4.5 Article

On 3D printing of customized multi-root dental implants for the strategic tooth of canine by direct metal laser sintering

Journal

RAPID PROTOTYPING JOURNAL
Volume 29, Issue 3, Pages 447-459

Publisher

EMERALD GROUP PUBLISHING LTD
DOI: 10.1108/RPJ-04-2022-0112

Keywords

Additive manufacturing; Multi-rooted dental implant assembly; Strategic teeth; Veterinary patients; DMLS; 17-4 PH stainless steel

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This study aims to design and fabricate a customized multi-rooted dental implant using direct-metal laser sintering technology. The 3D printed implant showed good stability and load-bearing capabilities, without the need for bone grafting, leading to improved primary and secondary stability through enhanced osseointegration.
Purpose This study aims to design and fabricate a customized multi-rooted dental implant (MRDI) for a canine strategic tooth to reduce surgical time/effort, and better assembly features, leading to enhanced primary and secondary stability and load-bearing capabilities by direct-metal laser sintering (DMLS). Design/methodology/approach A fractured tooth of a male German Shepherd three-year-old dog (extracted from a cadaver) was selected as the subject for the proposed work. The computer-aided design model of the implant was developed on SOLIDWORKS after a detailed review of literature and consultation with a veterinary doctor about the surgical procedures. Static stress analysis on the implant assembly and residual stress analysis with boundary distortion were performed on each part of the implant subassembly to ensure the fool-proof design. Findings The functional prototype of the innovative MRDI assembly through DMLS was successfully prepared with acceptable dimensional stability, surface roughness (Ra) and refined microstructure. The 3D printed functional prototype was observed to be residual stress-proof during printing and can bear up to 800 N bite force (required for an adult dog). Originality/value Innovative MRDI assembly has been 3D printed by using 17-4 precipitate hardened stainless steel without compromising the strength and can be implanted without bone grafting for better primary stability. Also, the prepared implant will be better for secondary stability due to enhanced osseointegration.

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