Khraishi Hadil, Duane Brett
Dublin Dental University Hospital, Dublin, Ireland.
Evid Based Dent. 2017 Mar;18(1):24-25. doi: 10.1038/sj.ebd.6401224.
Data sourcesPubMed, Scopus, Cochrane Library, Web of Science, Embase. Relevant papers were also searched from the reference lists of selected studies. A web search of current manufacturers of intraoral scanners.Study selectionStudies with full-arch digital impressions recorded intraorally that tested any of the following outcomes; validity, repeatability, reproducibility, time efficiency. Patient acceptance of digital impressions were considered for the review.Data extraction and synthesisInitially, only titles of the papers identified from the databases were screened, then further screening of the abstracts of the selected titles was carried out. Then finally, full text articles of the selected abstracts were read and only relevant articles were included in the review. Two examiners assessed the quality of the chosen articles using the QUADAS checklist. Any disagreement was resolved by discussion between the two examiners.ResultsOnly eight studies were found that carried out full-arch intraoral scanning. Four studies reported on validity, repeatability and reproducibility of digital measurements. These studies were included in the qualitative assessment. Two intraoral scanners were tested, Lava COS and iTero. In assessing scanning times and patient perception, six and four studies were included, respectively. A decrease in the scanning time was noted as the operator gained experience.ConclusionsThe literature lacks sufficient evidence to comment on the use of intraoral scanners under clinical conditions. Further studies are needed to properly assess the reliability, accuracy, reproducibility and scanning times of intraoral scans.
数据来源
PubMed、Scopus、Cochrane图书馆、科学网、Embase。还从所选研究的参考文献列表中搜索了相关论文。对口腔内扫描仪的当前制造商进行了网络搜索。
研究选择
有效性、重复性、再现性、时间效率。本综述考虑了患者对数字印模的接受情况。
数据提取与综合
最初,仅筛选从数据库中识别出的论文标题,然后对所选标题的摘要进行进一步筛选。最后,阅读所选摘要的全文,仅将相关文章纳入综述。两名审查员使用QUADAS清单评估所选文章的质量。任何分歧都通过两名审查员之间的讨论来解决。
结果
仅发现八项研究进行了全牙弓口腔内扫描。四项研究报告了数字测量的有效性、重复性和再现性。这些研究被纳入定性评估。测试了两款口腔内扫描仪,即Lava COS和iTero。在评估扫描时间和患者感受方面,分别纳入了六项和四项研究。随着操作员经验的增加,扫描时间有所减少。
结论
文献缺乏足够的证据来评价临床条件下口腔内扫描仪的使用情况。需要进一步的研究来正确评估口腔内扫描的可靠性、准确性、再现性和扫描时间。