Chairside fabrication of provisional crowns on FDM 3D-printed PVA model

Abstract

The purpose of this study was to evaluate the dimensional accuracy of crowns fabricated using a polyvinyl alcohol (PVA) dental model.An intraoral scanner (LAVA TDS) was used to scan a prepared molar abutment as a master model. The STL file obtained from the scanning process was transferred into the FDM 3D printer (Value 3D Magix MF-1000) and then models were fabricated with PVA filament. In order to compare with the conventional method, an impression of the master model was taken using silicone impression material to fabricate the conventional stone cast model (Conv). An indirect resin composite (Gradia) and self-cured acrylic resin (Curergrace) were used to fabricate crowns (n = 20) according to the manufacturer's instructions. Surface accuracy of the Conv and PVA models and internal accuracy of the crowns set on the models were measured using two methods; 3D digital analysis and silicon-fitting evaluation. Statistical analysis of the results was done using t-test and Willcoxon signed rank test with Bonferroni correction at 5% significance.Digital analysis showed the Root Mean Square (RMS) value of PVA model surface was higher than that of Conv, while there was no significant difference between the two crown materials. However, the silicon-fitting analysis showed marginal discrepancy of crowns fabricated on PVA model were within 100 µm.3D printed PVA model can be used for chairside crown fabrication with an acceptable accuracy.