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扫描面积对前牙单种植体扫描准确性和时间的影响:一项体外研究。

The effect of scanned area on the accuracy and time of anterior single implant scans: An in vitro study.

机构信息

Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3007 Bern, Switzerland; Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3007 Bern, Switzerland; Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH 43210, USA.

Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Freiburgstrass 7, 3007 Bern, Switzerland.

出版信息

J Dent. 2021 Jun;109:103620. doi: 10.1016/j.jdent.2021.103620. Epub 2021 Feb 26.

Abstract

OBJECTIVES

To investigate the effect of scanned area on the accuracy and scan time of intraoral scans of an anterior implant.

MATERIALS AND METHODS

Three operators experienced in intraoral scanning (at least 2-year experience) performed partial and complete-arch scans (n = 10) of a dentate resin model with an implant at left central incisor site by using an intraoral scanner (Trios3; 3Shape, Copenhagen, Denmark). Each partial- or complete-arch scan was superimposed to a reference scan from a laboratory scanner (Ceramill Map 600; Amann Girrbach AG). Mean distance (selected 7 points) and angular (mesiodistal and buccolingual) scanbody deviations in test scans (trueness) and their variance (precision) were calculated. Linear-regressions (trueness), two-sided F-tests with a Bonferroni correction (precision), and multiple linear regressions (scan time), with the operator as a covariate were applied (alpha = .05).

RESULTS

Interactions were found between the scanned area and the operator for their effect on trueness of all points and angles, except for point 6 at implant-abutment connection in mesiodistal plane (p < .05). No significant difference was found between the precision of partial and complete-arch scans for all operators (p > .05). Partial-arch scan times were significantly shorter, overall, and for each operator (p < .001). No significant effect of scan time was found on the trueness of partial- and complete-arch scans (p > .05).

CONCLUSIONS

Partial and complete-arch scans of anterior single implants with an intraoral scanner resulted in similar accuracies, and were not influenced by the operator or the scan time. Scan times of partial-arch scans were significantly shorter.

CLINICAL SIGNIFICANCE

Partial-arch scans can be used for the fabrication of monolithic anterior single implant crowns because the scans can be completed in shorter times without compromising the accuracy.

摘要

目的

研究不同扫描区域对内口扫描仪扫描前牙种植体精度和扫描时间的影响。

材料和方法

三名经验丰富的(至少 2 年)口内扫描仪操作人员分别对带有左中切牙种植体的义齿模型进行部分和全牙弓扫描(n=10),使用口内扫描仪(Trios3;3Shape,哥本哈根,丹麦)。将每个部分或全牙弓扫描与实验室扫描仪(Ceramill Map 600;Amann Girrbach AG)的参考扫描进行叠加。计算测试扫描中的平均距离(选择 7 个点)和角度(近远中向和颊舌向)扫描体偏差(准确性)及其方差(精度)。应用线性回归(准确性)、带有 Bonferroni 校正的双侧 F 检验(精度)和多元线性回归(扫描时间),以操作人员为协变量(α=0.05)。

结果

扫描区域和操作人员之间存在交互作用,影响所有点和角度的准确性,除了近远中面种植体-基台连接点 6(p<0.05)。所有操作人员的部分和全牙弓扫描精度之间没有显著差异(p>0.05)。总体而言,部分牙弓扫描时间明显更短,且每个操作人员均如此(p<0.001)。扫描时间对部分和全牙弓扫描的准确性没有显著影响(p>0.05)。

结论

使用口内扫描仪对前牙单种植体进行部分和全牙弓扫描可获得相似的精度,且不受操作人员或扫描时间的影响。部分牙弓扫描时间明显更短。

临床意义

部分牙弓扫描可用于制作整体式前牙单种植体冠,因为扫描时间更短,且不影响精度。

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