Pinto A, Arcuri L, Carosi P, Nardi R, Libonati A, Ottria L, Campanella V
PhD student, Materials for Health, Environment and Energy, University of Rome "Tor Vergata", Italy.
Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Italy.
Oral Implantol (Rome). 2017 Jan 21;10(4):360-368. doi: 10.11138/orl/2017.10.4.360. eCollection 2017 Oct-Dec.
The aim of the study was to assess the depth and quality of the post-space reading, using an IOS without scan-post, compared to a traditional silicon technique.
Six extracted bicuspids were decoronated and endodontically treated. After having prepared the space for the posts, a structure in pink acrylic resin was created with two resin elements. At the center of the structure one sample was put at a time. Digital and traditional impressions were taken for each sample.Digital impressions were developed through the Computer-aided design (CAD) software in order to integrate the scanner results into a three-dimensional grid to make the measurements. A K-file was used to measure the length of the post-space of each sample obtained through the traditional silicon impression and subsequently the measurement results were reported on a millimeter gauge. Furthermore, an assessment of the width of the entrances of the post-spaces was carried out.
The mean reading depth discrepancy expressed in percentages (19.58%) indicates that the digital impression with current technologies fails to impress clearly the post-space. Standard deviation of the data expressed in percentage is 13.89, suggesting that the values were not similar to each other. In two cases the digital technique has achieved less than 10% difference compared to the traditional technique, but there have been also cases in which the variation in depth has reached almost 40%.The samples that showed the minor discrepancy between the two techniques expressed the widest post-space entrance.
In this study, the application of the IOS for the post-space reading in order to deliver an anatomic post has been proven to be still not reliable, as there are still depth reading limitations for the narrow root channels. In fact, in this type of channels it is difficult to reach with the light beam of the IOS the deepest areas of the post-space, with a consequent incomplete post-space reading.
本研究旨在评估与传统硅橡胶技术相比,使用无扫描桩的口腔内扫描仪(IOS)进行桩道读数的深度和质量。
选取6颗拔除的双尖牙,去除冠部并进行根管治疗。在制备桩道空间后,用两个树脂元件制作一个粉色丙烯酸树脂结构。在结构中心每次放置一个样本。对每个样本进行数字化和传统印模采集。通过计算机辅助设计(CAD)软件处理数字化印模,以便将扫描仪结果整合到三维网格中进行测量。使用K锉测量通过传统硅橡胶印模获得的每个样本的桩道长度,随后将测量结果记录在毫米刻度上。此外,还对桩道入口的宽度进行了评估。
以百分比表示的平均读数深度差异(19.58%)表明,当前技术的数字化印模未能清晰显示桩道。以百分比表示的数据标准差为13.89,表明这些值彼此不相似。在两个案例中,数字技术与传统技术相比差异小于10%,但也有深度差异达到近40%的案例。两种技术之间差异最小的样本显示桩道入口最宽。
在本研究中,已证明应用IOS进行桩道读数以制作解剖学桩仍不可靠,因为对于狭窄的根管仍存在深度读数限制。事实上,在这种类型的根管中,IOS的光束很难到达桩道的最深区域,从而导致桩道读数不完整。