Wesemann Christian, Muallah Jonas, Mah James, Bumann Axel
Quintessence Int. 2017;48(1):41-50. doi: 10.3290/j.qi.a37130.
OBJECTIVE: The primary objective of this study was to compare the accuracy and time efficiency of an indirect and direct digitalization workflow with that of a three-dimensional (3D) printer in order to identify the most suitable method for orthodontic use. METHOD AND MATERIALS: A master model was measured with a coordinate measuring instrument. The distances measured were the intercanine width, the intermolar width, and the dental arch length. Sixty-four scans were taken with each of the desktop scanners R900 and R700 (3Shape), the intraoral scanner TRIOS Color Pod (3Shape), and the Promax 3D Mid cone beam computed tomography (CBCT) unit (Planmeca). All scans were measured with measuring software. One scan was selected and printed 37 times on the D35 stereolithographic 3D printer (Innovation MediTech). The printed models were measured again using the coordinate measuring instrument. RESULTS: The most accurate results were obtained by the R900. The R700 and the TRIOS intraoral scanner showed comparable results. CBCT-3D-rendering with the Promax 3D Mid CBCT unit revealed significantly higher accuracy with regard to dental casts than dental impressions. 3D printing offered a significantly higher level of deviation than digitalization with desktop scanners or an intraoral scanner. The chairside time required for digital impressions was 27% longer than for conventional impressions. CONCLUSION: Conventional impressions, model casting, and optional digitization with desktop scanners remains the recommended workflow process. For orthodontic demands, intraoral scanners are a useful alternative for full-arch scans. For prosthodontic use, the scanning scope should be less than one quadrant and three additional teeth.
目的:本研究的主要目的是比较间接和直接数字化工作流程与三维(3D)打印机的准确性和时间效率,以确定最适合正畸使用的方法。 方法和材料:使用坐标测量仪测量一个主模型。测量的距离包括尖牙间宽度、磨牙间宽度和牙弓长度。使用桌面扫描仪R900和R700(3Shape)、口腔内扫描仪TRIOS Color Pod(3Shape)以及Promax 3D Mid锥形束计算机断层扫描(CBCT)设备(Planmeca)分别进行64次扫描。所有扫描均使用测量软件进行测量。选择一次扫描并在D35立体光刻3D打印机(Innovation MediTech)上打印37次。使用坐标测量仪再次测量打印的模型。 结果:R900获得的结果最准确。R700和TRIOS口腔内扫描仪显示出可比的结果。使用Promax 3D Mid CBCT设备进行CBCT三维渲染显示,与牙模相比,石膏模型的准确性显著更高。3D打印的偏差水平明显高于使用桌面扫描仪或口腔内扫描仪进行数字化的结果。数字化印模所需的椅旁时间比传统印模长27%。 结论:传统印模、模型铸造以及使用桌面扫描仪进行可选的数字化仍然是推荐的工作流程。对于正畸需求,口腔内扫描仪是全牙弓扫描的有用替代方法。对于修复用途,扫描范围应小于一个象限和另外三颗牙齿。
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