Three-dimensional (3D) printing is increasingly being utilized in the dental field. After fabricating a prosthesis using a 3D printed resin, a post-curing process is required to improve its mechanical properties, but there has been insufficient research on the optimal post-curing conditions. We used various 3D printed crown and bridge materials in this study, and evaluated the changes in their properties according to post-curing time by evaluating the flexural strength, Weibull modulus, Vickers hardness, color change, degree of conversion, and biocompatibility. The obtained results confirmed that the strength of the 3D printed resin increased when it was post-cured for 60–90 min. The Vickers hardness, the degree of conversion, and biocompatibility of the 3D printed resins increased significantly around the beginning of the post-curing time, and then increased more gradually as the post-curing time increased further. It was observed that the color tone also changed as the post-curing time increased, with some groups showing a ΔE00 value of ≥ 2.25, which can be recognized clinically. This study has confirmed that, after the printing process of a 3D printed resin was completed, a sufficient post-curing time of at least 60 min is required to improve the overall clinical performance of the produced material.
Three-dimensional (3D) printing is an attractive technology in dentistry. Acrylic-based 3D printed resin parts have to undergo postcuring processes to enhance their mechanical and biological properties, such as UV-light and thermal polymerization. However, no previous studies have revealed how the postcuring temperature influences the biocompatibility of the produced parts. Therefore, we postprocessed 3D printed denture teeth resin under different postcuring temperatures (40, 60 and 80 °C) for different periods (15, 30, 60, 90 and 120 min), and evaluated their flexural properties, Vickers hardness, cell cytotoxicity, cell viability, and protein adsorption. In addition, confocal laser scanning was used to assess the condition of human gingival fibroblasts. It was found that increasing the postcuring temperature significantly improved the flexural strength and cell viability. The flexural strength and cell viability were 147.48 ± 5.82 MPa (mean ± standard deviation) and 89.51 ± 7.09%, respectively, in the group cured at 80 °C for 120 min, which were higher than the values in the 40 and 60 °C groups. The cell cytotoxicity increased in the 40 °C groups and for longer cultivation time. Confocal laser scanning revealed identifiable differences in the morphology of fibroblasts. This study has confirmed that the postcuring temperature influences the final mechanical and biological properties of 3D printed resin.
Recent advances in three-dimensional (3D) printing have introduced new materials that can be utilized for dental restorations. Nonetheless, there are limited studies on the color stability of restorations using 3D-printed crowns and bridge resins. Herein, the color stability of conventional computer-aided design/computer-aided manufacturing (CAD/CAM) blocks and 3D-printing resins was evaluated and assessed for their degrees of discoloration based on material type, colorant types (grape juice, coffee, curry, and distilled water (control group)), and storage duration (2, 7, and 30 days) in the colorants. Water sorption, solubility, and scanning electron microscope (SEM) analyses were conducted. A three-way ANOVA analysis showed that all three factors significantly affected the color change of the materials. Notably, the discoloration (ΔE00) was significantly higher in all 3D printing resins (4.74–22.85 over the 30 days) than in CAD/CAM blocks (0.64–4.12 over the 30 days) following immersion in all colorants. 3D-printing resins showed color differences above the clinical limit (2.25) following storage for 7 days or longer in all experimental groups. Curry was the most prominent colorant, and discoloration increased in almost all groups as the storage duration increased. This study suggests that discoloration must be considered when using 3D printing resins for restorations.
This study analyzed the surface roughness and waviness, Vickers hardness (VHN), and color changes of six types of 3D printed resins and computer-aided design/computer-aided manufacturing (CAD/CAM) materials after artificial toothbrushing. The average surface roughness height (Ra) change of Formlabs denture teeth A2 resin (FMLB) was not significant between after artificial toothbrushing (0.17 ± 0.02 μm and 0.17 ± 0.05 μm, respectively; mean ± standard deviation). However, the Ra value increased significantly in all remaining groups. Regarding waviness, polymethylmethacrylate (PMMA) had the largest increases in average waviness height (Wa) and maximum surface waviness height (Wz) between, before (0.43 ± 0.23 μm and 0.08 ± 0.02 μm), and after (8.67 ± 4.03 μm, 1.30 ± 0.58 μm) toothbrushing. There were no significant changes in Wa for Formlabs denture teeth A2 resin (FMLB) and NextDent C&B (NXT). After artificial toothbrushing, the dispersed-filler composite (DFC) group had the largest color difference (ΔE, of 2.4 ± 0.9), and the remaining materials had smaller changes than the clinical acceptance threshold of ΔE = 2.25. The VHN of FMLB and NXT were 9.1 ± 0.4 and 15.5 ± 0.4, respectively, and were not affected by artificial toothbrushing. The flexural strengths of the 3D printed materials were 139.4 ± 40.5 MPa and 163.9 ± 14.0 MPa for FMLB and NXT, respectively, which were similar to those of the polycarbonate and PMMA groups (155.2 ± 23.6 MPa and 108.0 ± 8.1 MPa, respectively). This study found that the evaluated 3D printed materials had mechanical and optical properties comparable to those of CAD/CAM materials and were stable even after artificial toothbrushing and hydrothermal aging.
The amount of photopolymer material consumed during the three-dimensional (3D) printing of a dental model varies with the volume and internal structure of the modeling data. This study analyzed how the internal structure and the presence of a cross-arch plate influence the accuracy of a 3D printed dental model. The model was designed with a U-shaped arch and the palate removed (Group U) or a cross-arch plate attached to the palate area (Group P), and the internal structure was divided into five types. The trueness and precision were analyzed for accuracy comparisons of the 3D printed models. Two-way ANOVA of the trueness revealed that the accuracy was 135.2 ± 26.3 µm (mean ± SD) in Group U and 85.6 ± 13.1 µm in Group P. Regarding the internal structure, the accuracy was 143.1 ± 46.8 µm in the 1.5 mm-thick shell group, which improved to 111.1 ± 31.9 µm and 106.7 ± 26.3 µm in the roughly filled and fully filled models, respectively. The precision was 70.3 ± 19.1 µm in Group U and 65.0 ± 8.8 µm in Group P. The results of this study suggest that a cross-arch plate is necessary for the accurate production of a model using 3D printing regardless of its internal structure. In Group U, the error during the printing process was higher for the hollowed models.
During the three-dimensional (3D) printing process of a dental prosthesis, using photopolymer resin, partially polymerized resin is further cured through the postcuring process that proceeds after the printing, which improves the stability of the printed product. The mechanical properties of the end product are known to be poor if the postcuring time is insufficient. Therefore, this study evaluated the effect of the postcuring time of the 3D-printed denture base on its dimensional stability, according to the aging period. The 3D prints were processed after designing maxillary and mandibular denture bases, and after the following postcuring times were applied: no postcuring, and 5, 15, 30, and 60 min. The dimensional stability change of the denture base was evaluated and analyzed for 28 days after the postcuring process. The trueness analysis indicated that the mandibular denture base had lower output accuracy than the maxillary denture base, and the dimensional stability change increased as postcuring progressed. In the no postcuring group for the mandible, the error value was 201.1 ± 5.5 µm (mean ± standard deviation) after 28 days, whereas it was 125.7 ± 13.0 µm in the 60 min postcuring group. For both the maxilla and the mandible, shorter postcuring times induced larger dimensional stability changes during the aging process. These findings indicate that in order to manufacture a denture base with dimensional stability, a sufficient postcuring process is required during the processing stage.