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...

Full description

Bibliographic Details
Main Authors: Yu-Feng Chen, Chin-Yun Pan, Yung-Chung Chen, Je-Kang Du, Ting-Hsun Lan
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/19/9035
_version_ 1797516863149703168
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.
first_indexed 2024-03-10T07:06:49Z
format Article
id doaj.art-80e0af458044470fb2f5aa3e3da39f1d
institution Directory Open Access Journal
issn 2076-3417
language English
last_indexed 2024-03-10T07:06:49Z
publishDate 2021-09-01
publisher MDPI AG
record_format Article
series Applied Sciences
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
work_keys_str_mv AT yufengchen accuracyandwearevaluationofthecustomizedzirconiaguidedsleeves
AT chinyunpan accuracyandwearevaluationofthecustomizedzirconiaguidedsleeves
AT yungchungchen accuracyandwearevaluationofthecustomizedzirconiaguidedsleeves
AT jekangdu accuracyandwearevaluationofthecustomizedzirconiaguidedsleeves
AT tinghsunlan accuracyandwearevaluationofthecustomizedzirconiaguidedsleeves