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上颌和下颌完全无牙和部分无牙患者的口内扫描准确性:一项体外分析。

Accuracy of intraoral scanning in completely and partially edentulous maxillary and mandibular jaws: an in vitro analysis.

机构信息

Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland.

出版信息

Clin Oral Investig. 2021 Apr;25(4):1839-1847. doi: 10.1007/s00784-020-03486-z. Epub 2020 Aug 19.

Abstract

OBJECTIVES

New generation intraoral scanners are promoted to be suitable for digital scans of long-span edentulous spaces and completely edentulous arches; however, the evidence is lacking. The current study evaluated the accuracy of intraoral scanning (IOS) in partially and completely edentulous arch models and analyzed the influence of operator experience on accuracy.

MATERIALS AND METHODS

Four different resin models (completely and partially edentulous maxilla and mandible) were scanned, using a new generation IOS device (n = 20 each). Ten scans of each model were performed by an IOS-experienced and an inexperienced operator. An industrial high-precision scanner was employed to obtain reference scans. IOS files of each model-operator combination, their respective reference scan files (n = 10 each; total = 80), as well as the IOS files from each model generated by the same operator, were superimposed (n = 45; total = 360) to calculate trueness and precision. An ANOVA for mixed models and post hoc t tests for mixed models were used to assess group-wise differences (α = 0.05).

RESULTS

The median overall trueness and precision were 24.2 μm (IQR 20.7-27.4 μm) and 18.3 μm (IQR 14.4-22.1 μm), respectively. The scans of the inexperienced operator had significantly higher trueness in the edentulous mandibular model (p = 0.0001) and higher precision in the edentulous maxillary model (p = 0.0004).

CONCLUSION

The accuracy of IOS for partially and completely edentulous arches in in vitro settings was high. Experience with IOS had small influence on the accuracy of the scans.

CLINICAL RELEVANCE

IOS with the tested new generation intraoral scanner may be suitable for the fabrication of removable dentures regardless of clinician's experience in IOS.

摘要

目的

新一代口内扫描仪被宣传为适用于长跨度无牙颌和完全无牙颌的数字扫描;然而,目前缺乏相关证据。本研究评估了口内扫描(IOS)在部分和完全无牙颌模型中的准确性,并分析了操作人员经验对准确性的影响。

材料与方法

使用新一代 IOS 设备(n = 20 个)对 4 个不同的树脂模型(完全和部分无牙上颌和下颌)进行扫描。由经验丰富的 IOS 操作人员和无经验的操作人员对每个模型进行 10 次扫描。采用工业高精度扫描仪获取参考扫描。对每个模型-操作人员组合的 IOS 文件、各自的参考扫描文件(n = 10 个;总共有 80 个)以及由同一操作人员生成的每个模型的 IOS 文件进行叠加(n = 45;总共有 360 个),以计算准确性和精密度。采用混合模型的方差分析和混合模型的事后 t 检验来评估组间差异(α = 0.05)。

结果

总体准确性和精密度的中位数分别为 24.2 μm(IQR 20.7-27.4 μm)和 18.3 μm(IQR 14.4-22.1 μm)。无经验操作人员的扫描在无牙下颌模型中的准确性显著更高(p = 0.0001),在无牙上颌模型中的精密度更高(p = 0.0004)。

结论

在体外环境下,IOS 对部分和完全无牙颌的准确性较高。操作人员使用 IOS 的经验对扫描的准确性影响较小。

临床相关性

使用经测试的新一代口内扫描仪进行 IOS 可能适用于可摘义齿的制作,而与操作人员在 IOS 方面的经验无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/7966190/50a9b768e36c/784_2020_3486_Fig1_HTML.jpg

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