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研究两种口内扫描仪的拱大小和种植体角度对数字化印模精度的影响:一项体外研究。

Investigation of the effects of arch size and implant angulation on the accuracy of digital impression using two intraoral scanners: An in vitro study.

机构信息

Department of Prosthodontics, Faculty of Dentistry, Dental Implant Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Clin Exp Dent Res. 2023 Dec;9(6):983-992. doi: 10.1002/cre2.793. Epub 2023 Oct 3.

Abstract

OBJECTIVES

The aim of this in vitro study was to evaluate the effect of arch size and implant angulation on the accuracy of digital impression in two intraoral scanners of Trios (3shape) and CEREC (Omnicam).

MATERIAL AND METHODS

Four acrylic models each including six implants at sites 11, 12, 15, 17, 23, and 27 were used, including large with parallel implants, large with angled implants, small with parallel implants, and small with angled implants. After tightening the scan bodies, distance measurements were done using a coordinate measuring machine. Then, each model was scanned 10 times using each scanner. Trueness and precision measurements were finally computed.

RESULTS

The trueness values ranged from 20 to 260 μm in CEREC Omnicam, and from 40 to 1030 μm in Trios. The precision values ranged from 30 to 190 μm in CEREC Omnicam, while from 50 to 770 μm in Trios. The multivariate test analysis indicated that the measured distances via two scanners and different models show different behaviors. Pairwise interactions between these three variables were significant (p < .05). Pairwise interactions between these variables were also significant. (p < .0001).

CONCLUSIONS

Arch width could affect the accuracy of digital impression; by rotating toward the second quadrant and end points of the scan, errors have increased. However, the angulation of the implants had no effect on the accuracy of digital impression. The CEREC Omnicam scanner showed higher accuracy (trueness and precision) compared to the Trios (3shape) one.

摘要

目的

本体外研究旨在评估牙弓大小和种植体角度对两款口内扫描仪(Trios[3shape]和 CEREC[Omnicam])中数字印模精度的影响。

材料和方法

使用四个丙烯酸模型,每个模型包含六个种植体,分别位于 11、12、15、17、23 和 27 位点,包括平行植入的大牙弓、带角度植入的大牙弓、平行植入的小牙弓和带角度植入的小牙弓。在拧紧扫描体后,使用坐标测量机进行距离测量。然后,使用每个扫描仪对每个模型进行 10 次扫描。最后计算真实度和精度测量值。

结果

CEREC Omnicam 的真实度值范围为 20 至 260μm,Trios 的真实度值范围为 40 至 1030μm。CEREC Omnicam 的精度值范围为 30 至 190μm,而 Trios 的精度值范围为 50 至 770μm。多变量测试分析表明,两种扫描仪和不同模型测量的距离表现出不同的行为。这三个变量之间的两两相互作用具有统计学意义(p<.05)。这些变量之间的两两相互作用也具有统计学意义(p<.0001)。

结论

牙弓宽度会影响数字印模的准确性;通过向第二象限和扫描端点旋转,误差增加。然而,种植体的角度对数字印模的准确性没有影响。CEREC Omnicam 扫描仪的准确性(真实度和精度)高于 Trios(3shape)扫描仪。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed95/10728534/ff83fff1fdff/CRE2-9-983-g005.jpg

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