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虚拟模型与实际模型咬合接触面积的比较:关于安氏Ⅰ类和Ⅱ类错颌模型的体外对比研究

Comparison of the occlusal contact area of virtual models and actual models: a comparative in vitro study on Class I and Class II malocclusion models.

作者信息

Lee Hyemin, Cha Jooly, Chun Youn-Sic, Kim Minji

机构信息

Graduate School of Clinical Dentistry, Ewha Womans University, Seoul, South Korea.

Department of Orthodontics, College of Medicine, Ewha Womans University, Seoul, South Korea.

出版信息

BMC Oral Health. 2018 Jun 19;18(1):109. doi: 10.1186/s12903-018-0566-7.

Abstract

BACKGROUNDS

The occlusal registration of virtual models taken by intraoral scanners sometimes shows patterns which seem much different from the patients' occlusion. Therefore, this study aims to evaluate the accuracy of virtual occlusion by comparing virtual occlusal contact area with actual occlusal contact area using a plaster model in vitro.

METHODS

Plaster dental models, 24 sets of Class I models and 20 sets of Class II models, were divided into a Molar, Premolar, and Anterior group. The occlusal contact areas calculated by the Prescale method and the virtual occlusion by scanning method were compared, and the ratio of the molar and incisor area were compared in order to find any particular tendencies.

RESULTS

There was no significant difference between the Prescale results and the scanner results in both the molar and premolar groups (p = 0.083 and 0.053, respectively). On the other hand, there was a significant difference between the Prescale and the scanner results in the anterior group with the scanner results presenting overestimation of the occlusal contact points (p < 0.05). In Molars group, the regression analysis shows that the two variables express linear correlation and has a linear equation with a slope of 0.917. R is 0.930. Groups of Premolars and Anteriors had a week linear relationship and greater dispersion.

CONCLUSIONS

Difference between the actual and virtual occlusion revealed in the anterior portion, where overestimation was observed in the virtual model obtained from the scanning method. Nevertheless, molar and premolar areas showed relatively accurate occlusal contact area in the virtual model.

摘要

背景

口腔内扫描仪获取的虚拟模型的咬合记录有时显示出与患者咬合情况差异很大的模式。因此,本研究旨在通过在体外使用石膏模型比较虚拟咬合接触面积与实际咬合接触面积,来评估虚拟咬合的准确性。

方法

将石膏牙模型,24套I类模型和20套II类模型,分为磨牙组、前磨牙组和前牙组。比较通过预成膜法计算的咬合接触面积和扫描法的虚拟咬合情况,并比较磨牙和切牙区域的比例,以发现任何特定趋势。

结果

磨牙组和前磨牙组的预成膜结果与扫描仪结果之间均无显著差异(p分别为0.083和0.053)。另一方面,前牙组的预成膜结果与扫描仪结果之间存在显著差异,扫描仪结果高估了咬合接触点(p <0.05)。在磨牙组中,回归分析表明这两个变量呈线性相关,线性方程的斜率为0.917。R为0.930。前磨牙组和前牙组的线性关系较弱且离散度较大。

结论

在前牙部分发现实际咬合与虚拟咬合之间存在差异,在通过扫描法获得的虚拟模型中观察到高估现象。尽管如此,磨牙和前磨牙区域在虚拟模型中显示出相对准确的咬合接触面积。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ef/6009969/fc455e4323b0/12903_2018_566_Fig1_HTML.jpg

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