Impact of Printing Orientation and Printer Type on the Accuracy of 3D-Printed Dental Splints

Additive manufacturing has expanded the fabrication of occlusal splints; however, the influence of printing technology and build orientation on accuracy remains unclear. This study evaluated the effect of printing technology (Liquid Crystal Display [LCD] and Digital Light Processing [DLP]) and build orientation (0°, 45°, and 90°) on the trueness of additively manufactured occlusal splints under standardized conditions. A maxillary occlusal splint was digitally designed from a scanned typodont and used as the reference model. Specimens (n = 10/group) were fabricated using two LCD printers (Ackuretta SOL, Phrozen Mini 8K S) and one DLP printer (SprintRay Pro 95S) with a single photopolymer resin (KeySplint Soft). All samples were printed at 100 µm layer thickness and subjected to standardized post-processing. Trueness was assessed by comparing scanned splints to the reference STL using Geomagic Control X and expressed as root mean square (RMS) values. Data were analyzed using two-way ANOVA and Tukey post hoc tests (α = 0.05). Printing technology and build orientation significantly affected trueness (p < 0.001), with RMS values increasing as build orientation increased, and no significant interaction between factors (p > 0.05). LCD systems demonstrated lower RMS values than the DLP system across all orientations. Within the limitations of this study, both factors influenced trueness; however, all systems produced clinically comparable results, supporting the use of LCD technology as a cost-effective option for occlusal splint fabrication.