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选择性激光熔覆(SLM)纯钛全冠适合性的临床研究
引用本文:陈克南,毛菁红,党玉琪,高勃. 选择性激光熔覆(SLM)纯钛全冠适合性的临床研究[J]. 实用口腔医学杂志, 2016, 0(3): 317-320. DOI: 10.3969/j.issn.1001-3733.2016.03.004
作者姓名:陈克南  毛菁红  党玉琪  高勃
作者单位:710032 西安,军事口腔医学国家重点实验室,口腔疾病国家临床医学研究中心,陕西省口腔疾病重点实验室,第四军医大学口腔医院修复科
基金项目:陕西省科技统筹创新工程计划项目(编号2015KTCQ01-90)
摘    要:目的:临床评价选择性激光熔覆(SLM)技术制作的纯钛全冠适合性。方法:在临床选取10个因后牙牙体缺损需要单冠修复的患者,采用 SLMEOS M280系统及失蜡铸造法分别制作纯钛全冠(n =10),临床试戴后采用印模法复制单冠内部及边缘间隙,并在体式显微镜下测量。采用 SPSS 17.0软件对实验数据进行独立样本 t 检验。结果:纯钛单冠 SLM组和铸造组的边缘间隙(μm)分别为:90.67±14.7和94.77±21.9(P <0.05),中央间隙分别为213.73±90.4和217.00±97.7(P >0.05)。结论:SLM组边缘间隙小于铸造组、也小于临床普遍接受的120μm 的标准。

关 键 词:选择性激光熔覆(SLM)    适合性  计算机辅助设计与辅助制作  3D 打印  临床实验

Clinical observation of the marginal and internal fit of titanium crowns fabricated by a selective laser mel-ting technology
Abstract:Objective:To compare the marginal and internal fit of selective laser melting(SLM)titanium crowns with lost-wax cast (LW)titanium crowns.Methods:Titanium crowns of 10 subjects were fabricated by SLM and conventional LW respectively(n =10).The marginal and internal gaps of the crowns were recorded with silicon film using a replica technique.Each silicon film was cut into 2 parts and the thickness of silicon layer was measured at ×100 magnification using a stereomicroscope,the data of marginal gap (MG)and internal gap(IG)were statistically analysed by ANOVA and SPSS statistical package version 17.0.Results:The MG (μm)of the titanium crowns of SLMgroup and LMgroup were 90.67 ±14.7 and 94.77 ±21.9(P <0.05),IG were 213.73 ±90.4 and 217.00 ±97.7(P >0.05),respectively.Conclusion:The marginal fit of the SLMcrowns is better than that of the LW ones,and is significantly smaller than 120 μm of the clinical generally accepted standards.
Keywords:Selective laser melting(SLM)  Crowns  Fit  CAD/CAM  3D Printing  Clinical trial
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