Printing outsourced orthognathic surgical splints in-house: a dimensional verification process for point-of-care printing

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Publicado en:3D Printing in Medicine vol. 11, no. 1 (Dec 2025), p. 24
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Springer Nature B.V.
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024 7 |a 10.1186/s41205-025-00276-9  |2 doi 
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045 2 |b d20251201  |b d20251231 
245 1 |a Printing outsourced orthognathic surgical splints in-house: a dimensional verification process for point-of-care printing 
260 |b Springer Nature B.V.  |c Dec 2025 
513 |a Journal Article 
520 3 |a BackgroundBoth outsourcing virtual surgery planning and 3D printed splint fabrication have become the standard in the field of orthognathic surgery. In-house (IH) adaptation of these presurgical operations requires compliance with regulatory bodies when designing and manufacturing medical-grade products. The purpose of this study is to evaluate the dimensional accuracy of IH 3D printed orthognathic surgical splints within a hybrid workflow for externally designed splints.Materials and methodsAn in vitro study was conducted utilizing an outsourced (OS) orthognathic surgical splint file from a previously treated patient. The control group included the splint’s original standard tessellation language (STL) file. Experimental groups included: splint (a) milled with zirconia, (b) 3D printed on a Phrozen 4 K (commercial printer), (c) 3D printed on Formlabs 3B+ (Formlabs 3B + have track record of having FDA cleared materials and workflows in dental applications and have potential materials that could be used for IH manufacturing for orthognathic splints upon further testing and FDA clearance). Surface area analysis was performed using 3-Matic (Materialise© Mimics Software) to generate root mean square (RMS) values between digital copies of the splints and their corresponding original STL files.ResultsThe RMS error in equipment processing and analysis was measured at 0.10 mm. Accounting for this error, the 3D-printed splints exhibited an average RMS of 0.20 mm for both the Formlabs 3B + and the Phrozen 4 K. No statistically significant difference was found between splints from different printers or replicas.ConclusionThis study presents a verification process for providers to verify the geometric stability and reproducibility of their IH-printed orthognathic splints (RMS 0.20 mm). Clinicians may find this study useful when crafting a regulatory-compliant process for the IH manufacturing of OS orthognathic surgery splints. 
610 4 |a Food & Drug Administration--FDA 
653 |a Federal regulation 
653 |a In vitro methods and tests 
653 |a Verification 
653 |a Zirconium dioxide 
653 |a Surgery 
653 |a Printers 
653 |a Tessellation 
653 |a Outsourcing 
653 |a Dental materials 
653 |a Zirconia 
653 |a Splints 
653 |a Three dimensional printing 
653 |a Manufacturing 
653 |a Statistical analysis 
773 0 |t 3D Printing in Medicine  |g vol. 11, no. 1 (Dec 2025), p. 24 
786 0 |d ProQuest  |t Health & Medical Collection 
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