological progress with significant disruptive potential. Dentistry has demonstrated an incredible willingness to adapt materials, methods and workflows to this promising digital technology. However, esthetic appearance, wear resistance, wet strength and dimensional accuracy are the main current clinical limitations restricting the progression to functional part production with 3D printing, which may explain the absence of clinical trials and reports on permanent/definitive dental restorative materials and structures.
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