Camardella Leonardo Tavares, Breuning Hero, de Vasconcellos Vilella Oswaldo
Department of Orthodontics, School of Dentistry, Federal Fluminense University, Mário Santos Braga Street, 30, 2nd Floor, Room 214, Niteroi, RJ, 24020-140, Brazil.
, Maurik, The Netherlands.
J Orofac Orthop. 2017 May;78(3):211-220. doi: 10.1007/s00056-016-0070-0. Epub 2017 Jan 10.
The purpose of the present study was to evaluate the accuracy and reproducibility of measurements made on digital models created using an intraoral color scanner compared to measurements on dental plaster models.
This study included impressions of 28 volunteers. Alginate impressions were used to make plaster models, and each volunteers' dentition was scanned with a TRIOS Color intraoral scanner. Two examiners performed measurements on the plaster models using a digital caliper and measured the digital models using Ortho Analyzer software. The examiners measured 52 distances, including tooth diameter and height, overjet, overbite, intercanine and intermolar distances, and the sagittal relationship. The paired t test was used to assess intra-examiner performance and measurement accuracy of the two examiners for both plaster and digital models. The level of clinically relevant differences between the measurements according to the threshold used was evaluated and a formula was applied to calculate the chance of finding clinically relevant errors on measurements on plaster and digital models.
For several parameters, statistically significant differences were found between the measurements on the two different models. However, most of these discrepancies were not considered clinically significant. The measurement of the crown height of upper central incisors had the highest measurement error for both examiners. Based on the interexaminer performance, reproducibility of the measurements was poor for some of the parameters.
Overall, our findings showed that most of the measurements on digital models created using the TRIOS Color scanner and measured with Ortho Analyzer software had a clinically acceptable accuracy compared to the same measurements made with a caliper on plaster models, but the measuring method can affect the reproducibility of the measurements.
本研究的目的是评估使用口腔内彩色扫描仪创建的数字模型上的测量结果与牙科石膏模型上的测量结果相比的准确性和可重复性。
本研究纳入了28名志愿者的印模。使用藻酸盐印模制作石膏模型,并用TRIOS Color口腔内扫描仪对每位志愿者的牙列进行扫描。两名检查者使用数字卡尺对石膏模型进行测量,并使用Ortho Analyzer软件对数字模型进行测量。检查者测量了52个距离,包括牙齿直径和高度、覆盖、覆合、尖牙间和磨牙间距离以及矢状关系。配对t检验用于评估两名检查者对石膏模型和数字模型的内部检查者表现和测量准确性。根据所使用的阈值评估测量之间临床相关差异的水平,并应用一个公式来计算在石膏模型和数字模型测量中发现临床相关误差的可能性。
对于几个参数,在两种不同模型上的测量结果之间发现了统计学上的显著差异。然而,这些差异中的大多数不被认为具有临床意义。两名检查者对上颌中切牙冠高度的测量误差最高。基于检查者间的表现,某些参数的测量可重复性较差。
总体而言,我们的研究结果表明,与用卡尺在石膏模型上进行的相同测量相比,使用TRIOS Color扫描仪创建并使用Ortho Analyzer软件测量的数字模型上的大多数测量结果具有临床上可接受的准确性,但测量方法会影响测量的可重复性。