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边缘缺陷对牙体预备中自动牙合面边缘检测精度的影响。

Impact of marginal defects on the accuracy of automated finish line detection in tooth preparation.

出版信息

Int J Comput Dent. 2023 Nov 28;26(4):311-317. doi: 10.3290/j.ijcd.b3840393.

DOI:10.3290/j.ijcd.b3840393
PMID:36749284
Abstract

AIM

The present study aimed to evaluate the accuracy of automated detection of preparation finish lines in teeth with defective margins.

MATERIALS AND METHODS

An extracted first molar was prepared for a full veneer crown, and marginal defects were created and scanned (discontinuity of finish line: 0.5, 1.0, and 1.5 mm; additional line angle: connected, partially connected, and disconnected). Six virtual defect models were entered into CAD software and the preparation finish line was designated by 20 clinicians (CAD-experienced group: n = 10; CAD-inexperienced group: n = 10) using the automated finish line detection method. The accuracy of automatic detection was evaluated by calculating the 3D deviation of the registered finish line. The Kruskal-Wallis and Mann-Whitney U tests were used for between-group comparisons (α = 0.05).

RESULTS

The deviation values of the registered finish lines were significantly different according to conditions with different amounts of finish line discontinuity (P < 0.001). There was no statistical difference in the deviation of the registered finish line between models with additional line angles around the margin. Moreover, no statistical difference was found in the results between CAD-experienced and CAD-inexperienced operators.

CONCLUSIONS

The accuracy of automated finish line detection for tooth preparation can differ when the finish line is discontinuous. The presence of an additional line angle around the preparation margin and prior experience in dental CAD software do not affect the accuracy of automated finish line detection.

摘要

目的

本研究旨在评估在有缺陷边缘的牙齿中自动检测预备完成线的准确性。

材料与方法

提取第一磨牙制作全贴面冠,制作并扫描边缘缺陷(完成线不连续:0.5、1.0 和 1.5 毫米;附加线角:连接、部分连接和不连接)。将六个虚拟缺陷模型输入 CAD 软件,由 20 名临床医生(CAD 经验丰富组:n = 10;CAD 经验不足组:n = 10)使用自动完成线检测方法指定预备完成线。通过计算注册完成线的 3D 偏差来评估自动检测的准确性。使用 Kruskal-Wallis 和 Mann-Whitney U 检验进行组间比较(α = 0.05)。

结果

根据完成线不连续程度不同的条件,注册完成线的偏差值有显著差异(P < 0.001)。附加线角在边缘周围的模型之间,注册完成线的偏差没有统计学差异。此外,CAD 经验丰富和 CAD 经验不足的操作人员之间的结果没有统计学差异。

结论

当完成线不连续时,牙齿预备的自动完成线检测的准确性会有所不同。预备边缘周围存在附加线角以及在牙科 CAD 软件方面的经验不会影响自动完成线检测的准确性。

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