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C.-H.L. and Y.-M.L. contributed equally to this article. This research is funded by the Ministry of Science and Technology, Taiwan (MOST106-3114-E-010-002).
a
Postdoctoral Researcher, Department of Dentistry, National Yang-Ming University, Taipei, Taiwan.
b
Associate Professor, Department of Dentistry, National Yang-Ming University, Taipei, Taiwan.
c
Chairperson, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan.
d
Professor, Department of Dentistry, National Yang-Ming University, Taipei, Taiwan; and Attending Doctor, Department of Stomatology, Taipei Veterans General Hospital,
Taipei, Taiwan; and Researcher, Department of Dentistry, Taipei City Hospital, Taipei, Taiwan.
100 140 *
120
80 *
Degree of Conversion (%)
60
80
60
40
40
20
20
0 0
100 820 640 811 631 451 271 100 820 640 811 631 451 271
Specimen Group Specimen Group
Figure 1. Mean and standard deviations of degree of conversion of Figure 2. Mean and standard deviations of flexural strength of
3D-printed cubes. *P<.05. 3D-printed beams. *P<.05.
scanner (TRIOS; 3Shape) as the master digital model. The The DC of the 3D-printed cubes is shown in Figure 1,
digital molar model was then printed out with the and the 271 specimen had the highest DC (49.03%). No
formulated resins. The printed molars were rescanned and statistically significant differences were found among the
compared with the master digital model using software DC of the other specimens. The flexural strengths of the
(Geomagic Control X; 3D Systems) to determine the printed resin beams ranged between 60 and 90 MPa
printing deviations from the master digital model. (Fig. 2). Specimen 271 had the highest strength and 820
The cytotoxicity of the printed resin cubes was had the lowest strength. In specimens containing 10%
evaluated in vitro according to the ISO 10993-5 TEGDMA, specimens that contained more UDMA
(elution test method).12 The fluid extracts of the prin- exhibited higher flexural strengths. The flexural moduli of
ted cubes (10×10×10 mm, n=3) were placed in phenol the printed resin beams were not statistically significantly
red-free Dulbecco’s modified Eagle’s medium (DMEM) different (Fig. 3). Specimen 811 had the highest flexural
containing 100 units/mL of penicillin, 100 mg/mL of modulus of 2.1 ±0.25 GPa, while specimen 100 had the
streptomycin, 2.5 mg/mL of fungizone, and 10% v/v of lowest flexural modulus of 1.7 ±0.14 GPa. The Vickers
fetal bovine serum at 37 C for 24 hours under hardness of the 3D-printed cubes showed that specimen
continuous stirring. Meanwhile, 50 000 cells/well of 640 had the highest value of 24.6 ±1.8 HV, while spec-
murine fibroblasts L929 were seeded into each well of imen 271 had the lowest surface hardness of 14.5 ±0.6
a 96-well plate and incubated in DMEM containing HV. In specimens containing 10% TEGDMA, specimens
antibiotics and 10% v/v of fetal bovine serum at 37 C containing more UDMA exhibited lower surface hard-
for 24 hours. The cell culture medium was then ness (Fig. 4).
replaced by the aforementioned fluid extracts and The accuracies of the 3D-printed models revealed that
incubated at 37 C. After 24 hours, cell morphology specimen 811 exhibited the lowest mean deviation value
and cell density were recorded, and MTT (3-(4,5- of 0.000 ±0.051 mm from the master digital model, and
dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bro- specimen 631 with a mean deviation value of 0.052
mide) assay was performed. ±0.101 mm was the second best. In contrast, specimen
Data for flexural strength, flexural modulus, DC, and 271 had the largest average deviation of 0.094 ±0.152 mm
cytotoxicity were analyzed with 1-way ANOVA and of all specimens. In specimens that contained 10% of
Tukey post hoc tests using statistical software (IBM SPSS TEGDMA, specimens containing more UDMA exhibited
Statistics, v20.0; IBM Corp) (a=.05). higher mean deviation (Fig. 5).
Figure 6 showed the MTT assays of L929 cells cultured
in the extracts of the 3D-printed cubes. The Y axis was
RESULTS
normalized to the negative control and labeled as
The viscosities of the formulated resins are shown in viability. Specimen 640 had the highest viability of 118.8
Table 1. Formulated resins with more UDMA had higher ±5.7%, while specimen 451 had the lowest viability of
viscosities, and adding 10% TEGDMA significantly 87.1 ±7.4%. Specimens containing no TEGDMA had
reduced the viscosity of the resin mixture; 7 of 10 resins higher viability than the specimens containing 10%
had viscosities lower than 1500 cP. TEGDMA. Nevertheless, all specimens were considered
3.0
2.5
Flexural Modulus (GPa)
2.0
1.5
1.0
0.5
0.0
100 820 640 811 631 451 271
Specimen Group
Figure 3. Mean and standard deviations of flexural modulus of
3D-printed beams. No statistical difference among specimens found.
30 * *
*
25
Microhardness (HV)
20
15
100
flexural strength had the lowest surface hardness of all
80 specimens (Figs. 2, 4). These findings could be explained
by the presence of TEGDMA and higher UDMA content
60 in the resin because the flexible ester bond located in
UDMA, compared with the rigid benzoic ring of BisEMA,
40 could significantly reduce the hardness. The flexural
strengths of the 3D-printed resins ranged from 60 MPa
20
to 90 MPa and are comparable with PMMA and bisacryl-
0 based interim restorative materials.30 Similarly, the flex-
ural moduli, ranging from 1.7 GPa to 2.1 GPa, were
1
1
0
nt ve
nt ve
81
63
45
27
10
82
64
co ti
co siti
Po l
l
ro
ro
ga
better than those of PMMA and only slightly lower than
Ne
and the 3D-printed objects showed properties 17. Schneider LF, Cavalcante LM, Prahl SA, Pfeifer CS, Ferracane JL. Curing
efficiency of dental resin composites formulated with camphorquinone
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TEGDMA) providing high accuracy was considered Clin Oral Investig 2014;18:1705-10.
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