Biaxial Flexural Strength of 3D-Printed Splint Materials

Printed oral splints are a therapeutic alternative in the treatment of functional disorders. Their mechanical properties are crucial to their clinical success and their performance can vary depending on cleaning, post-polymerization, or build orientation. This in vitro study aimed to compare the biaxial flexural strength of the chosen materials depending on the aforementioned parameters. 720 discs (n = 15 per group, 16 mm x 2 mm) were printed from splint materials. Printing was performed under 90°, 45°, or 0° orientation to the building platform with supporting structures. Specimens were either automatically or manually cleaned with isopropanol. Post-polymerization was performed with LED- or Xenon-light. Biaxial flexural strength (BFS) was determined with a piston-on-3-ball test after 24 hours or 60 days water storage (37°C). Test specimens were preloaded with 0.5 N and the load was applied by a piston of 1.6 mm in diameter at 1 mm/min crosshead speed. Statistics were performed by using descriptive statistics, ANOVA, and Levene-tests. Mean BFS after 24 hours of storage varied between 79 MPa and 157 MPa. After 60 hours the BFS significantly decreased and revealed values ranging from 72-127 MPa (mean24 113 MPa, mean60 97 MPa; p<0.001). No significant differences could be determined between the materials (p=0.103) or between the different cleaning procedures (p=0.321). Post-polymerization yielded higher means with LED- (P1: 115 MPa) than with Xenon-light (P2: 95 MPa; p<0.001). Regarding position, the mean values ranged from 101 MPa for 0°, 102 MPa for 45°, and 115 MPa for 90°, which was significantly different (p<0.001). Build orientation of 90° and post-polymerization with LED-light provided significantly higher biaxial flexural strength and should be used to guarantee optimal strength of splint materials. Aging decreased the biaxial flexural strength of the tested specimens.