Austria: SLA 3D Printing of High Precision Glass Ceramic Parts

Austrian researchers explore lithography-based ceramic manufacturing (LCM) in the recently published ‘Stereolithographic Additive Manufacturing of High Precision Glass Ceramic Parts.’ Focusing on glass ceramics, the authors seek ways to optimize applications like dental replacements.

Today, 3D printing is often associated with the use of ceramics, as well as offering innovative progress in dental and orthodontic labs. Fabrication of crowns, bridges, and implants must be performed, understandably, with the highest level of accuracy.

Superior mechanical properties are necessary for creating both aesthetics and the proper fit—leading industrial users to employ numerous and different types of 3D printing:

  • FDM 3D printing
  • Selective laser sintering (SLS)
  • 3D printing and stereolithography (SLA)
  • Lithography-based ceramic manufacturing (LCM)

For this study, the researchers chose LCM, as it allows for the creation of highly filled and photopolymerizable ceramic slurries, along with dense parts comprised of ‘outstanding’ material properties. Several steps are involved:

  • Slurry is developed and adjusted, depending on the type of additive manufacturing
  • A 3D composite is fabricated
  • Support structures are removed
  • Thermal post-processing begins

Material properties of different ceramics achieved with lithography-based ceramic manufacturing (LCM)

Several different scanning methods were used to evaluate part accuracy, including:
• Optical scanners
• Tactical scanners
• Micro-CT

The main components of the slurry.

The slurry base is made up of the following:

  • Monomer compositions and solvents
  • Photo absorber
  • Photo initiator
  • Ceramic filler with solid load of more than 50 vol %

stl file of the molar crown with different support designs (from left: ‘cross’-support Design A, ‘star’-support Design B).

 

.stl-file of a molar crown with marking the different areas of support attachment.

Support structures are a critical part of the structures, enabling printing with overhanging areas, as well as preventing warping. The researchers printed a sample molar crown for the study, creating a cross-support for the crown’s occlusal side. Another star structure offered added support on the oral side, while the cusps, distal and mesial surfaces, and the gap between the crown and the core’s inner surface were to be avoided as areas for support placement.

To digitize samples, the research team used a variety of scanners, and 3Shape software. The star shape was adjusted in terms of the light absorber and printing parameters, with the potential for adjusting resolution further regarding wet layer thickness in the material vat.

Siemens star, diameter 9 mm: (a) stl file used for the study; (b,c) SEM images of green bodies.

The scientists fabricated one crown and the star support structure sample for comparison, noting that different techniques produced varying results.

“There were challenges in reproducing the real surface due to reflections and translucencies of the ceramic, which resulted in the appearance of a so called ‘orange skin’ effect using the 3Shape D810 infrared scanner,” explained the researchers.

Images of crown A obtained with different scan methods.

LCM-processed crowns were compared with the initial .stl file, as it was rescaled with the x, y, and z factors. The researchers noted that the best results were attained via micro-CT scans, so they used them for following analysis also. Analysis showed that the crown with the star support warped during sintering, not providing enough support. Further improvements resulted in much higher precision, no warping, and with a color scale that could be reduced to minus 80 µm to plus 80 µm.

Procedure of evaluating the precision of the 3D-printed crown (a) CAD-reference model, (b) prepared CAD reference model, (c) micro-CT scan of 3D-printed and sintered molar crown, ‘star’ support was removed after sintering (d) comparison of CAD-reference model and 3D-surface-model using GOM Inspect.

“The improvement of the dimensional accuracy can be seen by using statistical information to compare all tests support types,” stated the researchers. “This was achieved by laying all analyzed crowns on top of the same original file and a surface comparison was done. After, the deviation scale was adjusted to highlight only relevant measurements and that all the colors in the false color diagram were represented. Finally, the maximal and minimal deviation of the color false scale is used for measuring scale in figure 9 [below].

 

Comparison of 3D surface model (sintered molar crown with ‘milling’ support, design C) and stl file using GOM Inspect.

“To show the reproducibility of the process two LCM processed crowns were compared as illustrated in the pseudo color image in Figure 10 [below]. The maximum deviation amounts to 30 µm, which shows a high reproducibility of the whole process chain. These tolerances are also sufficiently low for allowing clinical use of such crowns. The maximum tolerance accepted for clinical use has been discussed during the years and is defined between 50 to 120 µm.”

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[Source / Images: ‘Stereolithographic Additive Manufacturing of High Precision Glass Ceramic Parts’]

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Laser Sintered Metal Restoration in Dentistry: Research Review

Amir S. Azer and Heidar Shahin explore topics in dental restoration, detailing their findings in the recently published ‘Fit of Laser Sintered Metal Restorations: A Systematic Review.’ As 3D printing becomes increasingly more popular in the area of dentistry, dental restoration, and orthodontics, the use of metal materials offers a host of advantages.

Fabrication of metal copings has received ‘a paradigm shift’ with the advent of 3D printing, allowing for the creation of complex geometries, faster turnaround time in production, and improved automation. For this review study, the authors examined a wide range of articles regarding the in vitro use of 3D printing for metal copings, crowns, and fixed partial dentures. They did not place a publication year limit on their search for information, which was mainly electronic but also included some manual discovery too.

Their search yielded 284 relevant studies to begin, although ultimately only 17 were deemed eligible for the review.

PRISMA flow chart of the systematic review

“Of the included 17 articles, 6 articles (35.3%) only assessed the marginal fit accuracy, one article (5.9%) only assessed the internal fit accuracy and 10 articles (58.84%) assessed both the marginal and internal fit accuracy,” explained Azer and Shahin. “Thirteen articles (76.5%) used single crown frameworks, 3 articles (17.6%) used fixed-partial-denture frameworks and only one article (5.9%) used both single crown and fixed partial-denture frameworks for the fit accuracy assessment.”

Cobalt – Chromium (Co-Cr) was used in all articles reviewed: a total of 14 studies employed direct metal laser sintering technique (DMLS), while 3 used selective laser sintering technique (SLS). Fabrication methods for comparing fit accuracy with laser sintering varied between:

  • Lost wax method
  • Wax pattern milling using CAD/CAM technology
  • 3D printing of wax/resin pattern

“Among other techniques, milling of Co-Cr metal frameworks using CAD/CAM technology was used in 7 articles,” stated the authors. “Only one article used CAD/CAM zirconia milling.”

Methods used for both marginal and internal fit evaluation included:

  • Silicone replica approach
  • 3D replica approach
  • Internal microscopic examination after cementation and sectioning of the specimen
  • External microscopic examination of the marginal area
  • Silicone impression weighing approach
  • Direct-sight approach

Marginal and internal fit are the critical elements for success in fixed restoration, while just ‘marginal’ inaccuracies may cause:

  • Gingival inflammation
  • Gingival recession
  • Secondary caries below crown margins

“According to American Dental Association (ADA) Specification No. 8, a gap width ranging between 25 to 40 μm has been suggested as a clinical goal,” explained the authors. “Sulaiman et al reported that 100 μm is an acceptable gap for clinical use. McLean and von Fraunhofer on the other hand have suggested that 120 μm should be the limit for clinical use. Moldovan et al reported that a gap of 200–300 μm is also acceptable. However, several researchers consider the value of 120 μm proposed by McLean and von Fraunhofer to be the most suitable limit for clinical use.”

Variations in the studies—even for the same system—were attributed to possible differences in fabrication technique, scanning, study designs—to include shape of casts, abutment teeth, and measurements. Such variations, however, rendered it impossible for the researchers to analyze the systems of rank them regarding accuracy.

“However, almost all the measurements were well within the clinically acceptable range suggested by McLean and von Fraunhofer. There was an agreement between the studies that the used systems have the ability to yield restorations with a clinically acceptable fit,” concluded the researchers.

“While further research is necessary to optimize the process parameters and clinical applications, the laser sintering procedure provides an efficient and rapid method for digitally designing and manufacturing complex metal structures for crowns and FPDs.”

3D printing in used in the dental industry today for projects such as making new crowns and bridges, new dental ecosystem materials, and scanning technology for dental arches. What do you think of this news? Let us know your thoughts! Join the discussion of this and other 3D printing topics at 3DPrintBoard.com.

[Source / Images: ‘Fit of Laser Sintered Metal Restorations: A Systematic Review’]

 

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