Accuracy and Precision of Three-Dimensionally Printed Orthognathic Surgical Splints

Abstract

The adoption of three-dimensional (3D) imaging technologies in orthognathic surgery led to the development of virtual surgical planning and printing of patient-specific orthognathic surgical splints (OSSs). The accuracy and precision of 3D printed OSSs are considered important; however, there is limited data in the literature regarding whether the type of resin materials may influence these measures. A virtual OSS was created using a set of typodont models and printed in Biomed Clear, Dental LT V2, and Surgical Guide resins (Formlabs, Somerville, MA, USA), using a stereolithography printer. The upper intercanine width, intermolar width, and arch length were analysed. Differences between the reference dimensions of the virtual splint and the corresponding mean measurements of the 3D-printed splints were mostly considered clinically acceptable. The greatest variation was observed in the arch length for all 3 materials, which relates to the Z-axis of the printer; only 33.3–66.7% of OSSs were within the tolerance limit of ±0.1 mm quoted by the manufacturer. The Surgical Guide group demonstrated the highest degree of accuracy and precision overall. Further research would help to assess the 3D accuracy and precision, explore the variation found between different resin materials used, and confirm the findings of this research.

Keywords

• three-dimensional printing
• additive manufacturing
• orthognathic surgery
• virtual surgical planning
• CAD/CAM
• splint