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扫描模式对全口种植体扫描准确性、时间和照片数量的影响:一项临床研究。

Influence of scanning pattern on accuracy, time, and number of photograms of complete-arch implant scans: A clinical study.

机构信息

Associate Professor Department of Conservative Dentistry and Prosthodontics, Complutense University of Madrid, Madrid, Spain, Director of Postgraduate Program of Advanced in Implant-Prosthodontics, School of Dentistry, Complutense University of Madrid, Madrid, Spain.

Student Postgraduate Program of Advanced in Implant-Prosthodontics, School of Dentistry, Complutense University of Madrid, Madrid, Spain.

出版信息

J Dent. 2024 Nov;150:105310. doi: 10.1016/j.jdent.2024.105310. Epub 2024 Aug 15.

DOI:10.1016/j.jdent.2024.105310
PMID:39153542
Abstract

OBJECTIVES

To measure the influence of scanning pattern on the accuracy, time, and number of photograms of complete-arch intraoral implant scans.

METHODS

A maxillary edentulous patient with 7 implants was selected. The reference implant cast was obtained using conventional methods (7Series Scanner). Four groups were created based on the scanning pattern used to acquire the complete-arch implant scans by using an intraoral scanner (IOS) (Trios4): manufacturer's recommended (Occlusal-Buccal-Lingual (OBL)), zig-zag (Zig-zag), circumferential (Circumf), and novel pattern that included locking an initial occlusal scan (O-Lock group) (n = 15). Scanning time and number of photograms were recorded. The linear and angular measurements were used to assess scanning accuracy. One-way ANOVA and Tukey tests were used to analyze trueness, scanning time, and number of photograms. The Levene test was selected to assess precision (α=0.05).

RESULTS

Statistically significant differences in trueness were detected among OBL, Zig-zag, Circumf, and O-Lock regarding linear discrepancy (P<0.01), angular discrepancy (P<0.01), scanning time (P<0.01), and number of photograms (P<0.01). The O-Lock (63 ± 20 µm) showed the best linear trueness with statistically significant differences (P < 0.01) with Circumferential (86 ± 16 µm) and OBL (87 ± 19 µm) groups. The O-Lock (93.5 ± 13.4 s, 1080 ± 104 photograms) and Circumf groups (102.9 ± 15.1 s, 1112 ± 179 photograms) obtained lower scanning times (P < 0.01) and number of photograms (P < 0.01) than OBL (130.3 ± 19.4 s, 1293 ± 161 photograms) and Zig-zag (125.7 ± 22.1 s, 1316 ± 160 photograms) groups.

CONCLUSIONS

The scanning patterns tested influenced scanning accuracy, time, and number of photograms of the complete-arch scans obtained by using the IOS tested. The zig-zag and O-Lock scanning patterns are recommended to obtain complete-arch implant scans when using the selected IOS.

摘要

目的

测量扫描模式对全口种植体扫描的准确性、时间和全口摄影数量的影响。

方法

选择一位上颌无牙患者,共植入 7 颗种植体。使用传统方法(7Series Scanner)获得参考种植体模型。使用口内扫描仪(IOS)(Trios4),根据获得全口种植体扫描的扫描模式,创建了四组:制造商推荐的(牙合颊舌(OBL))、锯齿状(锯齿状)、环形(Circumf)和包括锁定初始牙合扫描的新图案(O-Lock 组)(n = 15)。记录扫描时间和摄影数量。使用线性和角度测量来评估扫描准确性。使用单向方差分析和 Tukey 检验分析准确性、扫描时间和摄影数量。选择 Levene 检验评估精度(α=0.05)。

结果

在 OBL、Zig-zag、Circumf 和 O-Lock 组中,线性差异(P<0.01)、角度差异(P<0.01)、扫描时间(P<0.01)和摄影数量(P<0.01)方面,O-Lock 在准确性方面存在统计学显著差异。O-Lock(63 ± 20 µm)具有最佳的线性准确性,与 Circumferential(86 ± 16 µm)和 OBL(87 ± 19 µm)组有统计学显著差异(P < 0.01)。O-Lock(93.5 ± 13.4 s,1080 ± 104 张照片)和 Circumf 组(102.9 ± 15.1 s,1112 ± 179 张照片)获得的扫描时间(P < 0.01)和摄影数量(P < 0.01)均低于 OBL(130.3 ± 19.4 s,1293 ± 161 张照片)和 Zig-zag 组(125.7 ± 22.1 s,1316 ± 160 张照片)。

结论

测试的扫描模式影响了使用测试 IOS 获得的全口扫描的准确性、时间和摄影数量。当使用选定的 IOS 时,推荐使用锯齿状和 O-Lock 扫描模式获取全口种植体扫描。

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