Graduate student, Department of Prosthodontics, Seoul National University School of Dentistry, Seoul, Republic of Korea.
Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
J Prosthet Dent. 2024 Nov;132(5):898.e1-898.e9. doi: 10.1016/j.prosdent.2024.06.010. Epub 2024 Jul 6.
Scan bodies play a crucial role in the accuracy of digital implant scans by serving as implant-positioning transfer devices. Previous literature has demonstrated the effects of scan body characteristics on the accuracy of digital implant scans. However, the optimal application methods of scan bodies to enhance scanning accuracy remain unclear.
The purpose of this systematic review was to determine the optimal application methods of scan bodies to enhance the accuracy of digital implant scans.
An electronic search was conducted by using the PubMed (MEDLINE), Web of Science, Cochrane Library, and Embase databases from November 2018 to 2023. Relevant references from the included studies were further screened manually for eligibility. Following the population, intervention, comparison, and outcome (PICO) criteria, a research question focused on identifying the optimal application method for effectively using scan bodies to enhance scanning accuracy was developed. Specific inclusion criteria involved in vitro and in vivo studies. The Checklist for Reporting In Vitro Studies (CRIS) guidelines were followed and the assessment of the risk of bias in the included studies was conducted.
Sixteen articles that met the eligibility criteria were included in this systematic review. Two studies investigated the effect of scan body bevel orientation on the accuracy of digital implant scans, and 3 examined the impact of tightening torque on scan bodies. Among the studies focusing on completely edentulous arches, 5 recommended the use of auxiliary geometric devices on the dental arch to enhance scanning accuracy. However, 2 studies reported no improvements in accuracy after splinting scan bodies with thread.
Different techniques for applying scan bodies, such as configuring bevel orientation, adjusting tightening torque, and attaching auxiliary geometric devices, influence the accuracy of digital implant scans. For scanning completely edentulous arches, attaching auxiliary devices to scan bodies to cover the edentulous ridge effectively enhances scanning accuracy.
扫描体作为植入物定位转移装置,在数字植入物扫描的准确性方面发挥着至关重要的作用。先前的文献已经证明了扫描体特征对数字植入物扫描准确性的影响。然而,增强扫描准确性的扫描体最佳应用方法仍不清楚。
本系统评价的目的是确定增强数字植入物扫描准确性的扫描体最佳应用方法。
通过电子搜索 PubMed(MEDLINE)、Web of Science、Cochrane 图书馆和 Embase 数据库,从 2018 年 11 月至 2023 年进行了检索。进一步手动筛选纳入研究的相关参考文献,以确定资格。根据人群、干预、比较和结局(PICO)标准,制定了一个研究问题,重点是确定有效使用扫描体增强扫描准确性的最佳应用方法。具体纳入标准包括体内和体外研究。遵循体外研究报告清单(CRIS)指南,并对纳入研究的偏倚风险进行评估。
本系统评价共纳入 16 篇符合纳入标准的文章。其中 2 项研究探讨了扫描体斜面方向对数字植入物扫描准确性的影响,3 项研究检查了拧紧扭矩对扫描体的影响。在关注全口无牙颌的研究中,5 项研究建议在牙弓上使用辅助几何装置来提高扫描准确性。然而,2 项研究报告称在扫描体上用螺纹固定后,准确性没有提高。
扫描体的不同应用技术,如配置斜面方向、调整拧紧扭矩和附加辅助几何装置,会影响数字植入物扫描的准确性。对于全口无牙颌的扫描,将辅助装置附着到扫描体上以有效地覆盖无牙颌区域,可显著提高扫描准确性。