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      Additive manufacturing technologies in the oral implant clinic: A review of current applications and progress

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          Abstract

          Additive manufacturing (AM) technologies can enable the direct fabrication of customized physical objects with complex shapes, based on computer-aided design models. This technology is changing the digital manufacturing industry and has become a subject of considerable interest in digital implant dentistry. Personalized dentistry implant treatments for individual patients can be achieved through Additive manufacturing. Herein, we review the applications of Additive manufacturing technologies in oral implantology, including implant surgery, and implant and restoration products, such as surgical guides for implantation, custom titanium meshes for bone augmentation, personalized or non-personalized dental implants, custom trays, implant casts, and implant-support frameworks, among others. In addition, this review also focuses on Additive manufacturing technologies commonly used in oral implantology. Stereolithography, digital light processing, and fused deposition modeling are often used to construct surgical guides and implant casts, whereas direct metal laser sintering, selective laser melting, and electron beam melting can be applied to fabricate dental implants, personalized titanium meshes, and denture frameworks. Moreover, it is sometimes required to combine Additive manufacturing technology with milling and other cutting and finishing techniques to ensure that the product is suitable for its final application.

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          Most cited references157

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          Laser and electron-beam powder-bed additive manufacturing of metallic implants: A review on processes, materials and designs.

          Additive manufacturing (AM), also commonly known as 3D printing, allows the direct fabrication of functional parts with complex shapes from digital models. In this review, the current progress of two AM processes suitable for metallic orthopaedic implant applications, namely selective laser melting (SLM) and electron beam melting (EBM) are presented. Several critical design factors such as the need for data acquisition for patient-specific design, design dependent porosity for osteo-inductive implants, surface topology of the implants and design for reduction of stress-shielding in implants are discussed. Additive manufactured biomaterials such as 316L stainless steel, titanium-6aluminium-4vanadium (Ti6Al4V) and cobalt-chromium (CoCr) are highlighted. Limitations and future potential of such technologies are also explored.
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            3D printing in dentistry.

            3D printing has been hailed as a disruptive technology which will change manufacturing. Used in aerospace, defence, art and design, 3D printing is becoming a subject of great interest in surgery. The technology has a particular resonance with dentistry, and with advances in 3D imaging and modelling technologies such as cone beam computed tomography and intraoral scanning, and with the relatively long history of the use of CAD CAM technologies in dentistry, it will become of increasing importance. Uses of 3D printing include the production of drill guides for dental implants, the production of physical models for prosthodontics, orthodontics and surgery, the manufacture of dental, craniomaxillofacial and orthopaedic implants, and the fabrication of copings and frameworks for implant and dental restorations. This paper reviews the types of 3D printing technologies available and their various applications in dentistry and in maxillofacial surgery.
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              Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics.

              Polyetheretherketone (PEEK) is a polymer that has many potential uses in dentistry. The aim of this review was to summarize the outcome of research conducted on the material for dental applications. In addition, future prospects of PEEK in the field of clinical dentistry have been highlighted.
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                Author and article information

                Contributors
                Journal
                Front Bioeng Biotechnol
                Front Bioeng Biotechnol
                Front. Bioeng. Biotechnol.
                Frontiers in Bioengineering and Biotechnology
                Frontiers Media S.A.
                2296-4185
                20 January 2023
                2023
                : 11
                : 1100155
                Affiliations
                State Key Laboratory of Military Stomatology , National Clinical Research Center for Oral Diseases , Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture , Department of Oral Implants , School of Stomatology , The Fourth Military Medical University , Xi’an, Shaanxi, China
                Author notes

                Edited by: Xing Wang, Shanxi Medical University, China

                Reviewed by: Yunfeng Liu, Zhejiang University of Technology, China

                Ting Jiao, Shanghai Jiao Tong University, China

                *Correspondence: Hongbo Wei, weihongbo101@ 123456126.com ; Dehua Li, lidehua@ 123456fmmu.edu.cn

                This article was submitted to Biomaterials, a section of the journal Frontiers in Bioengineering and Biotechnology

                Article
                1100155
                10.3389/fbioe.2023.1100155
                9895117
                36741746
                c118347c-9b8c-4b9e-b7fa-774d386c52b8
                Copyright © 2023 Huang, Wei and Li.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 16 November 2022
                : 11 January 2023
                Funding
                This work was supported by grants from The National Key Research and Development Program of China (2017YFB1104100).
                Categories
                Bioengineering and Biotechnology
                Review

                additive manufacturing technologies,3d printing,oral implantology,surgical guides,customized titanium meshes,dental implants,custom trays,implant models

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