Department of Conservative Dentistry, School of Dentistry, Pusan National University, Yangsan, Republic of Korea.
Department of Dental Education, Dental and Life Science Institute, School of Dentistry, Pusan National University, Dental Research Institute, Yangsan, Republic of Korea.
BMC Oral Health. 2023 Jul 24;23(1):515. doi: 10.1186/s12903-023-03233-2.
The accuracy of intraoral scanning plays a crucial role in the workflow of computer-assisted design/computer-assisted manufacturing. However, data regarding scanning accuracy for inlay preparation designs are lacking. The purpose of this in vitro study was to evaluate the influence of the depth of the occlusal cavity and width of the gingival floor of the proximal box on the trueness and precision of intraoral scans for inlay restoration.
Artificial teeth were used in this study. Four types of preparations for mesio-occlusal inlay were performed on each #36 artificial tooth depending on two different depths of the occlusal cavity (1 mm and 2 mm) and widths of the gingival floor of the proximal box (1.5 mm and 2.5 mm). Artificial teeth were scanned 10 times each with Cerec Primescan AC, and another scan was performed subsequently with a laboratory scanner as a reference (n = 10). Standard tessellation language files were analyzed using a three-dimensional analysis software program. Experimental data were analyzed using two-way analysis of variance and the Bonferroni multiple comparison test.
The narrow shallow group had significantly higher deviation values for trueness than the wide deep group (p < 0.05). The wide deep group had the lowest average deviation value for trueness and there was no significant difference between the narrow deep and wide shallow groups (p > 0.05). For the mean maximum positive deviation, the wide groups had significantly lower values than the narrow groups (p < 0.05). Trueness was affected by both the width and depth(p < 0.05), whereas the mean maximum positive deviation was affected by the width (p < 0.05). The mean maximum negative deviation was affected by all three factors (p < 0.05). Precision was affected by the depth and the interaction between the depth of the occlusal cavity and width of the gingival floor (p < 0.05).
The design of different inlay cavity configurations affected the accuracy of the digital intraoral scanner. The highest average deviation for trueness was observed in the narrow shallow group and the lowest in the wide deep group. With regard to precision, the narrow shallow group showed the lowest average deviation, and the narrow deep group showed highest value.
口腔内扫描的准确性在计算机辅助设计/计算机辅助制造的工作流程中起着至关重要的作用。然而,有关嵌体预备设计扫描准确性的数据尚缺乏。本体外研究的目的是评估牙合腔深度和近中盒龈底宽度对嵌体修复体的口腔内扫描准确性和精度的影响。
本研究使用人工牙。在每个 #36 人工牙上根据牙合腔深度(1mm 和 2mm)和近中盒龈底宽度(1.5mm 和 2.5mm)的两种不同类型,共进行四种近中牙合嵌体预备。每个牙用 Cerec Primescan AC 扫描 10 次,随后用实验室扫描仪进行另一次扫描作为参考(n=10)。使用三维分析软件程序对标准曲面语言文件进行分析。使用双向方差分析和 Bonferroni 多重比较检验对实验数据进行分析。
窄浅组的准确性偏差值明显高于宽深组(p<0.05)。宽深组的准确性偏差值最低,且与窄深组和宽浅组之间无显著差异(p>0.05)。对于平均最大正偏差,宽组的值明显低于窄组(p<0.05)。准确性受宽度和深度的影响(p<0.05),而平均最大正偏差受宽度的影响(p<0.05)。平均最大负偏差受所有三个因素的影响(p<0.05)。精度受深度和牙合腔深度与龈底宽度的相互作用的影响(p<0.05)。
不同嵌体腔配置的设计影响数字化口腔内扫描仪的准确性。在窄浅组中观察到准确性的平均偏差最大,在宽深组中观察到的偏差最小。关于精度,窄浅组的平均偏差最低,而窄深组的偏差值最高。