Costo basado en actividades para la impresión 3D de protectores bucales: una prueba que compara FDM, SLA con termoformado
Resumen
Objetivo: Evaluar la viabilidad de los costos operativos y el desempeño económico comparativo por unidad de la producción de un protector bucal para el paciente mediante impresión 3D (3DP), en comparación con los métodos convencionales. Materiales y métodos: Se analizaron los costos y el consumo de energía de cada método, incluyendo la fabricación termoplástica y las impresoras 3D FDM y SLA, utilizando el costeo basado en actividades (ABC) para identificar y calcular los recursos necesarios. Resultados: La fabricación termoplástica presentó el menor costo debido al corto tiempo de operación, mientras que la SLA destacó por su eficiencia energética y precisión, permitiendo la producción a gran escala y reduciendo errores, aunque con un costo inicial más elevado. Conclusión: La impresión 3D, particularmente con FDM, ha demostrado ser una alternativa prometedora y precisa, con el potencial de reemplazar el método convencional a largo plazo, ofreciendo mayor personalización, calidad y seguridad en el desarrollo de protectores bucales personalizados para odontología deportiva.
Referencias
Aeran, H., Agarwal, A., Kumar, V., & Seth, J. (2014). Study of the effect of disinfectant solutions on the physical properties of dental impressions. Indian Journal of Dental Sciences, 3(6), 1-6. https://www.researchgate.net/publication/352056945
Almeida, A., & Cunha, J. (2017). The implementation of an activity-based costing (ABC) system in a manufacturing company. In Manufacturing Engineering Society International Conference 2017 (MESIC 2017) (pp. 28-30). https://www.researchgate.net/publication/320341563
Alves, J.C.C., Borges, A.G., Versluis, A., Soares, C.J., & Veríssimo, C. (2020). Effect of orthodontic bracket type and mouthguard presence on the stress and strain during a frontal impact. Brazilian Dental Journal, 31(5), 540-547. https://doi.org/10.1590/0103-6440202002818
Amin, W.M., Al-Ali, M.H., Al Tarawneh, S.K., Taha, S.T., Saleh, M.W., & Ereifij, N. (2009). The effects of disinfectants on dimensional accuracy and surface quality of impression materials and gypsum casts. Journal of Clinical Medicine Research, 1(2), 81-89. https://doi.org/10.4021/jocmr2009.04.1235
Borges, A., Dal Piva, A., Concílio, L., Paes-Junior, T., & Tribst, J. (2020). Mouthguard use effect on the biomechanical response of an ankylosed maxillary central incisor during a traumatic impact: A 3-dimensional finite element analysis. Life (Basel, Switzerland), 10(11), 294. https://doi.org/10.3390/life10110294
Bragança, G.F., Vilela, A., Soares, P., Tantbirojn, D., Versluis, A., & Soares, C.J. (2021). Influence of ceramic veneer thickness and antagonist on impact stresses during dental trauma with and without a mouthguard assessed with finite element analysis. Dental Traumatology, 37(2), 215-222. https://doi.org/10.1111/edt.12631
Carvalho, V. F., Soares, P. B., Verissimo, C., Pessoa, R.S., Versluis, A., & Soares, C.J. (2018). Mouthguard biomechanics for protecting dental implants from impact: Experimental and finite element impact analysis. The International Journal of Oral & Maxillofacial Implants, 33(2), 335-343. https://doi.org/10.11607/jomi.5803
Coto, N.P., Meira, J.B., Brito e Dias, R., Driemeier, L., Roveri, G. de O., & Noritomi, P.Y. (2012). Assessment of nose protector for sport activities: Finite element analysis. Dental Traumatology, 28(2), 108-113. https://doi.org/10.1111/j.1600-9657.2011.01046.x
Firmiano, T.C., Oliveira, A.A.D., Costa, P.V.D.M., Cardoso, L.S., Pereira, R.D., & Veríssimo, C. (2022). Influence of different ethylene-vinyl acetate brands used for custom-fitted mouthguard manufacturing on stress and strain during an impact. Dental Traumatology, 38, 431-438. https://doi.org/10.1111/edt.12746
Firmiano, T.C., Oliveira, M., Souza, J.B. de, Soares, C.J., Versluis, A., & Veríssimo, C. (2019). Influence of impacted canines on the stress distribution during dental trauma with and without a mouthguard. Dental Traumatology, 35(4-5), 276-284. https://doi.org/10.1111/edt.12477
Gialain, I.O., Coto, N.P., Driemeier, L., Noritomi, P.Y., & Dias, R.B. (2016). A three-dimensional finite element analysis of the sports mouthguard. Dental Traumatology, 32(5), 409-415. https://doi.org/10.1111/edt.12265
Giuliodori, G., Rappelli, G., & Aquilanti, L. (2023). Intraoral scans of full dental arches: An in vitro measurement study of the accuracy of different intraoral scanners. International Journal of Environmental Research and Public Health, 20(6), 4776. https://doi.org/10.3390/ijerph20064776
Gonçalves, V.P.D., Vieira, C.M.F., & Colorado, H.A. (2024). The production and materials of mouthguards: Conventional vs additive manufacturing. A systematic review. Heliyon, 10(14). https://doi.org/10.1016/j.heliyon.2024.e34294
Guiraldo, R.D., Borsato, T.T., Berger, S.B., Lopes, M.B., Gonini-Jr, A., & Sinhoreti, M.A. (2012). Surface detail reproduction and dimensional accuracy of stone models: Influence of disinfectant solutions and alginate impression materials. Brazilian Dental Journal, 23(4), 417-421. https://doi.org/10.1590/s0103-64402012000400018
Hardan, L., Bourgi, R., Cuevas-Suárez, C.E., Lukomska-Szymanska, M., Cornejo-Ríos, E., Tosco, V., Monterubbianesi, R., Mancino, S., Eid, A., Mancino, D., Kharouf, N., & Haikel, Y. (2022). Disinfection procedures and their effect on the microorganism colonization of dental impression materials: A systematic review and meta-analysis of in vitro studies. Bioengineering (Basel), 9(3), 123. https://doi.org/10.3390/bioengineering9030123
Li, Z., Wang, S., Ye, H., Lv, L., Zhao, X., Liu, Y., & Zhou, Y. (2020). Preliminary clinical application of complete workflow of digitally designed and manufactured sports mouthguards. The International Journal of Prosthodontics, 33(1), 99-104. https://doi.org/10.11607/ijp.6348
Mizuhashi, F., Watarai, Y., & Suzuki, T. (2022). Difference in thickness of vacuum-formed mouthguards using ethylene vinyl acetate and polyolefin sheets. Dental Traumatology, 16. https://doi.org/10.1111/edt.12811
Moreira, M., Ramo, J.C., Messias, A.M., Neto, M.A., Amaro, A., & Reis, P.N.B. (2021). Impact response of different materials for sports mouthguards. Frattura ed Integrità Strutturale, 57, 63-69. https://doi.org/10.3221/IGF-ESIS.57.06
Peng, X., Xu, X., Li, Y., Cheng, L., Zhou, X., & Ren, B. (2020). Transmission routes of 2019-nCoV and controls in dental practice. International Journal of Oral Science, 12(1), 9. https://doi.org/10.1038/s41368-020-0075-9
Pinho, A.C., & Piedade, A.P. (2021). Sandwich multi-material 3D-printed polymers: Influence of aging on the impact and flexure resistances. Polymers (Basel), 13(22), 4030. https://doi.org/10.3390/polym13224030
Resnick, C.M., Doyle, M., Calabrese, C.E., Sanchez, K., & Padwa, B.L. (2019). Is it cost effective to add an intraoral scanner to an oral and maxillofacial surgery practice? Journal of Oral and Maxillofacial Surgery, 77(8), 1687-1694. https://doi.org/10.1016/j.joms.2019.03.011
Saunders, J., Lißner, M., Townsend, D., Petrinic, N., & Bergmann, J. (2022). Impact behaviour of 3D printed cellular structures for mouthguard applications. Scientific Reports, 12(1), 4020. https://doi.org/10.1038/s41598-022-08018-1
Sousa, A.M., Pinho, A.C., & Piedade, A.P. (2021). Mechanical properties of 3D printed mouthguards: Influence of layer height and device thickness. Materials and Design, 203, 109624. https://doi.org/10.1016/j.matdes.2021.109624
Szarek, A., & Paszta, P. (2020). Possibilities of the manufacturing and simulation of the load on a customised mouthguard used in combat sports. Fibres & Textiles in Eastern Europe, 28(2), 110-118.
Takahashi, M., Satoh, Y., & Iwasaki, S. (2017). Effect of thermal shrinkage during thermoforming on the thickness of fabricated mouthguards: Part 2 pressure formation. Dental Traumatology, 33(2), 106-109. https://doi.org/10.1111/edt.12291
Tribst, J., Dal Piva, A., Bottino, M.A., Kleverlaan, C.J., & Koolstra, J.H. (2020). Mouthguard use and TMJ injury prevention with different occlusions: A three-dimensional finite element analysis. Dental Traumatology, 36(6), 662-669. https://doi.org/10.1111/edt.12577
Tribst, J., Dal Piva, A.M. de O., Borges, A., & Bottino, M.A. (2018). Influence of custom-made and stock mouthguard thickness on biomechanical response to a simulated impact. Dental Traumatology, 34(6), 429-437. https://doi.org/10.1111/edt.12432
Trzaskowski, M., Mańka-Malara, K., Szczesio-Włodarczyk, A., Sokołowski, J., Kostrzewa-Janicka, J., & Mierzwińska-Nastalska, E. (2023). Evaluation of mechanical properties of 3D-printed polymeric materials for possible application in mouthguards. Polymers, 15, 898. https://doi.org/10.3390/polym15040898
Veríssimo, C., Bicalho, A.A., Soares, P.B., Tantbirojn, D., Versluis, A., & Soares, C.J. (2017). The effect of antagonist tooth contact on the biomechanical response of custom-fitted mouthguards. Dental Traumatology, 33(1), 57-63. https://doi.org/10.1111/edt.12284
Verissimo, C., Santos-Filho, P.C., Tantbirojn, D., Versluis, A., & Soares, C.J. (2015). Modifying the biomechanical response of mouthguards with hard inserts: A finite element study. American Journal of Dentistry, 28(2), 116-120. https://pubmed.ncbi.nlm.nih.gov/26087579/
Yamada, J., & Maeda, Y. (2007). Thermoforming process for fabricating oral appliances: Influence of heating and pressure application timing on formability. Journal of Prosthodontics, 16(6), 452-456. https://doi.org/10.1111/j.1532-849X.2007.00222.x
Yozbasioglu, E., Kurt, H., Turunç, R., & Bilir, H. (2014). Comparison of digital and conventional impression techniques: Evaluation of patients’ perception, treatment comfort, effectiveness and clinical outcomes. BMC Oral Health, 14, 10. https://doi.org/10.1186/1472-6831-14-10
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