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International Journal of Bioprinting                                    Optimizing 3D-printed mouthguards









































                                            Figure 3. The setting of the free-falling steel ball test.



            using an electromagnetic force testing machine (MICRO   of two central incisors, the left first molar, the right first
            MMT-250NV-10; Shimadzu Corporation, Kyoto, Japan),   molar). Three non-elastic wires connected the MG sample
            with real-time data output in a cycle-loading wave-shape   to the plate vertically. A retention force test was conducted
            pattern  to  simulate  oral  occlusion  movements.  The  load   on each MG by hooking the labial or buccal and palatal
            ranged from 70 N to 200 N at 1 Hz, within the normal   margins at three anatomical locations. Shock absorption
            bite-force range on the test controller (4830 controller;   and fatigue tests were conducted under the same setup
            Shimadzu Corporation). Temperature and humidity    conditions for temperature and humidity control (Figure 5).
            conditions were consistent with the shock absorption test   Each MG was hauled from the maxillary model at a
            before and during the fatigue test (Figure 4). Each sample   constant rate of 50 mm/min.  The test was executed five
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            underwent 5000 bite cycles per experimental stage.  The   times on a universal machine (SCG-5KNA, Shimadzu
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            cycle-loading fatigue test was conducted in two stages   Corporation), with data output from the software
            unless cracks appeared during the test.            (Trapezium  x,  version  1.4.0,  Shimadzu  Corporation).
            2.3.1. Retention force evaluation of MG inlayer in   The gauges were recalibrated after each measurement.
            fatigue test                                       The maximum force represented the retention force. The
            According to Karaganeva et al.’s study,  a parallel plate   retention forces of conventionally fabricated and additively
                                            30
            and three hooks were molded from personal tray material   manufactured MGs were recorded in  pre- (0th), mid-
            (Ostron II, GC Corporation, Tokyo, Japan). A parallel plate   (5000th), and post- (10,000th) fatigue tests.
            was attached to the universal testing machine, and three   2.3.2. Evaluation of morphological changes of outer
            hooks were utilized to pull the MG sample from the upper   surfaces in fatigue test
            dental stone model.
                                                               Morphological changes were evaluated based on the
               A retention force test was executed on each MG by   procedure described by Tsuchida et al.  MG samples
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            hooking the labial or buccal and palatal margins of three   were scanned in pre-, mid-, and post-fatigue tests with the
            anatomical points including anterior and posterior (center   extraoral 3D scanner. The scanner was calibrated after each


            Volume 10 Issue 3 (2024)                       383                                doi: 10.36922/ijb.2469
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