Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Aligner | Research

Accuracy (trueness and precision) of 3D printed orthodontic models finalized to clear aligners production, testing crowded and spaced dentition

Authors: Vincenzo Grassia, Vincenzo Ronsivalle, Gaetano Isola, Ludovica Nucci, Rosalia Leonardi, Antonino Lo Giudice

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

The study's objective was to assess the accuracy (trueness and precision) of orthodontic models obtained from crowded and spaced dentition finalized for the production of clear aligners. Four 3D printers featuring different technologies and market segments were used for this purpose.

Methods

Two digital master models were obtained from two patients featuring respectively crowded dentition (CM group) and diastema/edentulous spaces (DEM group). The 3D printers tested were: Form 3B (SLA technology, medium-professional segment), Vector 3SP (SLA technology, industrial segment), Asiga Pro 4K65 (DLP technology, high-professional segment), and Anycubic Photon M3 (LCD technology, entry-level segment). Each 3D printed model was scanned and superimposed onto the reference master model and digital deviation analysis was performed to assess the trueness and precision calculated as root mean square (RMS). All data were statistically examined to obtain intra-group and inter-groups comparisons(p 0.05).

Results

In both CM and DEM groups, SLA 3D printers (Vector 3SP and Form 3B) showed lower trueness error compared to DLP/LCD technologies (Asiga Pro 4K65, Anycubic Photon M3) (p < 0.001). In general, the entry-level printer (Anycubic Photon M3) showed the greatest trueness error (p < 0.001). Comparing CM and DEM models generated with the same 3D printer, statistically significant differences were found only for Asiga Pro 4k65 and Anycubic Photon M3 printers (p > 0.05). Concerning data of precision, the DLP technology (Asiga Pro 4k65) showed lower error compared to the other 3D printers tested. The trueness and precision errors were within the accepted clinical error for clear aligner manufacturing (< 0.25 mm), with the entry-level 3D printer nearly reaching this value.

Conclusions

The accuracy of orthodontic models generated for clear aligners can be affected by different 3D printer technologies and anatomical characteristics of dental arches.
Literature
1.
go back to reference Galan-Lopez L, Barcia-Gonzalez J, Plasencia E. A systematic review of the accuracy and efficiency of dental movements with Invisalign®. Korean J Orthod. 2019;49(3):140–9.CrossRefPubMedPubMedCentral Galan-Lopez L, Barcia-Gonzalez J, Plasencia E. A systematic review of the accuracy and efficiency of dental movements with Invisalign®. Korean J Orthod. 2019;49(3):140–9.CrossRefPubMedPubMedCentral
2.
go back to reference Jindal P, Juneja M, Siena FL, Bajaj D, Breedon P. Mechanical and geometric properties of thermoformed and 3D printed clear dental aligners. Am J Orthod Dentofacial Orthop. 2019;156(5):694–701.CrossRefPubMed Jindal P, Juneja M, Siena FL, Bajaj D, Breedon P. Mechanical and geometric properties of thermoformed and 3D printed clear dental aligners. Am J Orthod Dentofacial Orthop. 2019;156(5):694–701.CrossRefPubMed
4.
go back to reference Piedra-Cascón W, Krishnamurthy VR, Att W, Revilla-León M. 3D printing parameters, supporting structures, slicing, and post-processing procedures of vat-polymerization additive manufacturing technologies: A narrative review. J Dent. 2021;109:103630.CrossRefPubMed Piedra-Cascón W, Krishnamurthy VR, Att W, Revilla-León M. 3D printing parameters, supporting structures, slicing, and post-processing procedures of vat-polymerization additive manufacturing technologies: A narrative review. J Dent. 2021;109:103630.CrossRefPubMed
5.
go back to reference Kim SY, Shin YS, Jung HD, Hwang CJ, Baik HS, Cha JY. Precision and trueness of dental models manufactured with different 3-dimensional printing techniques. Am J Orthod Dentofacial Orthop. 2018;153(1):144–53.CrossRefPubMed Kim SY, Shin YS, Jung HD, Hwang CJ, Baik HS, Cha JY. Precision and trueness of dental models manufactured with different 3-dimensional printing techniques. Am J Orthod Dentofacial Orthop. 2018;153(1):144–53.CrossRefPubMed
6.
go back to reference Wesemann C, Muallah J, Mah J, Bumann A. Accuracy and efficiency of full-arch digitalization and 3D printing: A comparison between desktop model scanners, an intraoral scanner, a CBCT model scan, and stereolithographic 3D printing. Quintessence Int. 2017;48(1):41–50.PubMed Wesemann C, Muallah J, Mah J, Bumann A. Accuracy and efficiency of full-arch digitalization and 3D printing: A comparison between desktop model scanners, an intraoral scanner, a CBCT model scan, and stereolithographic 3D printing. Quintessence Int. 2017;48(1):41–50.PubMed
7.
go back to reference Venezia P, Ronsivalle V, Rustico L, Barbato E, Leonardi R, Lo GA. Accuracy of orthodontic models prototyped for clear aligners therapy: A 3D imaging analysis comparing different market segments 3D printing protocols. J Dent. 2022;124:104212.CrossRefPubMed Venezia P, Ronsivalle V, Rustico L, Barbato E, Leonardi R, Lo GA. Accuracy of orthodontic models prototyped for clear aligners therapy: A 3D imaging analysis comparing different market segments 3D printing protocols. J Dent. 2022;124:104212.CrossRefPubMed
8.
go back to reference Short MM, Favero CS, English JD, Kasper FK. Impact of orientation on dimensional accuracy of 3D-printed orthodontic models. J Clin Orthod. 2018;52(1):13–20.PubMed Short MM, Favero CS, English JD, Kasper FK. Impact of orientation on dimensional accuracy of 3D-printed orthodontic models. J Clin Orthod. 2018;52(1):13–20.PubMed
9.
go back to reference Zhang ZC, Li PL, Chu FT, Shen G. Influence of the three-dimensional printing technique and printing layer thickness on model accuracy. J Orofac Orthop. 2019;80(4):194–204.CrossRefPubMed Zhang ZC, Li PL, Chu FT, Shen G. Influence of the three-dimensional printing technique and printing layer thickness on model accuracy. J Orofac Orthop. 2019;80(4):194–204.CrossRefPubMed
10.
go back to reference Kim J, Lee DH. Influence of the postcuring process on dimensional accuracy and seating of 3D-printed polymeric fixed prostheses. Biomed Res Int. 2020;2020:2150182.CrossRefPubMedPubMedCentral Kim J, Lee DH. Influence of the postcuring process on dimensional accuracy and seating of 3D-printed polymeric fixed prostheses. Biomed Res Int. 2020;2020:2150182.CrossRefPubMedPubMedCentral
11.
go back to reference Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2015;85(5):881–9.CrossRefPubMed Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2015;85(5):881–9.CrossRefPubMed
12.
go back to reference Mangano FG, Admakin O, Bonacina M, Lerner H, Rutkunas V, Mangano C. Trueness of 12 intraoral scanners in the full-arch implant impression: a comparative in vitro study. BMC Oral Health. 2020;20(1):263.CrossRefPubMedPubMedCentral Mangano FG, Admakin O, Bonacina M, Lerner H, Rutkunas V, Mangano C. Trueness of 12 intraoral scanners in the full-arch implant impression: a comparative in vitro study. BMC Oral Health. 2020;20(1):263.CrossRefPubMedPubMedCentral
13.
go back to reference Favero CS, English JD, Cozad BE, Wirthlin JO, Short MM, Kasper FK. Effect of print layer height and printer type on the accuracy of 3-dimensional printed orthodontic models. Am J Orthod Dentofacial Orthop. 2017;152(4):557–65.CrossRefPubMed Favero CS, English JD, Cozad BE, Wirthlin JO, Short MM, Kasper FK. Effect of print layer height and printer type on the accuracy of 3-dimensional printed orthodontic models. Am J Orthod Dentofacial Orthop. 2017;152(4):557–65.CrossRefPubMed
14.
go back to reference Gülcan O, Günaydın K, Tamer A. The State of the Art of Material Jetting-A Critical Review. Polymers (Basel). 2021;13(16):2829. Gülcan O, Günaydın K, Tamer A. The State of the Art of Material Jetting-A Critical Review. Polymers (Basel). 2021;13(16):2829.
15.
go back to reference Khaledi AA, Farzin M, Akhlaghian M, Pardis S, Mir N. Evaluation of the marginal fit of metal copings fabricated by using 3 different CAD-CAM techniques: milling, stereolithography, and 3D wax printer. J Prosthet Dent. 2020;124(1):81–6.CrossRefPubMed Khaledi AA, Farzin M, Akhlaghian M, Pardis S, Mir N. Evaluation of the marginal fit of metal copings fabricated by using 3 different CAD-CAM techniques: milling, stereolithography, and 3D wax printer. J Prosthet Dent. 2020;124(1):81–6.CrossRefPubMed
16.
go back to reference Morales-Burruezo I, Gandía-Franco JL, Cobo J, Vela-Hernández A, Bellot-Arcís C. Arch expansion with the Invisalign system: efficacy and predictability. PLoS ONE. 2020;15(12):e0242979.CrossRefPubMedPubMedCentral Morales-Burruezo I, Gandía-Franco JL, Cobo J, Vela-Hernández A, Bellot-Arcís C. Arch expansion with the Invisalign system: efficacy and predictability. PLoS ONE. 2020;15(12):e0242979.CrossRefPubMedPubMedCentral
17.
go back to reference Mangano FG, Admakin O, Bonacina M, Biaggini F, Farronato D, Lerner H. Accuracy of 6 desktop 3D printers in dentistry: a comparative in vitro study. Eur J Prosthodont Restor Dent. 2020;28(2):75–85.PubMed Mangano FG, Admakin O, Bonacina M, Biaggini F, Farronato D, Lerner H. Accuracy of 6 desktop 3D printers in dentistry: a comparative in vitro study. Eur J Prosthodont Restor Dent. 2020;28(2):75–85.PubMed
Metadata
Title
Accuracy (trueness and precision) of 3D printed orthodontic models finalized to clear aligners production, testing crowded and spaced dentition
Authors
Vincenzo Grassia
Vincenzo Ronsivalle
Gaetano Isola
Ludovica Nucci
Rosalia Leonardi
Antonino Lo Giudice
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Aligner
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03025-8

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue