Article Data

  • Views 896
  • Dowloads 242

Reviews

Open Access

Current applications of three-dimensional (3D) printing in pediatric dentistry: a literature review

  • Nagehan Aktaş1,*,†,
  • Volkan Ciftci2,†

1Department of Pediatric Dentistry, Faculty of Dentistry, Gazi University, 06490 Ankara, Türkiye

2Department of Pediatric Dentistry, Faculty of Dentistry, Çukurova University, 01330 Adana, Türkiye

DOI: 10.22514/jocpd.2024.099 Vol.48,Issue 5,September 2024 pp.4-13

Submitted: 31 January 2024 Accepted: 28 May 2024

Published: 03 September 2024

*Corresponding Author(s): Nagehan Aktaş E-mail: nagehanaktas@gazi.edu.tr; nagehanduygu@gmail.com

† These authors contributed equally.

Abstract

Advancements in 3D printing technology are providing a new direction in pediatric dentistry by offering innovative solutions to traditional challenges. The remarkable expansion of 3D printing necessitates a comprehensive examination of its status and applications in the dental field, particularly in the pediatric dentistry. This review provides a comprehensive exploration of the applications of 3D printing in pediatric dental practices by drawing from a systematic search across databases, including PubMed/MEDLINE, Scopus, Web of Science, Scielo and the Cochrane Library. The search strategy employed a combination of keywords: “Digital dentistry and 3D printing”, “3D printing technology in dentistry”, “3D printing in pediatric dentistry” and “3D printing in pediatric dental procedures”. The review encompasses a wide array of studies, including original research, cross-sectional analyses, case reports and reviews. A detailed overview is presented in regard to the use of 3D printing for master and educational models, space maintainers, prosthetic restorations, surgical guide, splint design and fracture treatment, fluoride application, autogenous dental transplantation, anterior teeth restoration, and pediatric endodontics and regenerative treatments. This review shows that 3D printing improves clinical outcomes through personalized and precise treatment options and enhances dental students’ educational landscape. Areas lacking extensive research were also identified, which warrent further investigation to optimize the integration of 3D printing in pediatric dentistry. By mapping out the current landscape and future directions, the aim of this paper is to support pediatric dentists in recognizing the broad implications of 3D printing for improving patient care and advancing dental education.


Keywords

3D printing; Additive manufacturing; Dental technology advancements; Digital dentistry; Pediatric dentistry


Cite and Share

Nagehan Aktaş,Volkan Ciftci. Current applications of three-dimensional (3D) printing in pediatric dentistry: a literature review. Journal of Clinical Pediatric Dentistry. 2024. 48(5);4-13.

References

[1] Strub JR, Rekow ED, Witkowski S. Computer-aided design and fabrication of dental restorations: current systems and future possibilities. Journal of the American Dental Association. 2006; 137: 1289–1296.

[2] Kessler A, Hickel R, Reymus M. 3D printing in dentistry—state of the art. Operative Dentistry. 2020; 45: 30–40.

[3] Balhaddad AA, Garcia IM, Mokeem L, Alsahafi R, Majeed-Saidan A, Albagami HH, et al. Three-dimensional (3D) printing in dental practice: applications, areas of interest, and level of evidence. Clinical Oral Investigations. 2023; 27: 2465–2481.

[4] Schweiger J, Beuer F, Stimmelmayr M, Edelhoff D, Magne P, Güth JF. Histo-anatomic 3D printing of dental structures. British Dental Journal. 2016; 221: 555–560.

[5] Kamio T, Suzuki M, Asaumi R, Kawai T. DICOM segmentation and STL creation for 3D printing: a process and software package comparison for osseous anatomy. 3D Printing in Medicine. 2020; 6: 17–29.

[6] Oberoi G, Nitsch S, Edelmayer M, Janjić K, Müller AS, Agis H. 3D printing-encompassing the facets of dentistry. Frontiers in Bioengineering and Biotechnology. 2018; 6: 172–185.

[7] Huang G, Wu L, Hu J, Zhou X, He F, Wan L, et al. Main applications and recent research progresses of additive manufacturing in dentistry. BioMed Research International. 2022; 2022: 5530188.

[8] Abduo J, Lyons K, Bennamoun M. Trends in computer-aided manufac-turing in prosthodontics: a review of the available streams. International Journal of Dentistry. 2014; 2014: 783948.

[9] Kadry H, Wadnap S, Xu C, Ahsan F. Digital light processing (DLP) 3D-printing technology and photoreactive polymers in fabrication of modified-release tablets. European Journal of Pharmaceutical Sciences. 2019; 135: 60–67.

[10] Sherman SL, Kadioglu O, Currier GF, Kierl JP, Li J. Accuracy of digital light processing printing of 3-dimensional dental models. American Journal of Orthodontics and Dentofacial Orthopedics. 2020; 157: 422–428.

[11] Vishwanathaiah S, Fageeh HN, Khanagar SB, Maganur PC. Artificial intelligence its uses and application in pediatric dentistry: a review. Biomedicines. 2023; 11: 788–809.

[12] Hanisch M, Kroeger E, Dekiff M, Timme M, Kleinheinz J, Dirksen D. 3D-printed surgical training model based on real patient situations for dental education. International Journal of Environmental Research and Public Health. 2020; 17: 2901–2912

[13] Tiwari S, Kulkarni PD, Rathi SV, Abraham JM, Agrawal N, Kumar A. 3D printing: a silver lining in pediatric dentistry. NVEO—Natural Volatiles & Essential Oils Journal. 2021; 18: 11582–11591.

[14] Khan MK. Modern digital pediatric dentistry with the advent of intraoral sensors, computer-aided design/computer-aided manufacturing, and three-dimensional printing technologies: a comprehensive review. Journal of Dental Research and Review. 2022; 9: 195–201.

[15] Dutta S, Gupta S, Isha S, Gumro M, Panwar M. 3D printing—a revolutionary change in pediatric dentistry. European Journal of Dental and Oral Health. 2023; 4: 1–5.

[16] Dawood A, Marti Marti B, Sauret-Jackson V, Darwood A. 3D printing in dentistry. British Dental Journal. 2015; 219: 521–529.

[17] Marty M, Broutin A, Vergnes JN, Vaysse F. Comparison of student’s perceptions between 3D-printed models versus series models in paediatric dentistry hands-on session. European Journal of Dental Education. 2019; 23: 68–72.

[18] Panpisut P, Doungkom P, Padunglappisit C, Romalee W, Suksudaj N. Assessment of 3D-printed tooth containing simulated deep caries lesions for practicing selective caries removal: a pilot study. International Journal of Environmental Research and Public Health. 2022; 20: 101.

[19] Petre AE, Pantea M, Drafta S, Imre M, Tâncu AMC, Liciu EM, et al. Modular digital and 3D-printed dental models with applicability in dental education. Medicina. 2023; 59: 116–143.

[20] Kröger E, Dekiff M, Dirksen D. 3D-printed simulation models based on real patient situations for hands-on practice. European Journal of Dental Education. 2017; 21: 119–125.

[21] Höhne C, Schmitter M. 3D-printed teeth for the preclinical education of dental students. Journal of Dental Education. 2019; 83: 1100–1106.

[22] Dobroś K, Hajto-Bryk J, Zarzecka J. Application of 3D-printed teeth models in teaching dentistry students: a scoping review. European Journal of Dental Education. 2023; 27: 126–134.

[23] Lin WS, Chou JC, Charette JR, Metz MJ, Harris BT, Choi N. Creating virtual 3-dimensional models for teaching pre-clinical tooth preparation: students’ usages and perceptions. European Journal of Dental Education. 2018; 22: 573–581.

[24] Höhne C, Schwarzbauer R, Schmitter M. 3D-printed teeth with enamel and dentin layer for educating dental students in crown preparation. Journal of Dental Education. 2019; 83: 1457–1463.

[25] Höhne C, Dickhaut N, Schmitter M. Introduction of a new teaching concept for dentin post preparation with 3D-printed teeth. European Journal of Dental Education. 2020; 24: 499–506.

[26] Werz SM, Zeichner SJ, Berg BI, Zeilhofer HF, Thieringer F. 3D-printed surgical simulation models as educational tool by maxillofacial surgeons. European Journal of Dental Education. 2018; 22: 500–505.

[27] Chae YK, Lee H, Jih MK, Lee HS, Lee JW, Kim SH, et al. Validation of a three-dimensional printed model for training of surgical extraction of supernumerary teeth. European Journal of Dental Education. 2020; 24: 637–643.

[28] Seifert LB, Schnurr B, Herrera-Vizcaino C, Begic A, Thieringer F, Schwarz F, et al. 3D-printed patient individualised models versus cadaveric models in an undergraduate oral and maxillofacial surgery curriculum: comparison of students’ perceptions. European Journal of Dental Education. 2020; 24: 809–810.

[29] Reymus M, Fotiadou C, Kessler A, Heck K, Hickel R, Diegritz C. 3D-printed replicas for endodontic education. International Endodontic Journal. 2019; 52: 123–130

[30] Hanafi A, Donnermeyer D, Schäfer E, Bürklein S. Perception of a modular 3D print model in undergraduate endodontic education. International Endodontic Journal. 2020; 53: 1007–1016.

[31] Reymus M, Fotiadou C, Hickel R, Diegritz C. 3D-printed model for hands-on training in dental traumatology. International Endodontic Journal. 2018; 51: 1313–1319.

[32] Yangdol P, Kalra N, Tyagi R, Khatri A, Sabherwal P, Goyal T. Three-dimensional printing technology: patient-friendly and time-saving approach for space management in an autistic child in COVID-19 times. International Journal of Clinical Pediatric Dentistry. 2023; 16: 321–326.

[33] Dhanotra KG, Bhatia R. Digitainers-digital space maintainers: a review. International Journal of Clinical Pediatric Dentistry. 2021; 14: 69–75.

[34] Pawar BA. Maintenance of space by innovative three-dimensional-printed band and loop space maintainer. Journal of the Indian Society of Pedodontics and Preventive Dentistry. 2019; 37: 205–208.

[35] Khanna S, Rao D, Panwar S, Pawar BA, Ameen S. 3D-printed band and loop space maintainer: a digital game changer in preventive orthodontics. Journal of Clinical Pediatric Dentistry. 2021; 45: 147–151.

[36] Tokuc M, Yilmaz H. Comparison of fit accuracy between conventional and CAD/CAM-fabricated band-loop space maintainers. International Journal of Paediatric Dentistry. 2022; 32: 764–771.

[37] Watson L, Danley B, Versluis A, Tantbirojn D, Brooks J, Wells MH. A structural analysis of 3D-printed pediatric space maintainers. Pediatric Dentistry. 2023; 45: 342–347.

[38] Cengiz A, Karayilmaz H. Comparative evaluation of the clinical success of 3D-printed space maintainers and band-loop space maintainers. To be published in International Journal of Paediatric Dentistry. 2024.[Preprint].

[39] Campobasso A, Battista G, Lo Muzio E, Colombo S, Paglia M, Federici Canova F, et al. New 3D-printed polymers in orthodontics: a scoping review. European Journal of Paediatric Dentistry. 2023; 24: 224–228.

[40] Aksoy M, Topsakal KG, Bal C, Akdeniz BS, Duran GS. Comparing the physical and mechanical properties of different biocompatible three-dimensional resin materials in possible use of dental appliances: an in vitro study. Orthodontics & Craniofacial Research. 2023; 26: 679–686.

[41] Kessler A, Kapor S, Erdelt K, Hickel R, Edelhoff D, Syrek A, et al. Two-body wear and fracture behavior of an experimental paediatric composite crown in comparison to zirconia and stainless steel crowns dependent on the cementation mode. Dental Materials. 2021; 37: 264–271.

[42] Al-Halabi MN, Bshara N, Nassar JA, Comisi JC, Rizk CK. Clinical performance of two types of primary molar indirect crowns fabricated by 3D Printer and CAD/CAM for rehabilitation of large carious primary molars. European Journal of Dentistry. 2021; 15: 463–468.

[43] Al-Halabi MN, Bshara N, Nassar JA, Comisi JC, Alawa L. Comparative assessment of novel 3D-printed resin crowns versus direct celluloid crowns in restoring pulp treated primary molars. The Journal of Evidence-Based Dental Practice. 2022; 22: 101664.

[44] Kim N, Kim H, Kim IH, Lee J, Lee KE, Lee HS, et al. Novel 3D-printed resin crowns for primary molars: in vitro study of fracture resistance, biaxial flexural strength, and dynamic mechanical analysis. Children. 2022; 9: 1445.

[45] Park S, Cho W, Lee H, Bae J, Jeong T, Huh J, et al. Strength and surface characteristics of 3D-printed resin crowns for the primary molars. Polymers. 2023; 15: 4241–4253.

[46] American Academy of Pediatric Dentistry. Pediatric restorative dentistry. 2022. Available at: https://www.aapd.org/globalassets/media/policies_guidelines/bp_restorativedent.pdf (Accessed: 20 January 2023).

[47] Ajayakumar LP, Chowdhary N, Reddy VR, Chowdhary R. Use of restorative full crowns made with zirconia in children: a systematic review. International Journal of Clinical Pediatric Dentistry. 2020; 13: 551–558.

[48] Shin Y, Wada K, Tsuchida Y, Ijbara M, Ikeda M, Takahashi H, et al. Wear behavior of materials for additive manufacturing after simulated occlusion of deciduous dentition. Journal of the Mechanical Behavior of Biomedical Materials. 2023; 138: 105627.

[49] Aydin N, Uguz HN. Shear bond strength of permanent 3D-printed resin and milled zirconia to primary teeth using different luting agents. American Journal of Dentistry. 2023; 36: 239–245.

[50] Aktaş N, Bani M, Ocak M, Bankoğlu Güngör M. Effects of design software program and manufacturing method on the marginal and internal adaptation of esthetic crowns for primary teeth: a microcomputed tomography evaluation. The Journal of Prosthetic Dentistry. 2024; 131: 519. e1–519.e9.

[51] Joseph JR, Merrett S, Rogers S, Clark P. Use of 3D printing in the planning of a patient with unerupted maxillary central incisors. Journal of Orthodontics. 2021; 48: 183–189.

[52] Lee H, Chae YK, Choi S, Jih MK, Lee JW, Choi SC, et al. Feasibility of a 3D surgical guide technique for impacted supernumerary tooth extraction: A pilot study with 3D printed simulation models. Applied Sciences. 2019; 9: 3905.

[53] Nayar S, Bhuminathan S, Bhat WM. Rapid prototyping and stereolithog-raphy in dentistry. Journal of Pharmacy & Bioallied Sciences. 2015; 7: 216–219.

[54] Jeong M, Radomski K, Lopez D, Liu JT, Lee JD, Lee SJ. Materials and applications of 3D printing technology in dentistry: an overview. Dentistry Journal. 2023; 12: 1.

[55] Li B, Shen S, Jiang W, Li J, Jiang T, Xia JJ, et al. A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system: a preliminary study. International Journal of Oral and Maxillofacial Surgery. 2017; 46: 1298–1305.

[56] Kaban LB, Bouchard C, Troulis MJ. A protocol for management of temporomandibular joint ankylosis in children. Journal of Oral and Maxillofacial Surgery: Official Journal of the American Association of Oral and Maxillofacial Surgeons. 2009; 67: 1966–1978.

[57] Sporniak-Tutak K, Janiszewska-Olszowska J, Kowalczyk R. Management of temporomandibular ankyloses—compromise or individualization—a literature review. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research. 2011; 17: 111–116.

[58] Zoabi A, Redenski I, Oren D, Kasem A, Zigron A, Daoud S, et al. 3D printing and virtual surgical planning in oral and maxillofacial surgery. Journal of Clinical Medicine. 2022; 11: 2385.

[59] Philippe B. Custom-made prefabricated titanium miniplates in Le Fort I osteotomies: principles, procedure and clinical insights. International Journal of Oral and Maxillofacial Surgery. 2013; 42: 1001–1006.

[60] Mao Z, Zhang N, Cui Y. Three-dimensional printing of surgical guides for mandibular distraction osteogenesis in infancy. Medicine. 2019; 98: 14754.

[61] Chen J, Yang R, Shi B, Xu Y, Huang H. Obturator manufacturing for oronasal fistula after cleft palate repair: a review from handicraft to the application of digital techniques. Journal of Functional Biomaterials. 2022; 13: 251.

[62] Kapoor A, Gupta R, Sikri A, Nagaraj A, Sikri J. 3D-printed obturators—an innovative journey. Journal of Family Medicine and Primary Care. 2021; 10: 4594–4597.

[63] Aulisa AG, Marsiolo M, Basiglini L, Aletto C, Giordano M, Falciglia F. Management of open pediatric fractures: Proposal of a new multidisciplinary algorithm. Journal of Clinical Medicine. 2023; 12: 6378.

[64] Yang C, Zhang S, Zhang Y. Three-dimensional-printed splint for use in pediatric mandibular fracture. The Journal of Craniofacial Surgery. 2023; 34: 186–187.

[65] Chakravarthy C, Gupta NC, Patil R. A simplified digital workflow for the treatment of pediatric mandibular fractures using three-dimensional (3D) printed cap splint: a case report. Craniomaxillofacial Trauma & Reconstruction Open. 2019; 3: e67–e70.

[66] Du Y, Yang D, Pang Y, Liu C, Zhang K. Application of CAD and 3D printing in the treatment of pediatric multiple mandible fractures: a case report. Medicine Case Reports and Study Protocols. 2021; 2: e0095.

[67] Lee S. Prospect for 3D printing technology in the medical, dental, and pediatric dental field. Journal of the Korean Academy of Pediatric Dentistry. 2016; 43: 93–108.

[68] Verweij JP, van Westerveld KJH, Anssari Moin D, Mensink G, van Merkesteyn JPR. Autotransplantation with a 3-dimensionally printed replica of the donor tooth minimizes extra-alveolar time and intraoper-ative fitting attempts: a multicenter prospective study of 100 transplanted teeth. Journal of Oral and Maxillofacial Surgery: Official Journal of the American Association of Oral and Maxillofacial Surgeons. 2020; 78: 35–43.

[69] Debortoli C, Afota F, Lerhe B, Fricain M, Corazza A, Savoldelli C. Autotransplantation with tooth replica: technical note. Journal of Stomatology, Oral and Maxillofacial Surgery. 2023; 124: 101353.

[70] Cahuana-Bartra P, Cahuana-Cárdenas A, Brunet-Llobet L, Ayats-Soler M, Miranda-Rius J, Rivera-Baró A. The use of 3D additive manufacturing technology in autogenous dental transplantation. 3D Printing in Medicine. 2020; 6: 16.

[71] Xia J, Li Y, Cai D, Shi X, Zhao, Jiang Q, et al. Direct resin composite restoration of maxillary central incisors using a 3D-printed template: two clinical cases. BMC Oral Health. 2018; 18: 158–164.

[72] Hosaka K, Tichy A, Motoyama Y, Mizutani K, Lai WJ, Kanno Z, et al. Post-orthodontic recontouring of anterior teeth using composite injection technique with a digital workflow. Journal of Esthetic and Restorative Dentistry. 2020; 32: 638–644.

[73] Zhang Y, Zhang J, Fan L, Yu H. Closing post-orthodontic spaces between anterior teeth using sequential 3D-printed direct composite injection guides. Operative Dentistry. 2022; 47: 612–619.

[74] Watanabe K, Tichy A, Kamoi K, Hiasa M, Yonekura K, Tanaka E, et al. Restoration of a microdont using the resin composite injection technique with a fully digital workflow: a flexible 3D-printed index with a stabilization holder. Operative Dentistry. 2023; 48: 483–489.

[75] Byun C, Kim C, Cho S, Baek SH, Kim G, Kim SG, et al. Endodontic treatment of an anomalous anterior tooth with the aid of a 3-dimensional printed physical tooth model. Journal of Endodontics. 2015; 41: 961–965.

[76] Van Der Meer WJ, Vissink A, Ng YL, Gulabivala K. 3D computer-aided treatment planning in endodontics. Journal of Dentistry. 2016; 45: 67–72.

[77] Murray PE, Garcia-Godoy F, Hargreaves KM. Regenerative endodontics: a review of current status and a call for action. Journal of Endodontics. 2007; 33: 377–390.

[78] Xu HH, Wang P, Wang L, Bao C, Chen Q, Weir MD, et al. Calcium phosphate cements for bone engineering and their biological properties. Bone Research. 2017; 5: 17056.

[79] Bhargav A, Sanjairaj V, Rosa V, Feng LW, Fuh Yh J. Applications of additive manufacturing in dentistry: a review. Journal of Biomedical Materials Research: Part B, Applied Biomaterials. 2018; 106: 2058–2064.

[80] Acharya A, Chodankar RN, Patil R, Patil AG. Assessment of knowledge, awareness, and practices toward the use of 3D printing in dentistry among dental practitioners and dental technicians: a cross-sectional study. Journal of Oral Biology and Craniofacial Research. 2023; 13: 253–258.



Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 1.8 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top