Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.; Istinye University, Faculty of Dentistry, Istanbul, Turkey.
J Dent. 2022 Jul;122:104154. doi: 10.1016/j.jdent.2022.104154. Epub 2022 May 5.
To investigate the effect of 3-dimensional (3D) analysis software and operator on the measured deviations in implant scans.
A combined healing abutment-scan body (CHA-SB) system was digitized with an industrial scanner (ATOS Core 80) to generate a master standard tessellation language file (MRM-STL) and an intraoral scanner (TRIOS 3) to generate 9 test-scan STL files, which were transferred into metrology-grade (Geomagic Control X, GX and GOM Inspect, GM) and nonmetrology-grade (Medit Link, ML) software for deviation analysis. Test-scan STLs were superimposed over MRM-STL and 2 planes passing through the center of the SB were generated. Distance deviations at 8 points on these planes were analyzed by two different operators with similar level of experience. Data were analyzed with analysis of variance and F tests (α=.05).
Only model 1 (P=.049) analyzed by operator 2 showed significant differences among tested software, and the highest deviations were measured with GM (P≤.037). However, the difference in values measured with GX and ML was nonsignificant (P=.91). Operator correlation was high (ICC≥.712, P≤.011), except for models 1 (GM, ICC=-.335, P=.813), 2 (GM, ICC=.025, P=.468 and ML, ICC=-.013, P=.507), 6 (GM, ICC=-.085, P=.583), and 8 (GM, ICC=-.386, P=.85).
The measured deviations in implant scans in all models, except for one, were similar among the tested software, regardless of the operator. The inter-rater reliability of operators while using tested 3D analysis software was overall high. When observed, low inter-rater reliability was mostly with only one of the metrology grade software.
Nonmetrology-grade 3D analysis software may be a suitable alternative to metrology-grade software to measure the deviations in digital implant scan body scans. When GOM metrology-software is used, measured deviations in implant scan body scans may vary more across operators.
研究 3 维(3D)分析软件和操作人员对种植体扫描测量偏差的影响。
采用工业扫描仪(ATOS Core 80)对组合愈合基台-扫描体(CHA-SB)系统进行数字化,生成主标准 tessellation 语言文件(MRM-STL),采用口腔内扫描仪(TRIOS 3)生成 9 个测试扫描 STL 文件,将其传输到计量级(Geomagic Control X,GX 和 GOM Inspect,GM)和非计量级(Medit Link,ML)软件中进行偏差分析。将测试扫描 STL 叠加在 MRM-STL 上,并生成穿过 SB 中心的 2 个平面。由两名经验水平相似的操作人员分析这些平面上 8 个点的距离偏差。采用方差分析和 F 检验(α=.05)对数据进行分析。
仅模型 1(P=.049)由操作人员 2 分析显示,测试软件之间存在显著差异,GM 测量的偏差最大(P≤.037)。然而,GX 和 ML 测量值之间的差异无统计学意义(P=.91)。操作人员相关性较高(ICC≥.712,P≤.011),除模型 1(GM,ICC=-.335,P=.813)、2(GM,ICC=.025,P=.468 和 ML,ICC=-.013,P=.507)、6(GM,ICC=-.085,P=.583)和 8(GM,ICC=-.386,P=.85)。
除一个模型外,所有模型中种植体扫描的测量偏差在测试软件之间相似,与操作人员无关。操作人员在使用测试 3D 分析软件时的组内可靠性总体较高。当观察到低组内可靠性时,主要是与一个计量级软件有关。
非计量级 3D 分析软件可能是计量级软件的合适替代方法,用于测量数字种植体扫描体扫描的偏差。当使用 GOM 计量软件时,种植体扫描体扫描的测量偏差可能会因操作人员的不同而有所不同。