Effects of Printing Parameters on the Fit of Implant-Supported 3D Printing Resin Prosthetics

The purpose of the study was to investigate the influence of 3D printing parameters on fit and internal gap of 3D printed resin dental prosthesis. The dental model was simulated and fabricated for three-unit prostheses with two implants. One hundred prostheses were 3D printed with two-layer thicknesses for five build orientations using a resin (NextDent C & B; 3D systems, Soesterberg, The Netherlands) and ten prostheses were manufactured with a milling resin as control. The prostheses were seated and scanned with micro-CT (computerized tomography). Internal gap volume (IGV) was calculated from 3D reconstructed micro-CT data. IGV, marginal fit, and lengths of internal gaps were measured, and the values were analyzed statistically. For the 3D printed prostheses, IGV was smaller at 45 degrees, 60 degrees, and 90 degrees compared to other build orientations. The marginal fit evaluated by absolute marginal discrepancy was smaller than other build orientations at 45 degrees and 60 degrees. IGV was smaller at 50 mu m layer thickness than at 100 mu m layer thickness, but the marginal fit was smaller at 100 mu m layer thickness than at 50 mu m layer thickness. The 3D printed prosthesis had smaller internal gap than the milled prosthesis. The marginal fit of the 3D printed resin prosthesis was clinically acceptable, and build orientation of 45 degrees and 60 degrees would be recommended when considering fit and internal gap.