Accuracy and Wear Evaluation of the Customized Zirconia Guided Sleeves
This in vitro study investigated the accuracy and wear conditions of three drill sleeve distances (0.01, 0.02, and 0.03 mm) for 3D-guided stents in simulated clinical dental implant surgery. Fifteen sets of upper and lower partially edentulous epoxy tooling board models with four edentulous first mo...
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MDPI AG
2021-09-01
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author | Yu-Feng Chen Chin-Yun Pan Yung-Chung Chen Je-Kang Du Ting-Hsun Lan |
author_facet | Yu-Feng Chen Chin-Yun Pan Yung-Chung Chen Je-Kang Du Ting-Hsun Lan |
author_sort | Yu-Feng Chen |
collection | DOAJ |
description | This in vitro study investigated the accuracy and wear conditions of three drill sleeve distances (0.01, 0.02, and 0.03 mm) for 3D-guided stents in simulated clinical dental implant surgery. Fifteen sets of upper and lower partially edentulous epoxy tooling board models with four edentulous first molar sites were prepared in a Nissin Simple Manikin II and set on a dental chair. Sixty computer-aided design and computer-aided manufacturing (CAD/CAM) designed and guided stents with three drill sleeve distances were prepared in this study. The maximum height (Sz) of the wear roughness of drills, maximum deviation, and drilling time were observed. The highest maximum horizontal deviations were observed at the upper first molar (0.48 ± 0.12 mm, <i>p</i> < 0.001). The highest maximum vertical and angular deviations were observed at the lower left first molar (1.08 ± 0.35 mm and 5.61° ± 1.21°, respectively, <i>p</i> < 0.001). Only angular deviation significantly differed among the three drill sleeve distances (<i>p</i> = 0.046); the 0.03 mm distance exhibited the maximum angular deviation (3.92° ± 1.87°). The bigger drill sleeve distance (0.03 mm) was associated with more wear roughness (8.70 ± 2.29 µm) of the drills. Guided stents with varying drill-sleeve distances (0.01, 0.02, and 0.03 mm) exhibited no significant difference in preparation drilling time and abrasive wear. In practice, the optimal drill sleeve distance for single-type CAD/CAM-guided stents of dental implantation was 0.01 mm. |
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spelling | doaj.art-80e0af458044470fb2f5aa3e3da39f1d2023-11-22T15:46:54ZengMDPI AGApplied Sciences2076-34172021-09-011119903510.3390/app11199035Accuracy and Wear Evaluation of the Customized Zirconia Guided SleevesYu-Feng Chen0Chin-Yun Pan1Yung-Chung Chen2Je-Kang Du3Ting-Hsun Lan4Division of Oral and Maxillofacial Surgery, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung 807378, TaiwanDepartment of Dentistry, Kaohsiung Municipal Siaogang Hospital, Kaohsiung 812022, TaiwanSchool of Dentistry, Institute of Oral Medicine, College of Medicine, National Cheng Kung University, Tainan 701401, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 807377, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 807377, TaiwanThis in vitro study investigated the accuracy and wear conditions of three drill sleeve distances (0.01, 0.02, and 0.03 mm) for 3D-guided stents in simulated clinical dental implant surgery. Fifteen sets of upper and lower partially edentulous epoxy tooling board models with four edentulous first molar sites were prepared in a Nissin Simple Manikin II and set on a dental chair. Sixty computer-aided design and computer-aided manufacturing (CAD/CAM) designed and guided stents with three drill sleeve distances were prepared in this study. The maximum height (Sz) of the wear roughness of drills, maximum deviation, and drilling time were observed. The highest maximum horizontal deviations were observed at the upper first molar (0.48 ± 0.12 mm, <i>p</i> < 0.001). The highest maximum vertical and angular deviations were observed at the lower left first molar (1.08 ± 0.35 mm and 5.61° ± 1.21°, respectively, <i>p</i> < 0.001). Only angular deviation significantly differed among the three drill sleeve distances (<i>p</i> = 0.046); the 0.03 mm distance exhibited the maximum angular deviation (3.92° ± 1.87°). The bigger drill sleeve distance (0.03 mm) was associated with more wear roughness (8.70 ± 2.29 µm) of the drills. Guided stents with varying drill-sleeve distances (0.01, 0.02, and 0.03 mm) exhibited no significant difference in preparation drilling time and abrasive wear. In practice, the optimal drill sleeve distance for single-type CAD/CAM-guided stents of dental implantation was 0.01 mm.https://www.mdpi.com/2076-3417/11/19/9035drill sleeve distancedental implantCAD/CAMguided stent |
spellingShingle | Yu-Feng Chen Chin-Yun Pan Yung-Chung Chen Je-Kang Du Ting-Hsun Lan Accuracy and Wear Evaluation of the Customized Zirconia Guided Sleeves Applied Sciences drill sleeve distance dental implant CAD/CAM guided stent |
title | Accuracy and Wear Evaluation of the Customized Zirconia Guided Sleeves |
title_full | Accuracy and Wear Evaluation of the Customized Zirconia Guided Sleeves |
title_fullStr | Accuracy and Wear Evaluation of the Customized Zirconia Guided Sleeves |
title_full_unstemmed | Accuracy and Wear Evaluation of the Customized Zirconia Guided Sleeves |
title_short | Accuracy and Wear Evaluation of the Customized Zirconia Guided Sleeves |
title_sort | accuracy and wear evaluation of the customized zirconia guided sleeves |
topic | drill sleeve distance dental implant CAD/CAM guided stent |
url | https://www.mdpi.com/2076-3417/11/19/9035 |
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