Akkal Ozcan, Korkmaz Ismail Hakki, Bayindir Funda
Department of Prosthodontics, Atatürk University Faculty of Dentistry, Erzurum, Turkiye.
Department of Mechanical Engineering, Faculty of Engineering and Architecture, Erzurum Technical University, Erzurum, Turkiye.
J Adv Prosthodont. 2023 Aug;15(4):179-188. doi: 10.4047/jap.2023.15.4.179. Epub 2023 Aug 28.
This study aimed to evaluate the performance of digital intraoral scanners in a completely edentulous patient with angled and parallel implants.
A total of 6 implants were placed at angulations of 0°, 5°, 0°, 0°, 15°, and 0° in regions #36, #34, #32, #42, #44, and #46, respectively, in a completely edentulous mandibular polyurethane model. Then, the study model created by connecting a scan body on the implants was scanned using a model scanner, and a 3D reference model was obtained. Three different intraoral scanners were used for digital impressions (PS group, TR group, and CS group, n = 10 in each group). The distances and angles between the scan bodies in these measurement groups were measured.
While the Primescan (PS) impression group had the highest accuracy with 38 µm, the values of 104 µm and 171 µm were obtained with Trios 4 IOSs (TR) and Carestream 3600 (CS), respectively ( = .001). The CS scanner constituted the impression group with the highest deviation in terms of accuracy. In terms of dimensional differences in the angle parameter, a statistically significant difference was revealed among the mean deviation angle values according to the scanners ( < .001). While the lowest angular deviation was obtained with the PS impression group with 0.185°, the values of 0.499° and 1.250° were obtained with TR and CS, respectively. No statistically significant difference was detected among the impression groups in terms of precision values ( > .05).
A statistically significant difference was found among the three digital impression groups upon comparing the impression accuracy. Implant angulation affected the impression accuracy of the digital impression groups. The most accurate impressions in terms of both distance and angle deviation were obtained with the PS impression group.
本研究旨在评估数字口内扫描仪在全口无牙且种植体呈角度和平行排列的患者中的性能。
在全口无牙的下颌聚氨酯模型中,分别于区域#36、#34、#32、#42、#44和#46植入6枚种植体,其角度分别为0°、5°、0°、0°、15°和0°。然后,通过在种植体上连接扫描体创建研究模型,使用模型扫描仪进行扫描,获得三维参考模型。使用三种不同的口内扫描仪进行数字印模(PS组、TR组和CS组,每组n = 10)。测量这些测量组中扫描体之间的距离和角度。
Primescan(PS)印模组的精度最高,为38 µm,而Trios 4口腔内扫描仪(TR)和Carestream 3600(CS)分别获得了104 µm和171 µm的值(P = .001)。CS扫描仪在精度方面构成偏差最大的印模组。在角度参数的尺寸差异方面,根据扫描仪的平均偏差角度值显示出统计学上的显著差异(P < .001)。PS印模组的角度偏差最低,为0.185°,而TR和CS分别为0.499°和1.250°。在精度值方面,各印模组之间未检测到统计学上的显著差异(P > .05)。
比较印模精度时,三个数字印模组之间存在统计学上的显著差异。种植体角度影响数字印模组的印模精度。在距离和角度偏差方面,PS印模组获得的印模最准确。