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腭穹窿形态对全口无牙颌牙弓口内扫描的扫描时间和准确性有影响吗?一项研究。

Does the palatal vault form have an influence on the scan time and accuracy of intraoral scans of completely edentulous arches? An study.

作者信息

Osman Reham, Alharbi Nawal

机构信息

Prosthodontics Department, Faculty of Dentistry, Cairo University, Giza, Egypt.

Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Adv Prosthodont. 2022 Oct;14(5):294-304. doi: 10.4047/jap.2022.14.5.294. Epub 2022 Oct 28.

Abstract

PURPOSE

The purpose of this study was to evaluate the influence of different palatal vault configurations on the accuracy and scan speed of intraoral scans (IO) of completely edentulous arches.

MATERIALS AND METHODS

Three different virtual models of a completely edentulous maxillary arch with different palatal vault heights-Cl I moderate (U-shaped), Cl II deep (steep) and Cl III shallow (flat)-were digitally designed using CAD software (Meshmixer; Autodesk, USA) and 3D-printed using SLA-based 3D-printer (XFAB; DWS, Italy) (n = 30; 10 specimens per group). Each model was scanned using intraoral scanner (Trios 3; 3Shape™, Denmark). Scanning time was recorded for all samples. Scanning accuracy (trueness and precision) were evaluated using digital subtraction technique using Geomagic Control X v2020 (Geomagic; 3DSystems, USA). One-way analysis of variance (ANOVA) test was used to detect differences in scanning time, trueness and precision among the test groups. Statistical significance was set at α = .05.

RESULTS

The scan process could not be completed for Class II group and manufacturer's recommended technique had to be modified. ANOVA revealed no statistically significant difference in trueness and precision values among the test groups ( =.959 and =.658, respectively). Deep palatal vault (Cl II) showed significantly longer scan time compared to Cl I and III.

CONCLUSION

The selection of scan protocol in complex cases such as deep palatal vault is of utmost importance. The modified, adopted longer path scan protocol of deep vault cases resulted in increased scan time when compared to the other two groups.

摘要

目的

本研究旨在评估不同腭穹窿形态对全口无牙颌牙弓口内扫描(IO)准确性和扫描速度的影响。

材料与方法

使用CAD软件(Meshmixer;美国欧特克公司)数字化设计三种不同腭穹窿高度的全口无牙颌上颌骨虚拟模型——I类中等(U形)、II类深(陡峭)和III类浅(扁平),并使用基于SLA的3D打印机(XFAB;意大利DWS公司)进行3D打印(n = 30;每组10个标本)。每个模型使用口内扫描仪(Trios 3;丹麦3Shape™公司)进行扫描。记录所有样本的扫描时间。使用Geomagic Control X v2020(美国3D Systems公司的Geomagic)数字减法技术评估扫描准确性(真实性和精确性)。采用单因素方差分析(ANOVA)检验检测各测试组在扫描时间、真实性和精确性方面的差异。设定统计学显著性水平为α = 0.05。

结果

II类组无法完成扫描过程,必须修改制造商推荐的技术。ANOVA显示各测试组在真实性和精确性值方面无统计学显著差异(分别为 = 0.959和 = 0.658)。与I类和III类相比,深腭穹窿(II类)的扫描时间明显更长。

结论

在深腭穹窿等复杂病例中选择扫描方案至关重要。与其他两组相比,深穹窿病例修改后采用的较长路径扫描方案导致扫描时间增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a9e/9672697/bd379f44df36/jap-14-294-g001.jpg

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