Comparison of the Clinical Accuracy of Digital and Conventional Dental Implant Impressions.

The aim of this study was to compare the clinical accuracy of digital and conventional dental implant impressions. Two types of implant impressions were made for each case, namely a conventional open-tray impression and a digital implant impression (DII) using a Trios IOS. Master casts were scanned using a D800 laboratory scanner and STL files were retrieved from conventional and digital workflows to be exported for comparison. The distance between center points, angulation, rotation, vertical shift, and surface mismatch of the scan bodies were evaluated and compared between conventional and digital impression techniques. Comparing digital and conventional impression techniques the following factors showed statistically significant differences: distance (73.7±75 μm), angulation (0.42±0.3°), and surface mismatch of scan bodies. The difference in conventional and digital impression techniques as regards to angulation and distance between the implants were associated with distance, angle, and vertical shift differences in scan. The mismatch of the scanned surface of scan bodies was twice higher for the intraoral scanner group. Clinicians should therefore control the implant suprastructures clinically and also using casts (e.g. printed casts) when a digital scan is planned

Effect of extrace llular matrix and dental pulp stem cells on bone regeneration with 3D printed PLA/HA composite scaffolds /

The demand for bone grafting procedures in various fields of medicine is increasing. Existing substitutes in clinical practice do not meet all the criteria required for an ideal bone scaffold, so new materials are being sought. This study evaluated bone regeneration using a critical-size Wistar rat’s calvarial defect model. 12 male and 12 female rats were evenly divided into 3 groups: 1. Negative and positive (Geistlich Bio-Oss®) controls; 2. polylactic acid (PLA) and PLA/hydroxyapatite (HA); 3. PLA/HA cellularised with dental pulp stem cells (DPSC) and PLA/HA extracellular matrix (ECM) scaffolds. PLA/HA filament was created using hot-melt extrusion equipment. All scaffolds were fabricated using a 3D printer. DPSC were isolated from the incisors of adult Wistar rats. The defects were evaluated by micro-computed tomography (µCT) and histology, 8 weeks after surgery. µCT revealed that the Bio-Oss group generated 1.49 mm3 and PLA/HA ECM 1.495 mm3 more bone volume than the negative control. Histology showed a statistically significant difference between negative control and both (Bio-Oss and PLA/HA ECM) groups in rats of both genders. Moreover, histology showed gender-specific differences in all experimental groups and a statistically significant difference between cellularised PLA/HA and PLA/HA ECM groups in female rats. Qualitative histology showed the pronounced inflammation reaction during biodegradation in the PLA group. In conclusion, the bone-forming ability was comparable between the Bio-Oss and PLA/HA ECM scaffolds. Further research is needed to analyse the effects of ECM and PLA/HA ratio on osteoregeneration

3D microporous scaffolds manufactured via combination of fused filament fabrication and direct laser writing ablation

A 3D printing fused filament fabrication (FFF) approach has been implemented for the creation of microstructures having an internal 3D microstructure geometry. These objects were produced without any sacrificial structures or additional support materials, just by precisely tuning the nozzle heating, fan cooling and translation velocity parameters. The manufactured microporous structures out of polylactic acid (PLA) had fully controllable porosity (20%-60%) and consisted of desired volume pores (similar to 0.056 mu m(3)). The prepared scaffolds showed biocompatibility and were suitable for the primary stem cell growth. In addition, direct laser writing (DLW) ablation was employed to modify the surfaces of the PLA structures, drill holes, as well as shape the outer geometries of the created objects. The proposed combination of FFF printing with DLW offers successful fabrication of 3D microporous structures with functionalization capabilities, such as the modification of surfaces, the generation of grooves and microholes and cutting out precisely shaped structures (micro-arrows, micro-gears). The produced structures could serve as biomedical templates for cell culturing, as well as biodegradable implants for tissue engineering. The additional micro-architecture is important in connection with the cell types used for the intention of cell growing. Moreover, we show that surface roughness can be modified at the nanoscale by immersion into an acetone bath, thus increasing the hydrophilicity. The approach is not limited to biomedical applications, it could be employed for the manufacturing of bioresorbable 3D microfluidic and micromechanic structures