CN114712007A - Method for manufacturing digital removable denture - Google Patents
Method for manufacturing digital removable denture Download PDFInfo
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- CN114712007A CN114712007A CN202210357612.0A CN202210357612A CN114712007A CN 114712007 A CN114712007 A CN 114712007A CN 202210357612 A CN202210357612 A CN 202210357612A CN 114712007 A CN114712007 A CN 114712007A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/08—Artificial teeth; Making same
- A61C13/083—Porcelain or ceramic teeth
- A61C13/0835—Ceramic coating on metallic body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/0003—Making bridge-work, inlays, implants or the like
- A61C13/0004—Computer-assisted sizing or machining of dental prostheses
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/0003—Making bridge-work, inlays, implants or the like
- A61C13/0006—Production methods
- A61C13/0019—Production methods using three dimensional printing
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
- B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
- B29C64/00—Additive manufacturing, i.e. manufacturing of three-dimensional [3D] objects by additive deposition, additive agglomeration or additive layering, e.g. by 3D printing, stereolithography or selective laser sintering
- B29C64/10—Processes of additive manufacturing
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y10/00—Processes of additive manufacturing
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
- B29L—INDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
- B29L2031/00—Other particular articles
- B29L2031/40—Test specimens ; Models, e.g. model cars ; Probes
Abstract
The invention provides a method for manufacturing a digital removable denture, which comprises the following steps: (1) acquiring oral scanning data A by using an oral scanner; (2) designing the oral scan data A through model design software to obtain model data B; printing the model data B into a resin model by a resin 3D printer; (3) designing the oral scanning data A through denture design software to obtain data C; cutting the false tooth by using the data C to obtain an individualized false tooth; (4) designing the model data B through support design software to obtain support data D, designing and typesetting the support data D into a print file E through metal 3D printer typesetting software, and printing the print file E into a metal support; (5) and (3) bonding the personalized false tooth on the metal bracket, matching with the resin model in a matching manner, and performing glue injection molding to obtain the digital false tooth. The method for manufacturing the digital working denture has the advantages of high precision, short manufacturing period and high automation degree.
Description
Technical Field
The invention belongs to the technical field of design and manufacture, relates to a method for manufacturing a removable denture, and particularly relates to a method for manufacturing a digital removable denture.
Background
With the increasing degree of global aging, the number of middle-aged and elderly people is gradually increased, so that the demand for false teeth is more obvious. According to the survey data of China, the average number of teeth missing of middle-aged people of 35-44 years old is 2.12, the average number of teeth missing of middle-aged people of 55-64 years old is 5.95, and the average number of teeth missing of middle-aged people of 65-74 years old is 9.06. For the people with tooth deficiency, the restoration treatment is generally carried out by three ways, namely fixed denture restoration, implant restoration and movable denture restoration. Most of people over 60 years old are patients with residual teeth and edentulous jaws, and the residual teeth patients are generally repaired by adopting a method of implanting or moving false teeth. However, since patients are over-aged or suffer from diseases such as heart disease or hypertension, and cannot be repaired by implantation, only removable dentures that are relatively economically safe can be selected for repair, and thus market space and market demand for removable dentures have become large.
The movable false tooth is a kind of prosthesis which is supported by natural tooth and base covering mucosa and bone tissue, and depending on the fixing body of false tooth and the fixing function of base, the artificial tooth recovers the shape and function of lost tooth, and uses base material to recover the shape of defective alveolar ridge and soft tissue, so that the patient can take off and wear it by himself. Generally comprises an artificial tooth, a base, a retainer and a connector.
Traditional removable denture preparation adopts the silicon rubber die to obtain patient's oral cavity structural morphology, and the doctor is posted the die for the denture processing factory, and the denture processing factory carries out the gypsum and pours into after receiving the die. Filling the concave on the poured plaster, and manually designing and manufacturing the wax-type bracket with the casting channel. And embedding the wax-type stent in an embedding material, pouring the heated cobalt-chromium alloy solution after the wax is lost and sintered out of the cavity, and manually removing the casting channel after cooling to polish and polish the cobalt-chromium stent. Coating a separating agent on gypsum, putting the polished cobalt-chromium bracket on the gypsum, manually arranging teeth, carving a wax-type base, taking an impression of the cast by using silicon rubber after the production is finished, respectively punching an injection hole and a drainage hole on the lingual side and the buccal side, fully boxing the cast and the silicon rubber together, and boiling out wax at high temperature to form a cavity. Injecting a mixture of denture powder and denture water into the cavity at the punching position, taking out the mixture after a period of high temperature and high pressure, separating the injected removable denture from the plaster and the silicone rubber, manually polishing, and sending back to a doctor after the plaster model is qualified in trial wearing.
A flow chart of a conventional removable denture manufacturing method is shown in fig. 1.
By adopting the traditional removable denture manufacturing method, the technical requirement on a technician is high, the manufacturing period is long, the precision is low, and the rework rate is high; therefore, how to make a digital removable denture have higher precision and short making period is a problem to be solved at present.
Disclosure of Invention
Aiming at the defects of the prior art, the invention aims to provide a manufacturing method of a digital removable denture, which has the advantages of higher precision, short manufacturing period and high automation degree.
In order to achieve the purpose, the invention adopts the following technical scheme:
the invention provides a manufacturing method of a digital removable denture, which comprises the following steps:
(1) acquiring patient oral scanning data A by using an intraoral scanner;
(2) designing the oral scan data A through model design software to obtain model data B; printing the model data B into a resin model through a resin 3D printer;
(3) designing the oral scanning data A through denture design software to obtain data C; then, cutting the false tooth by using the data C through a cutting machine to obtain an individualized false tooth;
(4) designing the model data B through support design software to obtain support data D, designing and typesetting the support data D into a print file E through metal 3D printer typesetting software, and printing the print file E into a metal support;
(5) and (3) bonding the personalized denture on the metal bracket, matching the metal bracket with the personalized denture with the resin model in a matching manner, and injecting glue for molding to obtain the digital active denture.
According to the invention, a doctor end uses the oral cavity scanning equipment to scan the oral condition of a patient into data and transmits the data to a false tooth processing factory, so that the time for posting an impression die is saved; after receiving the data, the denture processing factory can directly design and print the data, and the whole process is finished within 1 hour; compared with the die cast gypsum, the method saves labor for more than 3 hours.
In the present invention, after receiving the oral scan data, the denture manufacturer prints the data into a metal bracket by using a metal printer through bracket design software, the time is about 5 hours, the time for manually carving wax patterns and embedding and casting by a skilled technician is more than 8 hours, and the dewaxing casting technology is easy to generate errors and has high requirements on manual skills.
When hand-cast, cobalt chromium alloy materials shrink when cooled and liquid expansion must be taken into account when taking the model. And the accuracy of the cobalt-chromium support printed by the metal 3D printer is controlled within a 50-micron range, so that the clinical requirement can be met. Compared with the traditional casting process for manufacturing the support, the printing support can be very thin, and a very complex workpiece can be manufactured. The printing process is a closed environment, has no dust, and is not easy to introduce impurities in the operation process to cause sand holes. And after printing is finished, polishing by using automatic equipment, such as plasma polishing equipment and polymer polishing equipment. Most of the polishing and grinding time of the technician can be saved. By utilizing the digital grinding and polishing process, the labor can be saved for more than 8 hours.
Compared with the traditional finished resin tooth, the artificial tooth is manufactured by using a cutting mode, the artificial tooth is made of materials which are more widely selected, can be zirconium oxide, glass ceramic or composite resin ceramic and the like, and is personalized and customized by using a digital cutting processing mode. Saves the time for adjusting the jaw and grinding by a technician, and reduces the requirements of adjusting the jaw and arranging teeth of the technician. And materials such as zirconia, glass ceramics or composite resin ceramics have higher wear resistance, can make the time of wearing of the patient longer, and is more bionic and beautiful, thereby providing better dental aesthetic effect for the patient.
In the present invention, in step (2), the model design software includes any one of 3shape, exocad or geologic, or a combination of at least two of them.
In the present invention, in step (3), the denture design software includes any one of 3shape, exocad and geomimetic, or a combination of at least two of them.
Preferably, in the step (3), the material of the personalized denture comprises any one or a combination of at least two of zirconia, glass ceramic or composite resin ceramic.
In the invention, in the step (4), the stent design software includes any one or a combination of at least two of 3shape, exocad and IPD dicine.
Preferably, in step (4), the metal 3D printer layout software includes P3 DS.
In the present invention, in the step (4), the metal holder is made of a dental metal material.
Preferably, in the step (4), the material of the metal stent includes any one of titanium, cobalt-chromium alloy or cobalt-chromium-nickel alloy, cobalt-chromium-tungsten alloy, or a combination of at least two of them.
Preferably, in step (4), after the metal stent is printed, the metal stent is polished.
Preferably, the polishing equipment comprises one or a combination of at least two of a bench polishing machine, a plasma polishing machine or a polymer polishing machine.
In the invention, in the step (5), the adhesive used for adhering the personalized denture on the metal bracket is dental adhesive.
Preferably, in step (5), before the anastomosis is matched, a release agent is coated in the resin model.
Preferably, the separating agent comprises any one of sodium diatomate, gypsum separating agent or vaseline or a combination of at least two of them.
In the invention, in step (5), after the matching, a wax pattern is further required to be manufactured on the metal bracket, so as to form a first combination body consisting of the wax pattern, the metal bracket, the personalized denture and the resin model.
Preferably, the method for manufacturing the digital false tooth further comprises the following steps: and taking a mold from the first combination by using dental silicone rubber, punching an injection hole and an overflow hole at the lingual side and the buccal side respectively, boxing, boiling in high-temperature water to remove wax, and forming a second combination of the silicone rubber with a cavity, the metal bracket, the personalized denture and the resin model.
Preferably, the temperature of the high-temperature poaching lost wax is 65-100 ℃, for example, 65 ℃, 70 ℃, 75 ℃, 80 ℃, 85 ℃, 90 ℃, 95 ℃, 100 ℃ and the like can be adopted; the time is 20-120min, such as 20min, 40min, 60min, 80min, 100min, 120min, etc.
In the invention, in the step (5), the glue injection molding comprises the following steps: and injecting a mixture of denture powder and denture water into the second combined body through the injection hole, and molding at high temperature and high pressure to obtain the digital active denture.
In the invention, the equipment for injecting the mixture of the denture powder and the denture water into the second combined body is an automatic injection molding machine.
Preferably, the mass ratio of the denture water to the denture powder is 1 (1-2); for example, 1:1, 1.1:1, 1.2:1, 1.3:1, 1.4:1, 1.5:1, 1.6:1, 1.7:1, 1.8:1, 1.9:1, 2:1, etc. may be mentioned.
Preferably, the high temperature and high pressure forming temperature is 80-120 deg.C, such as 80 deg.C, 85 deg.C, 90 deg.C, 95 deg.C, 100 deg.C, 105 deg.C, 110 deg.C, 115 deg.C, 120 deg.C; the pressure is 0.2 to 0.6MPa, and may be, for example, 0.2MPa, 0.3MPa, 0.4MPa, 0.5MPa, 0.6MPa or the like; the time is 20-120min, such as 20min, 40min, 60min, 80min, 100min, 120min, etc.
Preferably, after the high-temperature and high-pressure molding, the digital removable denture needs to be polished by a plasma automatic polishing machine.
As a preferable technical solution of the present invention, the method for manufacturing the digital removable denture comprises the following steps:
(1) acquiring patient oral scanning data A by using an intraoral scanner;
(2) designing the data A through model design software to obtain model data B; printing the model data B into a resin model through a resin 3D printer;
the model design software comprises any one or a combination of at least two of 3shape, exocad and geologic;
(3) designing the data A through denture design software to obtain data C; then, cutting the false tooth by using the data C through a cutting machine to obtain an individualized false tooth;
wherein the denture design software comprises any one or a combination of at least two of 3shape, exocad or Geomagic;
(4) designing the data B through support design software to obtain support data D, designing and typesetting the support data D into a print file E through metal 3D printer typesetting software, and printing the print file E into a metal support;
the bracket design software comprises any one or a combination of at least two of 3shape, exocad and IPD gear; the metal 3D printer typesetting software comprises P3 DS; after the metal support is printed, polishing the metal support; the equipment adopted for polishing comprises one or the combination of at least two of a table type polishing machine, a plasma polishing machine or a polymer polishing machine;
(5) bonding the personalized denture on the metal support by utilizing a dental adhesive, coating a separating agent on the resin model, matching the metal support with the personalized denture with the resin model coated with the separating agent in a matching way, and manufacturing a wax pattern on the metal support to form a first combination body consisting of the wax pattern, the metal support, the personalized denture and the resin model;
taking a mold from the first combination by using dental silicone rubber, punching an injection hole and a drainage hole on the lingual side and the buccal side respectively, boxing, boiling in high-temperature water to lose wax, and forming a second combination consisting of the silicone rubber with a cavity, a metal bracket, the personalized denture and a resin model;
and injecting a mixture of denture powder and denture water into the second combined body through the injection hole, molding at high temperature and high pressure, and polishing to obtain the digital active denture.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention uses an intraoral scanner to obtain the oral scanning data of a patient, and the whole process of designing and printing the resin model is completed within 1 hour; compared with the die cast gypsum, the method saves labor for more than 3 hours;
2. the invention uses the bracket design software and the metal printer to print the metal bracket, the time is about 5 hours, compared with the traditional manual wax pattern carving and embedding casting, the invention saves more than 3 hours; the precision of the metal support printed by the metal 3D printer is controlled within 50 microns, so that the clinical requirement can be met; compared with the traditional casting process for manufacturing the bracket, the printing bracket can be very thin, and a very complex workpiece can be manufactured;
3. the artificial tooth is manufactured by using a cutting mode, and compared with the traditional finished resin tooth, the artificial tooth has wider material selection; and the artificial tooth is customized in a personalized way by utilizing a digital cutting processing mode, so that the jaw adjusting and polishing time of a technician is saved, and the requirements of the technician on jaw adjusting and tooth arrangement are lowered.
Drawings
Fig. 1 is a flow chart of a method for manufacturing a conventional removable denture.
Fig. 2 is a flow chart of a method for manufacturing a digital removable denture.
Detailed Description
The technical solution of the present invention is further explained by the following embodiments. It should be understood by those skilled in the art that the examples are only for the understanding of the present invention and should not be construed as the specific limitations of the present invention.
The sources of the various components, equipment and software in the following examples are as follows:
example 1
The manufacturing method comprises the following steps:
(1) acquiring patient oral scanning data A by using an intraoral scanner;
(2) designing the data A through model design software to obtain model data B; printing the model data B into a resin model through a resin 3D printer;
(3) designing the data A through denture design software to obtain data C; then, cutting the false tooth by using the data C through a cutting machine to obtain an individualized false tooth; the personalized denture is made of zirconium oxide;
(4) designing the data B through support design software to obtain support data D, designing and typesetting the support data D through metal 3D printer typesetting software to obtain a printing file E, printing the printing file E into a metal support, and polishing the metal support by adopting a plasma polishing machine; the metal bracket is made of cobalt-chromium alloy;
(5) bonding the personalized denture on the metal bracket by utilizing a dental adhesive, coating a separating agent on the resin model, matching the metal bracket with the personalized denture with the resin model coated with the separating agent in a matching way, and manufacturing a wax pattern on the metal bracket to form a first combination body consisting of the wax pattern, the metal bracket, the personalized denture and the resin model;
taking a mold on the first combination by utilizing dental silicone rubber, respectively punching an injection hole and an overflow hole at the lingual side and the buccal side, boxing, boiling in water at 100 ℃ for 60min, and losing wax to form a second combination consisting of the silicone rubber with a cavity, a metal bracket, the personalized denture and a resin model;
injecting a mixture of denture water and denture powder with the mass ratio of 1:1.25 into the second combination body through an injection hole by using an automatic injection molding machine, molding at high temperature and high pressure, and polishing by using a plasma automatic polishing machine to obtain the digital active denture; wherein the temperature of the high-temperature high-pressure molding is 100 ℃, the pressure is 0.6MPa, and the time is 0.5 h.
As shown in fig. 2, a flow chart of a method for manufacturing a digital removable denture comprises the following steps: respectively designing and printing a resin model, designing and printing a metal bracket and designing and cutting an individualized denture according to the oral scanning data, then coating a separating agent to arrange a tooth plastic base, and then performing silicone rubber impression and water boiling dewaxing; and finally, obtaining the digital removable denture through automatic glue injection separation and automatic polishing.
The applicant states that the present invention is illustrated by the above examples of the process of the present invention, but the present invention is not limited to the above process steps, i.e. it is not meant that the present invention must rely on the above process steps to be carried out. It will be apparent to those skilled in the art that any modification of the present invention, equivalent substitutions of selected materials and additions of auxiliary components, selection of specific modes and the like, which are within the scope and disclosure of the present invention, are contemplated by the present invention.
Claims (10)
1. A manufacturing method of a digital removable denture is characterized by comprising the following steps:
(1) acquiring patient oral scanning data A by using an intraoral scanner;
(2) designing the oral scan data A through model design software to obtain model data B; printing the model data B into a resin model through a resin 3D printer;
(3) designing the oral scanning data A through denture design software to obtain data C; then, cutting the denture by using the data C through a cutting machine to obtain an individualized denture;
(4) designing the model data B through support design software to obtain support data D, designing and typesetting the support data D into a print file E through metal 3D printer typesetting software, and printing the print file E into a metal support;
(5) and adhering the personalized denture on the metal bracket, matching the metal bracket with the personalized denture with the resin model in a matching manner, and performing glue injection molding to obtain the digital active denture.
2. The method for manufacturing a digital removable denture according to claim 1, wherein in the step (2), the model design software comprises any one or a combination of at least two of 3shape, exocad and Geomagic.
3. The method for manufacturing a digital removable denture according to claim 1 or 2, wherein in step (3), the denture design software comprises any one of 3shape, exocad and Geomagic or a combination of at least two of them;
preferably, in the step (3), the material of the personalized denture comprises any one or a combination of at least two of zirconia, glass ceramic or composite resin ceramic.
4. The method for manufacturing a digital removable denture according to any one of claims 1-3, wherein in the step (4), the bracket design software comprises any one or a combination of at least two of 3shape, exocad or IPD clever teeth;
preferably, in step (4), the metal 3D printer layout software includes P3 DS.
5. The method for manufacturing a digital removable denture according to any one of claims 1 to 4, wherein in the step (4), the metal bracket is made of a dental metal material;
preferably, in the step (4), the material of the metal stent includes any one or a combination of at least two of titanium, cobalt-chromium alloy or cobalt-chromium-nickel alloy and cobalt-chromium-tungsten alloy;
preferably, in the step (4), after the metal stent is printed, the metal stent is polished;
preferably, the polishing equipment comprises one or a combination of at least two of a bench polishing machine, a plasma polishing machine or a polymer polishing machine.
6. The method for manufacturing a digital removable denture according to any one of claims 1-5, wherein in the step (5), the adhesive used for adhering the personalized denture to the metal bracket is dental adhesive;
preferably, in the step (5), before the anastomosis matching, a separating agent is required to be smeared in the resin model;
preferably, the separating agent comprises any one of sodium diatomate, gypsum separating agent or vaseline or a combination of at least two of them.
7. The method for manufacturing a digital removable denture according to any one of claims 1-6, wherein in step (5), after the matching, a wax pattern is further required to be manufactured on the metal bracket, so as to form a first combination body consisting of the wax pattern, the metal bracket, the personalized denture and the resin model;
preferably, the method for manufacturing the digital false tooth further comprises the following steps: taking a mold from the first combination by using dental silicone rubber, punching an injection hole and a drainage hole on the lingual side and the buccal side respectively, boxing, boiling in high-temperature water to lose wax, and forming a second combination consisting of the silicone rubber with a cavity, a metal bracket, the personalized denture and a resin model;
preferably, the temperature of the high-temperature poaching lost wax is 65-100 ℃ and the time is 20-120 min.
8. The method for manufacturing a digital removable denture according to claim 7, wherein in the step (5), the injection molding comprises the following steps: and injecting a mixture of denture powder and denture water into the second combined body through the injection hole, and molding at high temperature and high pressure to obtain the digital active denture.
9. The method for manufacturing a digital removable denture according to claim 8, wherein the equipment used for injecting the mixture of the denture powder and the denture water into the second combined body is an automatic injection molding machine;
preferably, the mass ratio of the denture water to the denture powder is 1 (1-2);
preferably, the high-temperature and high-pressure molding temperature is 80-120 ℃, the pressure is 0.2-0.6MPa, and the time is 20-120 min;
preferably, after the high-temperature and high-pressure molding, the digital removable denture needs to be polished by a plasma automatic polishing machine.
10. The method for manufacturing a digital removable denture according to any one of claims 1-9, wherein the method comprises the steps of:
(1) acquiring patient oral scanning data A by using an intraoral scanner;
(2) designing the oral scan data A through model design software to obtain model data B; printing the model data B into a resin model through a resin 3D printer;
the model design software comprises any one or a combination of at least two of 3shape, exocad and geologic;
(3) designing the oral scanning data A through denture design software to obtain data C; then, cutting the false tooth by using the data C through a cutting machine to obtain an individualized false tooth;
wherein the denture design software comprises any one or a combination of at least two of 3shape, exocad or Geomagic;
(4) designing the model data B through support design software to obtain support data D, designing and typesetting the support data D into a print file E through metal 3D printer typesetting software, and printing the print file E into a metal support;
the bracket design software comprises any one or a combination of at least two of 3shape, exocad and IPD gear; the metal 3D printer typesetting software comprises P3 DS; after the metal support is printed, polishing the metal support; the equipment adopted by the polishing comprises one or the combination of at least two of a bench polishing machine, a plasma polishing machine or a polymer polishing machine;
(5) bonding the personalized denture on the metal support by utilizing a dental adhesive, coating a separating agent on the resin model, matching the metal support with the personalized denture with the resin model coated with the separating agent in a matching way, and manufacturing a wax pattern on the metal support to form a first combination body consisting of the wax pattern, the metal support, the personalized denture and the resin model;
taking a mold from the first combination by using dental silicone rubber, punching an injection hole and a drainage hole on the lingual side and the buccal side respectively, boxing, boiling in high-temperature water to lose wax, and forming a second combination consisting of the silicone rubber with a cavity, a metal bracket, the personalized denture and a resin model;
and injecting a mixture of denture powder and denture water into the second combined body through the injection hole, molding at high temperature and high pressure, and polishing to obtain the digital active denture.
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