Rolfsen Caroline C, Fidel Paul L, Wen Zezhang, Chapple Andrew, Ahluwalia Jaspreet P, DiVittorio Amanda, Ballard Richard W, Johnson Jeffrey T
Dr. Rolfsen is in private practice in Baton Rouge, La.
Dr. Fidel is a professor, School of Dentistry, Louisiana State University Health Sciences Center, New Orleans, La, USA.
J Dent Child (Chic). 2023 Jan 15;90(1):17-21.
To compare the accuracy and efficiency of both alginate and digital impression techniques in a method representative of a clinical setting. By evaluating the difference in fabrication time and accuracy for these techniques, it can be determined if using digital scanning is a viable alternative to alginate impressions to fabricate pediatric dental appliances.
Both the alginate and digital impressions were taken from the same pediatric typodont study model. The alginate impressions were handled and poured up, per product instructions, and digital impressions were 3D printed. A digital caliper was used to measure different landmarks on both the stone models and 3D printed models, and these measurements were compared to the pediatric typodont to determine accuracy. All steps in the process, including obtaining the impression, fabrication of the model and total time, were recorded to determine the efficiency of both methods.
The alginate models had a significantly higher intercanine distance than the control. Measurements of anterior-posterior (AP) left, AP right, left central, and right central were larger than the control but did not show a significant difference in measurement. The alginate group had a significantly shorter impression time. Model fabrication time between the two groups was similar.
Alginate impressions require less chairside time and the digital technique was shown to be accurate in all measurements. Digital scanning may be a good alternative to alginate impressions for pediatric patients.
在一种代表临床环境的方法中比较藻酸盐印模技术和数字印模技术的准确性和效率。通过评估这些技术在制作时间和准确性方面的差异,可以确定使用数字扫描作为制作儿童牙科矫治器的藻酸盐印模的可行替代方法。
藻酸盐印模和数字印模均取自同一儿童牙模型研究模型。按照产品说明处理并灌注藻酸盐印模,对数字印模进行3D打印。使用数字卡尺测量石膏模型和3D打印模型上的不同标志点,并将这些测量结果与儿童牙模型进行比较以确定准确性。记录过程中的所有步骤,包括获取印模、制作模型和总时间,以确定两种方法的效率。
藻酸盐模型的犬间距离明显高于对照组。左前后(AP)、右AP、左中切牙和右中切牙的测量值大于对照组,但测量结果无显著差异。藻酸盐组的印模时间明显更短。两组之间的模型制作时间相似。
藻酸盐印模所需的临床操作时间更少,并且数字技术在所有测量中均显示出准确性。对于儿童患者,数字扫描可能是藻酸盐印模的良好替代方法。