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Open AccessArticle

Effects of Steam Sterilization on 3D Printed Biocompatible Resin Materials for Surgical Guides—An Accuracy Assessment Study

1
Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland
2
Medical Additive Manufacturing Research Group, Department of Biomedical Engineering, University of Basel, Gewerbestrasse 16, 4123 Allschwil, Switzerland
3
Radiology Department, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland
4
Hand Surgery, Cantonal Hospital Basel-land, Rheinstrasse 26, 4410 Liestal, Switzerland
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
J. Clin. Med. 2020, 9(5), 1506; https://doi.org/10.3390/jcm9051506
Received: 17 April 2020 / Revised: 7 May 2020 / Accepted: 14 May 2020 / Published: 17 May 2020
(This article belongs to the Special Issue Innovation in Head and Neck Reconstructive Surgery)
Computer-assisted surgery with three-dimensional (3D) printed surgical guides provides more accurate results than free-hand surgery. Steam sterilization could be one of the factors that affect the dimensions of surgical guide resin materials, leading to inaccuracies during surgeries. The purpose of this study was to evaluate the effects of steam sterilization on the dimensional accuracy of indication-specific hollow cube test bodies, manufactured in-house using Class IIa biocompatible resin materials (proprietary and third-party). To evaluate the pre- and post-sterilization dimensional accuracy, root mean square (RMS) values were calculated. The results indicate that, in all the groups, steam sterilization resulted in an overall linear expansion of the photopolymeric resin material, with an increase in outer dimensions and a decrease in inner dimensions. The effects on the dimensional accuracy of test bodies were not statistically significant in all the groups, except PolyJet Glossy (p > 0.05). The overall pre- and post-sterilization RMS values were below 100 and 200 µm, respectively. The highest accuracies were seen in proprietary resin materials, i.e., PolyJet Glossy and SLA-LT, in pre- and post-sterilization measurements, respectively. The dimensional accuracy of third-party resin materials, i.e., SLA-Luxa and SLA-NextDent, were within a comparable range as proprietary materials and can serve as an economical alternative. View Full-Text
Keywords: 3D printing; additive manufacturing; biocompatible resin; dimensional accuracy; in-house; steam sterilization; surgical guide 3D printing; additive manufacturing; biocompatible resin; dimensional accuracy; in-house; steam sterilization; surgical guide
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Sharma, N.; Cao, S.; Msallem, B.; Kunz, C.; Brantner, P.; Honigmann, P.; Thieringer, F.M. Effects of Steam Sterilization on 3D Printed Biocompatible Resin Materials for Surgical Guides—An Accuracy Assessment Study. J. Clin. Med. 2020, 9, 1506.

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