Effect of Fabrication Method on Fracture Strength of Provisional Implant-Supported Fixed Dental Prostheses

There has been an increase in utilizing 3D printers in dental restorations. The purpose of the study is to compare mechanical properties of 3D-printed prostheses to those of self-cured and/or computer-aided design-computer-aided manufacturing (CAD-CAM) restorations. A metal master typodont was prepa...

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Bibliographic Details
Main Authors: Kelly M. Suralik, Jie Sun, Chia-Yu Chen, Sang J. Lee
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Prosthesis
Subjects:
Online Access:https://www.mdpi.com/2673-1592/2/4/30
Description
Summary:There has been an increase in utilizing 3D printers in dental restorations. The purpose of the study is to compare mechanical properties of 3D-printed prostheses to those of self-cured and/or computer-aided design-computer-aided manufacturing (CAD-CAM) restorations. A metal master typodont was prepared for the mandibular left sextant with implant analogs embedded at the first premolar and first molar positions with a missing second premolar. Three-unit provisional fixed dental prosthesis (FDP) was designed utilizing the 3Shape tooth library and forty-five uniform specimens were fabricated with different materials: self-cured poly(methyl methacrylate) (PMMA) (N = 15), milled PMMA CAD-CAM blocks (N = 15) and 3D-printed resin (N = 15). All specimens were tested using an Instron machine at a crosshead speed of 0.5 mm/min by an axial load on the occlusal surface of the second premolar pontic site. Statistical analysis was completed with Shapiro-Wilk, ANOVA and Tukey post-hoc tests. Mean fracture force was 300.61 N, 294.64 N and 408.49 N for self-cured PMMA, milled PMMA and 3D-printed resin, respectively. Mean force at FDP fracture of 3D-printed resin was significantly greater than the mean fracture force of either self-cured (<i>p</i> = 0.016, 95% CI [17.86, 197.91]) or milled (<i>p</i> = 0.010, 95% CI [23.83, 203.88]) PMMA.
ISSN:2673-1592