Exactitud dimensional en dentaduras completas: comparación entre tecnologías de impresión 3D y fresado
DOI:
https://doi.org/10.56183/iberojhr.v5i1.705Palavras-chave:
fresado dental; impresión 3D en odontología; precisión de restauracionesResumo
Introducción: La precisión dimensional es esencial en la fabricación de dentaduras completas, permitiendo evaluar sus ventajas y limitaciones. Objetivo: Evaluar la evidencia científica sobre la precisión y adaptabilidad de las tecnologías de fresado e impresión 3D en restauraciones protésicas. Métodos: Se realizó una búsqueda sistemática en bases de datos como PubMed, Scopus y Web of Science, siguiendo las directrices PRISMA. Se incluyeron estudios publicados entre 2016 y 2024 que compararan ambas tecnologías en términos de precisión dimensional y adaptabilidad clínica. Resultados: De los 190 estudios identificados inicialmente, 17 cumplieron los criterios de inclusión. La tecnología de fresado mostró una precisión promedio de 25 ± 5 μm, superior a los 40 ± 10 μm de la impresión 3D, aunque esta última destacó en términos de tiempo y costo. Conclusión: Ambas tecnologías presentan ventajas. El fresado lidera en precisión, mientras que la impresión 3D destaca en eficiencia.
Referências
Aggag, M., Abd Elkader, S., & Bakry, S. (2024). Marginal and internal fit evaluation of cad/cam Zirconia crowns fabricated by stone dies versus 3d printed dies. Alexandria Dental Journal: ADJ, 0(0), 0–0. https://doi.org/10.21608/adjalexu.2023.177753.1330
Charoenphol, K., & Peampring, C. (2023). Fit Accuracy of Complete Denture Base Fabricated by CAD/CAM Milling and 3D-Printing Methods. European journal of dentistry, 17(3), 889–894. https://doi.org/10.1055/s-0042-1757211
Davda, K., Osnes, C., Dillon, S., Wu, J., Hyde, P., & Keeling, A. (2017). An Investigation into the Trueness and Precision of Copy Denture Templates Produced by Rapid Prototyping and Conventional Means. The European journal of prosthodontics and restorative dentistry, 25(4), 186–192. https://doi.org/10.1922/EJPRD_01716Davda07
Emam, A. M., El-Esawy, A. A., Alyami, M. H., Baraka, Y., Gad, M. M., & Helal, M. A. (2024). Effect of Duplication Techniques on the Fitting Accuracy of CAD-CAM Milled, 3D-Printed, and Injection-Molded Mandibular Complete Denture Bases. Dentistry journal, 12(2), 32. https://doi.org/10.3390/dj12020032
Graf, T., Schweiger, J., Goob, J., Stimmelmayr, M., Lente, I., & Schubert, O. (2024). Dimensional reliability in CAD/CAM production of complete denture bases: A comparative study of milling and various 3D printing technologies. Dental materials journal, 10.4012/dmj.2023-215. Advance online publication. https://doi.org/10.4012/dmj.2023-215
Haddaway, N. R., Page, M. J., Pritchard, C. C., y McGuinness, L. A. (2022). PRISMA2020: Un paquete R y una aplicación Shiny para producir diagramas de flujo compatibles con PRISMA 2020, con interactividad para una transparencia digital optimizada y Open Campbell Synthesis Systematic Reviews, 18, e1230. https://doi.org/10.1002/cl2.1230
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Helal, M. A., Abdelrahim, R. A., & Zeidan, A. A. E. (2023). Comparison of Dimensional Changes Between CAD-CAM Milled Complete Denture Bases and 3D Printed Complete Denture Bases: An In Vitro Study. Journal of prosthodontics : official journal of the American College of Prosthodontists, 32(S1), 11–19. https://doi.org/10.1111/jopr.13538
Herpel, C., Tasaka, A., Higuchi, S., Finke, D., Kühle, R., Odaka, K., Rues, S., Lux, C. J., Yamashita, S., Rammelsberg, P., & Schwindling, F. S. (2021). Accuracy of 3D printing compared with milling - A multi-center analysis of try-in dentures. Journal of dentistry, 110, 103681. https://doi.org/10.1016/j.jdent.2021.103681
Hsu, C. Y., Yang, T. C., Wang, T. M., & Lin, L. D. (2020). Effects of fabrication techniques on denture base adaptation: An in vitro study. The Journal of prosthetic dentistry, 124(6), 740–747. https://doi.org/10.1016/j.prosdent.2020.02.012
Hwang, H.-J., Lee, S. J., Park, E.-J., & Yoon, H.-I. (2018). Assessment of the trueness and tissue surface adaptation of CAD-CAM maxillary denture bases manufactured using digital light processing. Journal of Prosthetic Dentistry. https://doi.org/10.1016/j.prosdent.2018.05.006
Kalberer, N., Mehl, A., Schimmel, M., Müller, F., & Srinivasan, M. (2019). CAD-CAM milled versus rapidly prototyped (3D-printed) complete dentures: An in vitro evaluation of trueness. The Journal of prosthetic dentistry, 121(4), 637–643. https://doi.org/10.1016/j.prosdent.2018.09.001
Kang, S. Y., Park, J. H., Kim, J. H., & Kim, W. C. (2018). Accuracy of provisional crowns made using stereolithography apparatus and subtractive technique. The journal of advanced prosthodontics, 10(5), 354–360. https://doi.org/10.4047/jap.2018.10.5.354
García-Ramos, L., & Pereira, F. (2019). Tecnología 3D en odontología en América Latina: Tendencias y desafíos. Journal of Dental Technology, 45(3), 89-101.
Goodacre, B. J., Goodacre, C. J., Baba, N. Z., & Kattadiyil, M. T. (2016). Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques. The Journal of prosthetic dentistry, 116(2), 249–256. https://doi.org/10.1016/j.prosdent.2016.02.017
Lee, W. S., Lee, D. H., & Lee, K. B. (2017). Evaluation of internal fit of interim crown fabricated with CAD/CAM milling and 3D printing system. The journal of advanced prosthodontics, 9(4), 265–270. https://doi.org/10.4047/jap.2017.9.4.265
Lee, S., Hong, S. J., Paek, J., Pae, A., Kwon, K. R., & Noh, K. (2019). Comparing accuracy of denture bases fabricated by injection molding, CAD/CAM milling, and rapid prototyping method. The journal of advanced prosthodontics, 11(1), 55–64. https://doi.org/10.4047/jap.2019.11.1.55
Lo Russo, L., Guida, L., Zhurakivska, K., Troiano, G., Chochlidakis, K., & Ercoli, C. (2023). Intaglio surface trueness of milled and 3D-printed digital maxillary and mandibular dentures: A clinical study. The Journal of prosthetic dentistry, 129(1), 131–139. https://doi.org/10.1016/j.prosdent.2021.05.003
Long, H. A., French, D. P., & Brooks, J. M. (2020). Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Research Methods in Medicine & Health Sciences, 1(1), 31–42. doi:10.1177/2632084320947559
Matiz, J. (2018). CAD-CAM en prótesis total. Descripción de un caso. Universitas Odontológica, 37(78). Pontificia Universidad Javeriana, 37. Recuperado de: https://revistas.javeriana.edu.co/files-articulos/UO/UO%2037-78%20(2018I)/231260072003/
Medina-Sotomayor, Priscilla, Ordóñez, Paola, & Ortega, Gabriela. (2021). Precisión de los sistemas de impresión digital intraoral en odontología restauradora: Una revisión de la literatura. Odovtos International Journal of Dental Sciences, 23(1), 64-75. https://dx.doi.org/10.15517/ijds.2020.41442
Medina-Sotomayor, P., Pascual-Moscardo, A., & Camps A, I. (2019). Accuracy of 4 digital scanning systems on prepared teeth digitally isolated from a complete dental arch. The Journal of Prosthetic Dentistry, 121(5), 811–820. https://doi.org/10.1016/j.prosdent.2018.08.020
Moreno, D., & Chávez, P. (2023). Avances en la fabricación digital de dentaduras en Ecuador: Una revisión crítica. Revista Ecuatoriana de Odontología, 28(1), 55-67.
Oweis Y, Ereifej N, Al-Asmar A, Nedal A. (2022). Factors Affecting Patient Satisfaction with Complete Dentures. Int J Dent. e9565320. Recuperado de: https://www.hindawi.com/journals/ijd/2022/9565320/
Paredes, J., Granda, L., Peñaloza, N., & Miranda, K. (2023). Sistema CAD/CAM en la confección de prótesis totales dentales. Revista Cubana de Investigaciones Biomedicas, 42 (2), e2847 http://scielo.sld.cu/pdf/ibi/v42/1561-3011-ibi-42-e2847.pdf
Pekka, S., Kirsi, S., Pirkko, L., Tuomo, S., Reijo, L. (2024). Accuracy of dental restorations fabricated using milling vs 3D-printed molds: A pilot study - quintessence publishing company, inc. Quintessence Publishing Company, Inc. https://www.quintessence-publishing.com/usa/en/article/5100767/the-international-journal-of-prosthodontics/2024/07/accuracy-of-dental-restorations-fabricated-using-milling-vs-3d-printed-molds-a-pilot-study
Rivera, G J., Zamarripa, C., Ancona, A., (2019). Impresión 3D: La tecnología que está transformando radicalmente a la odontología, Cap. 8, e91-3101.https://www.researchgate.net/publication/342654850_Impresion_3D_la_tecnologia_que_esta_transformando_radicalmente_a_la_odontologia
Schwärzler, A., Ludwig, B., Chitan, P., Lettner, S., Sagl, B., & Jonke, E. (2024). Transfer accuracy of 3D printed versus CAD/CAM milled surgical guides for temporary orthodontic implants: A preclinical micro CT study. Journal of Dentistry, 146(105060), 105060. https://doi.org/10.1016/j.jdent.2024.105060
Srinivasan, M., Kamnoedboon, P., McKenna, G., Angst, L., Schimmel, M., Özcan, M., & Müller, F. (2021). CAD-CAM removable complete dentures: A systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes. Journal of dentistry, 113, 103777. https://doi.org/10.1016/j.jdent.2021.103777
Son, K., Lee, J. H., & Lee, K. B. (2021). Comparison of Intaglio Surface Trueness of Interim Dental Crowns Fabricated with SLA 3D Printing, DLP 3D Printing, and Milling Technologies. Healthcare (Basel, Switzerland), 9(8), 983. https://doi.org/10.3390/healthcare9080983
Torres, A., Martínez, J., & Lee, S. (2021). Comparative analysis of dimensional accuracy in 3D printed and milled dentures. International Journal of Prosthodontics, 34(2), 123-129.
Wang, C., Shi, Y. F., Xie, P. J., & Wu, J. H. (2021). Accuracy of digital complete dentures: A systematic review of in vitro studies. The Journal of prosthetic dentistry, 125(2), 249–256. https://doi.org/10.1016/j.prosdent.2020.01.004
Wu, J., Xie, H., Sadr, A., & Chung, K. H. (2021). Evaluation of Internal Fit and Marginal Adaptation of Provisional Crowns Fabricated with Three Different Techniques. Sensors (Basel, Switzerland), 21(3), 740. https://doi.org/10.3390/s21030740
You, S. M., You, S. G., Kang, S. Y., Bae, S. Y., & Kim, J. H. (2021). Evaluation of the accuracy (trueness and precision) of a maxillary trial denture according to the layer thickness: An in vitro study. The Journal of prosthetic dentistry, 125(1), 139–145. https://doi.org/10.1016/j.prosdent.2019.12.014
Zahel, A., Roehler, A., Kaucher-Fernandez, P., Spintzyk, S., Rupp, F., & Engel, E. (2024). Conventionally and digitally fabricated removable complete dentures: manufacturing accuracy, fracture resistance and repairability. Dental Materials: Official Publication of the Academy of Dental Materials, 40(10), 1635–1642. https://doi.org/10.1016/j.dental.2024.07.022
Zeidan, A. A. E.-L., & Helal, M. A. (2024). Evaluation of the effect of thermocycling on the trueness and precision of digitally fabricated complete denture bases. BMC Oral Health, 24(1). https://doi.org/10.1186/s12903-024-04636-5
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