Fracture Load of an Orthodontic Appliance for Robin Sequence Treatment in a Digital Workflow

CAD/CAM technologies and materials have the potential to improve the treatment of Robin Sequence with orthodontic appliances (Tübingen palatal plate, TPP). However, studies on the provided suitability and safety are lacking. The present study evaluates CAD/CAM technologies and materials for implemen...

Full description

Bibliographic Details
Main Authors: Maite Aretxabaleta, Alexander B. Xepapadeas, Christian F. Poets, Bernd Koos, Sebastian Spintzyk
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/14/2/344
_version_ 1797412557168836608
author Maite Aretxabaleta
Alexander B. Xepapadeas
Christian F. Poets
Bernd Koos
Sebastian Spintzyk
author_facet Maite Aretxabaleta
Alexander B. Xepapadeas
Christian F. Poets
Bernd Koos
Sebastian Spintzyk
author_sort Maite Aretxabaleta
collection DOAJ
description CAD/CAM technologies and materials have the potential to improve the treatment of Robin Sequence with orthodontic appliances (Tübingen palatal plate, TPP). However, studies on the provided suitability and safety are lacking. The present study evaluates CAD/CAM technologies and materials for implementation into the workflow for producing these orthodontic appliances (TPPs), manufactured by different techniques and materials: additive manufacturing (AM) and subtractive manufacturing (SM) technologies vs. conventional manufacturing. The fracture load was obtained in a universal testing machine, and the breaking behavior of each bunch, as well as the necessity of adding a safety wire, was evaluated. The minimum fracture load was used to calculate the safety factor (SF) provided by each material. Secondary factors included manufacturing time, material cost and reproducibility. Dental LT clear showed the highest fracture load and best breaking behavior among AM materials. The highest fracture load and safety factor were obtained with Smile polyether ether ketone (PEEK). For the prototyping stage, the use of a Freeprint tray (SF = 114.145) is recommended. For final manufacturing, either the cost-effective approach, Dental LT clear (SF = 232.13%), or the safest but most expensive approach, Smile PEEK (SF = 491.48%), can be recommended.
first_indexed 2024-03-09T05:04:52Z
format Article
id doaj.art-3a63799cdf1a4e5ea3e1969efbe08d46
institution Directory Open Access Journal
issn 1996-1944
language English
last_indexed 2024-03-09T05:04:52Z
publishDate 2021-01-01
publisher MDPI AG
record_format Article
series Materials
spelling doaj.art-3a63799cdf1a4e5ea3e1969efbe08d462023-12-03T12:56:10ZengMDPI AGMaterials1996-19442021-01-0114234410.3390/ma14020344Fracture Load of an Orthodontic Appliance for Robin Sequence Treatment in a Digital WorkflowMaite Aretxabaleta0Alexander B. Xepapadeas1Christian F. Poets2Bernd Koos3Sebastian Spintzyk4Department of Orthodontics in the Centre of Dentistry, Oral Medicine and Maxillofacial Surgery within the University Hospital Tübingen, Osianderstr. 2-8, 72076 Tuebingen, GermanyDepartment of Orthodontics in the Centre of Dentistry, Oral Medicine and Maxillofacial Surgery within the University Hospital Tübingen, Osianderstr. 2-8, 72076 Tuebingen, GermanyDepartment of Neonatology in the University Hospital Tübingen, Calwerstr. 7, 72076 Tuebingen, GermanyDepartment of Orthodontics in the Centre of Dentistry, Oral Medicine and Maxillofacial Surgery within the University Hospital Tübingen, Osianderstr. 2-8, 72076 Tuebingen, GermanySection “Medical Materials Science and Technology”, University Hospital Tübingen, Osianderstr. 2-8, 72076 Tuebingen, GermanyCAD/CAM technologies and materials have the potential to improve the treatment of Robin Sequence with orthodontic appliances (Tübingen palatal plate, TPP). However, studies on the provided suitability and safety are lacking. The present study evaluates CAD/CAM technologies and materials for implementation into the workflow for producing these orthodontic appliances (TPPs), manufactured by different techniques and materials: additive manufacturing (AM) and subtractive manufacturing (SM) technologies vs. conventional manufacturing. The fracture load was obtained in a universal testing machine, and the breaking behavior of each bunch, as well as the necessity of adding a safety wire, was evaluated. The minimum fracture load was used to calculate the safety factor (SF) provided by each material. Secondary factors included manufacturing time, material cost and reproducibility. Dental LT clear showed the highest fracture load and best breaking behavior among AM materials. The highest fracture load and safety factor were obtained with Smile polyether ether ketone (PEEK). For the prototyping stage, the use of a Freeprint tray (SF = 114.145) is recommended. For final manufacturing, either the cost-effective approach, Dental LT clear (SF = 232.13%), or the safest but most expensive approach, Smile PEEK (SF = 491.48%), can be recommended.https://www.mdpi.com/1996-1944/14/2/344additive manufacturingsubtractive manufacturingvat polymerizationSLADLPrapid prototyping
spellingShingle Maite Aretxabaleta
Alexander B. Xepapadeas
Christian F. Poets
Bernd Koos
Sebastian Spintzyk
Fracture Load of an Orthodontic Appliance for Robin Sequence Treatment in a Digital Workflow
Materials
additive manufacturing
subtractive manufacturing
vat polymerization
SLA
DLP
rapid prototyping
title Fracture Load of an Orthodontic Appliance for Robin Sequence Treatment in a Digital Workflow
title_full Fracture Load of an Orthodontic Appliance for Robin Sequence Treatment in a Digital Workflow
title_fullStr Fracture Load of an Orthodontic Appliance for Robin Sequence Treatment in a Digital Workflow
title_full_unstemmed Fracture Load of an Orthodontic Appliance for Robin Sequence Treatment in a Digital Workflow
title_short Fracture Load of an Orthodontic Appliance for Robin Sequence Treatment in a Digital Workflow
title_sort fracture load of an orthodontic appliance for robin sequence treatment in a digital workflow
topic additive manufacturing
subtractive manufacturing
vat polymerization
SLA
DLP
rapid prototyping
url https://www.mdpi.com/1996-1944/14/2/344
work_keys_str_mv AT maitearetxabaleta fractureloadofanorthodonticapplianceforrobinsequencetreatmentinadigitalworkflow
AT alexanderbxepapadeas fractureloadofanorthodonticapplianceforrobinsequencetreatmentinadigitalworkflow
AT christianfpoets fractureloadofanorthodonticapplianceforrobinsequencetreatmentinadigitalworkflow
AT berndkoos fractureloadofanorthodonticapplianceforrobinsequencetreatmentinadigitalworkflow
AT sebastianspintzyk fractureloadofanorthodonticapplianceforrobinsequencetreatmentinadigitalworkflow