快速成型制造技术制作个体化桩核的适合性分析  

Study on the fitness of post and core formed by rapid prototyping and manufacturing technique

作　　者：陈炜[1] 李国华[2] 龚振宇[2] 吴建忠[3] 吴纪楠[1] 王忠东[1] 刘亚雄[4] 

机构地区：[1]中山市人民医院口腔医疗中心,528400 [2]南京军区福州总医院 [3]中山市技师学院 [4]西安交通大学

出　　处：《中华口腔医学研究杂志（电子版）》2011年第3期47-50,共4页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：福建省青年人才项目(2008F3088);中山市科技计划项目(2006A013)

摘　　要：目的研究快速成型制造(RPM)技术制作个体化桩核的适合性,探讨RPM技术的制作精度,以指导临床实践。方法 (1)用数控车床精密加工残冠和(或)残根基牙代型,以螺旋CT扫描数据建立代型数字模型;(2)分别用常规失蜡精密铸造法和RPM技术制作桩核;(3)采用扫描电镜观测并拍片计数的方法,测量RPM技术制作个体化桩核、常规铸造桩核的边缘适合性和内部适合性,采用组间比较t检验进行统计学分析。结果制作的所有桩核均可精密就位,效果满意。常规制作桩核和RPM制作桩核边缘浮出量分别为(47.99±9.26)μm和(45.95±8.09)μm,差异无统计学意义(P=0.647>0.05)。常规制作桩核和RPM制作桩核组织面与代型之间间隙,在根管口处分别为(104.31±14.14)μm和(79.33±9.69)μm,差异有统计学意义(P=0.001<0.01);在根管中部分别为(83.91±12.86)μm和(80.68±10.74)μm,差异无统计学意义(P=0.593>0.05);在根管底部分别为(108.51±13.61)μm和(82.05±11.46)μm,差异有统计学意义(P=0.001<0.01)。结论 RPM技术制作个体化桩核具有良好的适合性,优于临床常规失蜡精密铸造桩核。Objective To study the fitness of the post and core fabricated by the method of rapid prototyping and manufacturing（RPM） technique and to evaluate the precision of RPM.Methods Dies of residual root and crown fabricated by the computer numerically controlled lathe were scanned by spiral CT and a digital model was obtained.The post and core were manufactured by RPM technique and the routine casting method respectively.The fitness was measured with a scanning electronic microscope and analyzed statistically.Results All the posts and cores could be put in place precisely.The marginal fitness of the post and core formed by regular method and by RPM method was（47.99 ± 9.26）μm and（45.95 ± 8.09）μm,respectively.There was no significant difference in marginal fitness between the two methods（P 0.05）.The internal fitness of the post and core made by RPM method was better than that by casting method.The gap between the post and the die was（104.31 ± 14.14）μm by RPM method and（79.33 ± 9.69）μm by casting method respectively at the root canal orifice（P 0.01）,（83.91 ± 12.86）μm and（80.68 ± 10.74）μm respectively at the middle area of root canal（P 0.05）,and（108.51 ± 13.61）μm and（82.05 ± 11.46）μm respectively at the bottom area（P 0.01）.Conclusion The post and core formed by RPM technique had excellent precision and satisfied fitness.

关 键 词：桩核 个体化 快速成型 反求工程 适合性 

分 类 号：R783.3[医药卫生—口腔医学]