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数字化与传统印模制取聚焦于牙间隙:一项临床试验。

Digital versus Conventional Impression Taking Focusing on Interdental Areas: A Clinical Trial.

机构信息

Dental Clinic, Department of Prosthodontics, Justus Liebig University, 35392 Giessen, Germany.

Dental Clinic, Department of Orthodontics, Justus Liebig University, 35392 Giessen, Germany.

出版信息

Int J Environ Res Public Health. 2020 Jun 30;17(13):4725. doi: 10.3390/ijerph17134725.

Abstract

Due to the high prevalence of periodontitis, dentists have to face a larger group of patients with periodontally compromised dentitions (PCDs) characterized by pathologic tooth migration and malocclusion. Impression taking in these patients is challenging due to several undercuts and extensive interdental areas (IAs). The aim of this clinical trial was to analyze the ability of analog and digital impression techniques to display the IAs in PCDs. The upper and the lower jaws of 30 patients ( = 60, age: 48-87 years) were investigated with one conventional impression (CVI) using polyvinyl siloxane and four digital impressions with intraoral scanners (IOSs), namely True Definition (TRU), Primescan (PRI), CS 3600 (CAR), and TRIOS 3 (TIO). The gypsum models of the CVIs were digitalized using a laboratory scanner. Subsequently, the percentage of the displayed IAs in relation to the absolute IAs was calculated for the five impression techniques in a three-dimensional measuring software. Significant differences were observed among the impression techniques (except between PRI and CAR, -value < 0.05). TRU displayed the highest percentage of IAs, followed by PRI, CAR, TIO, and CVI. The results indicated that the IOSs are superior to CVI regarding the ability to display the IAs in PCDs.

摘要

由于牙周炎的高发率,牙医不得不面对更多患有牙周病损牙列(PCD)的患者,这些患者的牙齿存在病理性迁移和错颌。由于存在多个倒凹和广泛的牙间隙(IA),这些患者的印模制取具有挑战性。本临床试验旨在分析模拟和数字印模技术在显示 PCD 中 IA 的能力。使用聚硅氧烷对 30 名患者(= 60 名,年龄:48-87 岁)的上下颌进行了一项常规印模(CVI)和四项数字化印模(IOS),即 True Definition(TRU)、Primescan(PRI)、CS 3600(CAR)和 TRIOS 3(TIO)。CVI 的石膏模型使用实验室扫描仪进行数字化。随后,在三维测量软件中计算了五种印模技术中显示的 IA 百分比与绝对 IA 的关系。在印模技术之间观察到显著差异(除 PRI 和 CAR 之间外,-值 < 0.05)。TRU 显示的 IA 百分比最高,其次是 PRI、CAR、TIO 和 CVI。结果表明,IOS 在显示 PCD 中的 IA 方面优于 CVI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/7370147/eb7e627a7c68/ijerph-17-04725-g001.jpg

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