Influence of the Postcuring Process on Dimensional Accuracy and Seating of 3D-Printed Polymeric Fixed Prostheses.

Abstract

The postcuring process is essential for 3-dimensional (3D) printing of photopolymer-based dental prostheses. However, the deformation of prostheses resulting from the postcuring process has not been fully investigated. The purpose of this study was to evaluate the effects of different postcuring methods on the fit and dimensional accuracy of 3D-printed full-arch polymeric fixed prostheses. A study stone model with four prosthetic implant abutments was prepared. A full-arch fixed dental prosthesis was designed, and the design was transferred to dental computer-aided manufacturing (CAM) software in which supports were designed to the surface of the prosthesis design for 3D printing. Using a biocompatible photopolymer and a stereolithography apparatus 3D printer, polymeric prostheses were produced (N = 21). In postcuring, the printed prostheses were polymerized in three different ways: the prosthesis alone, the prosthesis with supports, or the prosthesis on a stone model. Geometric accuracy of 3D-printed prostheses, marginal gap, internal gap, and intermolar distance was evaluated using microscopy and digital techniques. Kruskal-Wallis and Mann-Whitney U tests with Bonferroni correction were used for the comparison of results among groups (α = 0.05). In general, the mean marginal and internal gaps of cured prostheses were the smallest when the printed prostheses were cured with seating on the stone model (P < 0.05). With regard to the adaptation accuracy, the presence of supports during the postcuring process did not make a significant difference. Error in the intermolar distance was significantly smaller in the model seating condition than in the other conditions (P < 0.001). Seating 3D-printed prosthesis on the stone model reduces adverse deformation in the postcuring process, thereby enabling the fabrication of prostheses with favorable adaptation.