Comprehensive Dentistry Department, College of Dentistry, Texas A&M University, Dallas, TX.
Restorative Dentistry Department, School of Dentistry, University of Washington, Seattle, WA.
J Prosthodont. 2021 Feb;30(2):157-162. doi: 10.1111/jopr.13276. Epub 2020 Nov 7.
To measure the influence of illuminance of the ambient light between 1000 lux (room light) and 10 000 lux (chair light) on the accuracy of an intraoral scanner (IOS).
A typodont was digitized using an extraoral scanner to obtain a reference standard tessellation language (STL) file. Ten groups were created based on the different illuminance of the ambient light conditions tested starting from 1000 lux (no chair light) to 10000 lux (chair light) in increments of 1000 lux by increasing the distance between the chair light and the mannequin, with the room light turned on. Ten digital scans per group were obtained (n = 10) using an IOS (Trios 3; 3Shape). The accuracy of the digital scans was evaluated with respect to the reference mesh of the typodont using a 3D mesh processing software. Kruskal-Wallis and pair-wise comparison tests were used to analyze the data (α = 0.05).
Significant difference for trueness and precision values were found among the groups (p < 0.001). The 1000-lux group exhibited the lowest discrepancy values with a median of 26.33 μm and an interquartile range (IQR) of 40.04 μm (11.97-52.00) (p < 0.001); while the 5000-lux group obtained the highest discrepancy values with a median of 46.38 μm and an IQR of 99.94 μm (19.05-118.98) (p < 0.001). The pair-wise multi-comparison showed no difference between the 8000- and 4000-lux groups (p = 0.287). In all groups, the IQR was higher than the mean errors from the control mesh, suggesting that the relative precision was low.
A 1000-lux illumination lighting condition is recommended to maximize the scanning accuracy of the IOS tested; the chair light should be avoided. Furthermore, the scanning accuracy response under the illuminance range tested presented a lack of monotonicity.
测量环境光照度在 1000 勒克斯(室内光)至 10000 勒克斯(椅灯)之间对口腔内扫描仪(IOS)准确性的影响。
使用口腔外扫描仪对牙模进行数字化处理,获得参考标准 tessellation language (STL) 文件。根据环境光照条件的不同,将牙模分为 10 组,光照条件从 1000 勒克斯(无椅灯)开始,每隔 1000 勒克斯递增,直到 10000 勒克斯(椅灯),同时增加椅灯与模型之间的距离,室内灯光保持开启。使用 IOS(Trios 3;3Shape)对每组进行 10 次数字扫描(n=10)。使用 3D 网格处理软件评估数字扫描相对于牙模参考网格的准确性。采用 Kruskal-Wallis 和两两比较检验进行数据分析(α=0.05)。
组间真实值和精密度值差异有统计学意义(p<0.001)。1000 勒克斯组的偏差值最低,中位数为 26.33μm,四分位间距(IQR)为 40.04μm(11.97-52.00)(p<0.001);而 5000 勒克斯组的偏差值最高,中位数为 46.38μm,IQR 为 99.94μm(19.05-118.98)(p<0.001)。两两多重比较显示,8000 勒克斯和 4000 勒克斯组之间无差异(p=0.287)。在所有组中,IQR 均高于对照网格的平均误差,表明相对精度较低。
建议采用 1000 勒克斯的照明条件以最大限度地提高所测试 IOS 的扫描准确性;应避免使用椅灯。此外,在所测试的照度范围内,扫描精度响应呈现出非单调性。