Dimensional Accuracy of a Sterilized and Disinfected 3D-Printed Surgical Guide: An In Vitro Study.

Abstract

Despite the widespread use of surgical guides, there is no universal sterilization protocol. Surgical guides are often designed for single use, but can become contaminated, which increases the risks of infection and implant failure. This study evaluates the effects of alcohol immersion, alcohol spray, low temperature, and steam sterilization on the dimensional stability of surgical guides to ensure accurate implant placement and reduce failure. One standard dental model was scanned using a laboratory scanner. Ninety guides were printed and were then divided into six groups allocated as control, alcohol spray, alcohol immersion with ultrasonication, low-temperature dry sterilization, and two autoclave methods. Specimens were stored in dry-dark media and scanned at 0, 3, and 7 days, with dimensional changes assessed using CloudCompare. The Shapiro-Wilk, Levene's, Repeated measures one-way ANOVA, and Tukey's post hoc tests were used to determine statistical differences. Time significantly affects stability, with RMS values improving over time. Autoclave 121 °C and low-temperature 54 °C sterilization showed the lowest RMS values, indicating better stability. Within the limitations of the present study, the most effective approach for maintaining the dimensional stability of surgical guides was autoclaving at 121 °C, +1 bar for 20 min, and the second-best technique was low-temperature dry sterilization at 54 °C for 1 h.