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Effect of printing direction on stress distortion of three-dimensional printed dentures using stereolithography technology

Fabrication of complete dentures using a 3D printer is quicker and more economic than conventional methods. However, the photopolymer resins used in 3D printers has a lower flexural strength than heat-cured resin. Furthermore, photopolymer resins exhibit anisotropic properties depending on the print...

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Published in:Journal of the mechanical behavior of biomedical materials 2020-10, Vol.110, p.103949-103949, Article 103949
Main Authors: Hada, Tamaki, Kanazawa, Manabu, Iwaki, Maiko, Arakida, Toshio, Minakuchi, Shunsuke
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cited_by cdi_FETCH-LOGICAL-c509t-3663205d55f42778ac615e5041f74d0081a60cb415c474b1b1fb670c8c95d5853
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Kanazawa, Manabu
Iwaki, Maiko
Arakida, Toshio
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description Fabrication of complete dentures using a 3D printer is quicker and more economic than conventional methods. However, the photopolymer resins used in 3D printers has a lower flexural strength than heat-cured resin. Furthermore, photopolymer resins exhibit anisotropic properties depending on the printing direction, but no studies have evaluated their mechanical properties. The impact of stress distribution caused by changing the printing direction of the 3D printed denture has not been clarified. This study aimed to investigate the effect of different printing directions (0°, 45°, and 90°) of stereolithography (SLA) 3D printed dentures on stress distribution. Artificial mucosa was fabricated to fit a maxillary edentulous model, which was scanned to generate a standard tessellation language (STL) file. Subsequently, the upper denture was designed using computer-aided design (CAD) software, output as an STL file (master data), and set in three different printing directions (0°, 45°, and 90°). It was printed by the SLA 3D printer using photopolymer resin (n=6, in each printing direction). The stress distributions of the dentures were monitored using four rosette strain gauges, which were cemented to the midline of each denture as follows: above the labial frenum (A), at the incisive papilla (B), at the endpoint of the denture (D), and at the mid-point of B and D (C). A load was applied to the posterior region at a loading rate of 20 N/s from 0 N to 200 N using a universal testing machine. Changes in the applied load and strain at each point were recorded. The maximum principal strain (MPS) and the direction of the MPS (θ) were calculated. Each mean MPS was compared using Kruskal–Wallis and Steel–Dwass multiple comparison tests (p 
doi_str_mv 10.1016/j.jmbbm.2020.103949
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However, the photopolymer resins used in 3D printers has a lower flexural strength than heat-cured resin. Furthermore, photopolymer resins exhibit anisotropic properties depending on the printing direction, but no studies have evaluated their mechanical properties. The impact of stress distribution caused by changing the printing direction of the 3D printed denture has not been clarified. This study aimed to investigate the effect of different printing directions (0°, 45°, and 90°) of stereolithography (SLA) 3D printed dentures on stress distribution. Artificial mucosa was fabricated to fit a maxillary edentulous model, which was scanned to generate a standard tessellation language (STL) file. Subsequently, the upper denture was designed using computer-aided design (CAD) software, output as an STL file (master data), and set in three different printing directions (0°, 45°, and 90°). It was printed by the SLA 3D printer using photopolymer resin (n=6, in each printing direction). The stress distributions of the dentures were monitored using four rosette strain gauges, which were cemented to the midline of each denture as follows: above the labial frenum (A), at the incisive papilla (B), at the endpoint of the denture (D), and at the mid-point of B and D (C). A load was applied to the posterior region at a loading rate of 20 N/s from 0 N to 200 N using a universal testing machine. Changes in the applied load and strain at each point were recorded. The maximum principal strain (MPS) and the direction of the MPS (θ) were calculated. Each mean MPS was compared using Kruskal–Wallis and Steel–Dwass multiple comparison tests (p &lt; 0.05). The stress distribution showed that the MPS for 45° printing was the lowest at each measurement point except for A under 200 N loading. The MPS at C for 0° was significantly different from that at C for 45° and 90°. The MPS at D in all the printing directions showed significant differences. The MPS at B for 45° was significantly different from that at B for 90°. The MPS at A in all printing directions showed no significant difference. Within the limitations of this study, differences in printing direction affected the stress distribution of SLA 3D printed dentures. The results showed that the stress distribution of the denture printed at 45° by the 3D printer system was the smallest compared with dentures printed at 0° and 90°. These results suggest that a printing direction of 45° is preferable when fabricating dentures using a 3D printer in clinical setting. [Display omitted] •The stress distributions of 3D printed dentures were evaluated.•The three printing directions (0°, 45°, and 90°) were tested.•The stress distributions of 3D printed dentures were varied with all directions.•The maximum principal strain decreased in 45° printing direction.</description><identifier>ISSN: 1751-6161</identifier><identifier>EISSN: 1878-0180</identifier><identifier>DOI: 10.1016/j.jmbbm.2020.103949</identifier><identifier>PMID: 32957241</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Complete denture ; Computer-Aided Design ; Dentures ; Maxilla ; Mechanical stress ; Printing, Three-Dimensional ; Stereolithography ; Three-dimensional printing</subject><ispartof>Journal of the mechanical behavior of biomedical materials, 2020-10, Vol.110, p.103949-103949, Article 103949</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. 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However, the photopolymer resins used in 3D printers has a lower flexural strength than heat-cured resin. Furthermore, photopolymer resins exhibit anisotropic properties depending on the printing direction, but no studies have evaluated their mechanical properties. The impact of stress distribution caused by changing the printing direction of the 3D printed denture has not been clarified. This study aimed to investigate the effect of different printing directions (0°, 45°, and 90°) of stereolithography (SLA) 3D printed dentures on stress distribution. Artificial mucosa was fabricated to fit a maxillary edentulous model, which was scanned to generate a standard tessellation language (STL) file. Subsequently, the upper denture was designed using computer-aided design (CAD) software, output as an STL file (master data), and set in three different printing directions (0°, 45°, and 90°). It was printed by the SLA 3D printer using photopolymer resin (n=6, in each printing direction). The stress distributions of the dentures were monitored using four rosette strain gauges, which were cemented to the midline of each denture as follows: above the labial frenum (A), at the incisive papilla (B), at the endpoint of the denture (D), and at the mid-point of B and D (C). A load was applied to the posterior region at a loading rate of 20 N/s from 0 N to 200 N using a universal testing machine. Changes in the applied load and strain at each point were recorded. The maximum principal strain (MPS) and the direction of the MPS (θ) were calculated. Each mean MPS was compared using Kruskal–Wallis and Steel–Dwass multiple comparison tests (p &lt; 0.05). The stress distribution showed that the MPS for 45° printing was the lowest at each measurement point except for A under 200 N loading. The MPS at C for 0° was significantly different from that at C for 45° and 90°. The MPS at D in all the printing directions showed significant differences. The MPS at B for 45° was significantly different from that at B for 90°. The MPS at A in all printing directions showed no significant difference. Within the limitations of this study, differences in printing direction affected the stress distribution of SLA 3D printed dentures. The results showed that the stress distribution of the denture printed at 45° by the 3D printer system was the smallest compared with dentures printed at 0° and 90°. These results suggest that a printing direction of 45° is preferable when fabricating dentures using a 3D printer in clinical setting. [Display omitted] •The stress distributions of 3D printed dentures were evaluated.•The three printing directions (0°, 45°, and 90°) were tested.•The stress distributions of 3D printed dentures were varied with all directions.•The maximum principal strain decreased in 45° printing direction.</description><subject>Complete denture</subject><subject>Computer-Aided Design</subject><subject>Dentures</subject><subject>Maxilla</subject><subject>Mechanical stress</subject><subject>Printing, Three-Dimensional</subject><subject>Stereolithography</subject><subject>Three-dimensional printing</subject><issn>1751-6161</issn><issn>1878-0180</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kEtLxDAUhYMojq9fIEiXbjombV5duBDxBQNudB3a9GYmQ9uMSSqMv96MHV0KgRsO59zD_RC6JHhOMOE36_m6b5p-XuBip5QVrQ7QCZFC5phIfJj-gpGcE05m6DSENcYcYymP0awsKiYKSk7Q14MxoGPmTLbxdoh2WGat9UmybsjSC9FDCEkL0flJNFlceYC8tT0MIUl1N4WhzVoY4pgS2Rh2q0IED66zceWWvt6stlkEvRpc55bbc3Rk6i7AxX6eoffHh7f753zx-vRyf7fINcNVzEvOywKzljFDCyFkrTlhwDAlRtA2HURqjnVDCdNU0IY0xDRcYC11lUKSlWfoetq78e5jhBBVb4OGrqsHcGNQBaVUitRFk7WcrNq7EDwYle7qa79VBKsddLVWP9DVDrqaoKfU1b5gbHpo_zK_lJPhdjJAOvPTgldBWxg0TKRV6-y_Bd-3_5YE</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Hada, Tamaki</creator><creator>Kanazawa, Manabu</creator><creator>Iwaki, Maiko</creator><creator>Arakida, Toshio</creator><creator>Minakuchi, Shunsuke</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20201001</creationdate><title>Effect of printing direction on stress distortion of three-dimensional printed dentures using stereolithography technology</title><author>Hada, Tamaki ; Kanazawa, Manabu ; Iwaki, Maiko ; Arakida, Toshio ; Minakuchi, Shunsuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-3663205d55f42778ac615e5041f74d0081a60cb415c474b1b1fb670c8c95d5853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Complete denture</topic><topic>Computer-Aided Design</topic><topic>Dentures</topic><topic>Maxilla</topic><topic>Mechanical stress</topic><topic>Printing, Three-Dimensional</topic><topic>Stereolithography</topic><topic>Three-dimensional printing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hada, Tamaki</creatorcontrib><creatorcontrib>Kanazawa, Manabu</creatorcontrib><creatorcontrib>Iwaki, Maiko</creatorcontrib><creatorcontrib>Arakida, Toshio</creatorcontrib><creatorcontrib>Minakuchi, Shunsuke</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the mechanical behavior of biomedical materials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hada, Tamaki</au><au>Kanazawa, Manabu</au><au>Iwaki, Maiko</au><au>Arakida, Toshio</au><au>Minakuchi, Shunsuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of printing direction on stress distortion of three-dimensional printed dentures using stereolithography technology</atitle><jtitle>Journal of the mechanical behavior of biomedical materials</jtitle><addtitle>J Mech Behav Biomed Mater</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>110</volume><spage>103949</spage><epage>103949</epage><pages>103949-103949</pages><artnum>103949</artnum><issn>1751-6161</issn><eissn>1878-0180</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Fabrication of complete dentures using a 3D printer is quicker and more economic than conventional methods. However, the photopolymer resins used in 3D printers has a lower flexural strength than heat-cured resin. Furthermore, photopolymer resins exhibit anisotropic properties depending on the printing direction, but no studies have evaluated their mechanical properties. The impact of stress distribution caused by changing the printing direction of the 3D printed denture has not been clarified. This study aimed to investigate the effect of different printing directions (0°, 45°, and 90°) of stereolithography (SLA) 3D printed dentures on stress distribution. Artificial mucosa was fabricated to fit a maxillary edentulous model, which was scanned to generate a standard tessellation language (STL) file. Subsequently, the upper denture was designed using computer-aided design (CAD) software, output as an STL file (master data), and set in three different printing directions (0°, 45°, and 90°). It was printed by the SLA 3D printer using photopolymer resin (n=6, in each printing direction). The stress distributions of the dentures were monitored using four rosette strain gauges, which were cemented to the midline of each denture as follows: above the labial frenum (A), at the incisive papilla (B), at the endpoint of the denture (D), and at the mid-point of B and D (C). A load was applied to the posterior region at a loading rate of 20 N/s from 0 N to 200 N using a universal testing machine. Changes in the applied load and strain at each point were recorded. The maximum principal strain (MPS) and the direction of the MPS (θ) were calculated. Each mean MPS was compared using Kruskal–Wallis and Steel–Dwass multiple comparison tests (p &lt; 0.05). The stress distribution showed that the MPS for 45° printing was the lowest at each measurement point except for A under 200 N loading. The MPS at C for 0° was significantly different from that at C for 45° and 90°. The MPS at D in all the printing directions showed significant differences. The MPS at B for 45° was significantly different from that at B for 90°. The MPS at A in all printing directions showed no significant difference. Within the limitations of this study, differences in printing direction affected the stress distribution of SLA 3D printed dentures. The results showed that the stress distribution of the denture printed at 45° by the 3D printer system was the smallest compared with dentures printed at 0° and 90°. These results suggest that a printing direction of 45° is preferable when fabricating dentures using a 3D printer in clinical setting. [Display omitted] •The stress distributions of 3D printed dentures were evaluated.•The three printing directions (0°, 45°, and 90°) were tested.•The stress distributions of 3D printed dentures were varied with all directions.•The maximum principal strain decreased in 45° printing direction.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>32957241</pmid><doi>10.1016/j.jmbbm.2020.103949</doi><tpages>1</tpages></addata></record>
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1878-0180
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source ScienceDirect Journals
subjects Complete denture
Computer-Aided Design
Dentures
Maxilla
Mechanical stress
Printing, Three-Dimensional
Stereolithography
Three-dimensional printing
title Effect of printing direction on stress distortion of three-dimensional printed dentures using stereolithography technology
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