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评估无牙颌数字化的可行性和准确性。

Assessing the feasibility and accuracy of digitizing edentulous jaws.

作者信息

Patzelt Sebastian B M, Vonau Sebastian, Stampf Susanne, Att Wael

机构信息

Department of Periodontics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA.

出版信息

J Am Dent Assoc. 2013 Aug;144(8):914-20. doi: 10.14219/jada.archive.2013.0209.

Abstract

BACKGROUND

Despite the accuracy of intraoral scanners (IOSs) in producing single-unit scans and the possibility of generating complete dentures digitally, little is known about their feasibility and accuracy in digitizing edentulous jaws. The purpose of this in vitro investigation was to evaluate the feasibility and accuracy of digitizing edentulous jaw models with IOSs.

METHODS

The authors used an industrial laser scanner (reference scanner) and four IOSs to digitize two representative edentulous jaw models. They loaded the data sets obtained into three-dimensional evaluation software, superimposed the data sets and compared them for accuracy. The authors used a one-way analysis of variance to compute differences within groups (precision), as well as to compare values with those of the reference scanner (trueness) (statistical significance, P < .05).

RESULTS

Mean trueness values ranged from 44.1 to 591.8 micrometers. Data analysis yielded statistically significant differences in trueness between all scanners (P < .05). Mean precision values ranged from 21.6 to 698.0 μm. The study results showed statistically significant differences in precision between all scanners (P < .05), except for the CEREC AC Bluecam (Sirona, Bensheim, Germany) and the Zfx IntraScan (manufactured by MHT Italy, Negrar, Italy/ MHT Optic Research, Niederhasli, Switzerland; distributed by Zfx, Dachau, Germany) (P > .05).

CONCLUSIONS

Digitizing edentulous jaw models with the use of IOSs appears to be feasible, although the accuracy of the scanners differs significantly. The results of this study showed that only one scanner was sufficiently accurate to warrant further intraoral investigations. Further enhancements are necessary to recommend these IOSs for this particular indication. Practical Implications. On the basis of the results of this study, the authors cannot recommend these four IOSs for digitization of edentulous jaws in vivo.

摘要

背景

尽管口内扫描仪(IOS)在进行单单位扫描时具有准确性,并且有可能以数字方式生成全口义齿,但对于其在无牙颌数字化方面的可行性和准确性知之甚少。本体外研究的目的是评估使用IOS对无牙颌模型进行数字化的可行性和准确性。

方法

作者使用工业激光扫描仪(参考扫描仪)和四台IOS对两个具有代表性的无牙颌模型进行数字化。他们将获得的数据集加载到三维评估软件中,叠加数据集并比较其准确性。作者使用单因素方差分析来计算组内差异(精度),以及将数值与参考扫描仪的值进行比较(真实性)(统计学显著性,P <.05)。

结果

平均真实性值范围为44.1至591.8微米。数据分析显示所有扫描仪之间在真实性方面存在统计学显著差异(P <.05)。平均精度值范围为21.6至698.0μm。研究结果显示,除了CEREC AC Bluecam(德国本斯海姆的西诺德公司)和Zfx IntraScan(由意大利内格拉尔的MHT意大利公司/瑞士下哈斯利的MHT光学研究公司制造;由德国达豪的Zfx公司分销)外,所有扫描仪之间在精度方面存在统计学显著差异(P >.05)。

结论

使用IOS对无牙颌模型进行数字化似乎是可行的,尽管扫描仪的准确性差异很大。本研究结果表明,只有一台扫描仪足够准确,值得进一步进行口内研究。需要进一步改进才能推荐这些IOS用于这一特定适应症。实际意义。根据本研究结果,作者不能推荐这四台IOS用于体内无牙颌的数字化。

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