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扫描路径长度对完全无牙颌和部分无牙颌上颌骨扫描精度的影响。

Effect of scan-path length on the scanning accuracy of completely dentate and partially edentulous maxillae.

机构信息

Assistant Professor, Department of Prosthetic Dentistry, Heidelberg University Hospital, University of Heidelberg, Heidelberg, Germany.

Assistant Professor, Department of Prosthetic Dentistry, Heidelberg University Hospital, University of Heidelberg, Heidelberg, Germany.

出版信息

J Prosthet Dent. 2024 Jan;131(1):146-154. doi: 10.1016/j.prosdent.2022.02.016. Epub 2022 Mar 30.

Abstract

STATEMENT OF PROBLEM

The accuracy of fit of fixed partial dentures is directly dependent on the accuracy of a digital scan. However, the influence of scan-path length on scanning accuracy is unclear.

PURPOSE

The purpose of this in vitro study was to evaluate how scan-path length influenced the scanning accuracy of a completely dentate or partially edentulous maxilla captured by 3 intraoral scanners: Omnicam AC (OC), TRIOS 4 (TR), and Primescan (PS).

MATERIAL AND METHODS

Each intraoral scanner was used to make 30 scans each of the 2 clinical scenarios (completely dentate and partially edentulous) simulated with a reference model. The partially edentulous model simulated a maxilla with 6 prepared teeth to support a complete arch fixed partial denture. The missing teeth were then added to create a completely dentate model. The prepared teeth were later used to determine distance, angular, and tooth-axis deviations between the reference model (digitized with high precision before the tests) and the intraoral scans. Data were statistically analyzed by using a linear model or, if not applicable, a type II ANOVA (α=.05).

RESULTS

Distance deviations increased linearly as the scan-path length increased. In contrast, angular and tooth-axis deviations did not increase linearly. All types of deviation differed depending on the scanning system used. Regarding the 90% quantile values, total distance deviations related to scan-path length amounted to 1.31 μm/mm (OC), 1.00 μm/mm (PS), and 1.45 μm/mm (TR) for the completely dentate maxilla and 1.10 μm/mm (OC), 1.46 μm/mm (PS), and 1.40 μm/mm (TR) for the partially edentulous maxilla.

CONCLUSIONS

Distance deviations became larger as the scan-path length increased.

摘要

问题陈述

固定局部义齿的拟合精度直接取决于数字扫描的精度。然而,扫描路径长度对扫描精度的影响尚不清楚。

目的

本体外研究的目的是评估扫描路径长度如何影响通过 3 种口内扫描仪(Omnicam AC [OC]、TRIOS 4 [TR]和 Primescan [PS])获取的全牙列或部分无牙颌上颌的扫描精度。

材料和方法

使用每个口内扫描仪对 2 种临床情况(全牙列和部分无牙颌)的参考模型进行 30 次扫描。部分无牙颌模型模拟上颌 6 个预备牙以支持全牙列固定局部义齿。然后添加缺失牙以创建全牙列模型。预备牙后来用于确定参考模型(在测试前用高精度数字化)和口内扫描之间的距离、角度和牙轴偏差。数据通过线性模型或不适用时通过 II 型方差分析(α=.05)进行统计分析。

结果

距离偏差随扫描路径长度的增加呈线性增加。相比之下,角度和牙轴偏差并没有呈线性增加。所有类型的偏差都取决于使用的扫描系统。关于 90%分位数值,与扫描路径长度相关的总距离偏差在全牙列上颌中为 1.31 μm/mm(OC)、1.00 μm/mm(PS)和 1.45 μm/mm(TR),在部分无牙颌上颌中为 1.10 μm/mm(OC)、1.46 μm/mm(PS)和 1.40 μm/mm(TR)。

结论

随着扫描路径长度的增加,距离偏差变得更大。

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