Serrano-Velasco Diego, Martín-Vacas Andrea, Giovannini Giovanni, Paz-Cortés Marta Macarena, Aragoneses Juan Manuel
PhD Program in Translational Medicine, Universidad San Pablo-CEU, CEU Universities, 28003 Madrid, Spain.
Faculty of Dentistry, Alfonso X El Sabio University, 28691 Madrid, Spain.
Children (Basel). 2024 Sep 3;11(9):1082. doi: 10.3390/children11091082.
The aim was to analyze the accuracy of digital models and 3D-printed casts from full-arch digital impressions using two intraoral scanners (iTero and Primescan).
A crossover reliability study was designed, scanning children and teenagers with iTero and Primescan. Accuracy was evaluated by measuring intercanine, intermolar, and ipsilateral canine-molar distances intraorally and comparing these measurements with those from plaster casts, digital models obtained with intraoral scanners, and 3D-printed casts. A paired comparison and a general linear model with a one-way repeated measures ANOVA procedure were carried out with a confidence level of 95% ( ≤ 0.05).
A total of 51 subjects were analyzed (mean age 12.35 ± 2.57). Statistical differences ( < 0.05) were found in the upper and lower arch regarding accuracy in comparison to intraoral measurements, except for the iTero-printed cast and canine-molar upper right and intercanine lower distances ( > 0.05 for all comparisons). Regarding a comparison between reproduction methods, the plaster cast oversized the intercanine upper distance in comparison with both intraoral scanners' digital models and the Primescan-printed cast ( = 0.001), but there were no differences in the lower arch ( > 0.05 for all comparisons).
Intraoral scanners reproduce tooth structures with similar accuracy to conventional methods.
本研究旨在分析使用两种口腔内扫描仪(iTero和Primescan)从全牙弓数字印模获取的数字模型和3D打印模型的准确性。
设计了一项交叉可靠性研究,使用iTero和Primescan对儿童和青少年进行扫描。通过在口腔内测量尖牙间、磨牙间以及同侧尖牙与磨牙间的距离,并将这些测量值与石膏模型、口腔内扫描仪获取的数字模型以及3D打印模型的测量值进行比较,来评估准确性。采用配对比较和具有单向重复测量方差分析程序的一般线性模型,置信水平为95%(P≤0.05)。
共分析了51名受试者(平均年龄12.35±2.57岁)。与口腔内测量相比,上下牙弓在准确性方面存在统计学差异(P<0.05),但iTero打印模型以及右上尖牙与磨牙间和下牙弓尖牙间距离除外(所有比较P>0.05)。在不同复制方法的比较中,与两种口腔内扫描仪的数字模型以及Primescan打印模型相比,石膏模型的上牙弓尖牙间距离偏大(P = 0.001),但下牙弓无差异(所有比较P>0.05)。
口腔内扫描仪在复制牙齿结构方面与传统方法具有相似的准确性。