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.
J Prosthet Dent. 2024 Jan;131(1):146-154. doi: 10.1016/j.prosdent.2022.02.016. Epub 2022 Mar 30.
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.
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).
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).
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.
Distance deviations became larger as the scan-path length increased.
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。
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。
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。
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)。
随着扫描路径长度的增加,距离偏差变得更大。