Eggmann F, Blatz M B
Department of Periodontology, Endodontology, and Cariology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland.
Department of Preventive and Restorative Sciences, Robert Schattner Center, Penn Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.
J Dent Res. 2024 Dec;103(13):1349-1357. doi: 10.1177/00220345241271937. Epub 2024 Oct 9.
Intraoral scanners (IOSs) have emerged as a cornerstone technology in digital dentistry. This article examines the recent advancements and multifaceted applications of IOSs, highlighting their benefits in patient care and addressing their current limitations. The IOS market has seen a competitive surge. Modern IOSs, featuring continuous image capture and advanced software for seamless image stitching, have made the scanning process more efficient. Patient comfort with IOS procedures is favorable, mitigating the discomfort associated with conventional impression taking. There has been a shift toward open data interfaces, notably enhancing interoperability. However, the integration of IOSs into large dental institutions is slow, facing challenges such as compatibility with existing health record systems and extensive data storage management. IOSs now extend beyond their use in computer-aided design and manufacturing, with software solutions transforming them into platforms for diagnostics, patient communication, and treatment planning. Several IOSs are equipped with tools for caries detection, employing fluorescence technologies or near-infrared imaging to identify carious lesions. IOSs facilitate quantitative monitoring of tooth wear and soft-tissue dimensions. For precise tooth segmentation in intraoral scans, essential for orthodontic applications, developers are leveraging innovative deep neural network-based approaches. The clinical performance of restorations fabricated based on intraoral scans has proven to be comparable to those obtained using conventional impressions, substantiating the reliability of IOSs in restorative dentistry. In oral and maxillofacial surgery, IOSs enhance airway safety during impression taking and aid in treating conditions such as cleft lip and palate, among other congenital craniofacial disorders, across diverse age groups. While IOSs have improved various aspects of dental care, ongoing enhancements in usability, diagnostic accuracy, and image segmentation are crucial to exploit the potential of this technology in optimizing patient care.
口腔内扫描仪(IOS)已成为数字牙科的一项基石技术。本文探讨了IOS的最新进展和多方面应用,强调了它们在患者护理中的益处,并阐述了其当前的局限性。IOS市场竞争激烈。现代IOS具有连续图像捕捉功能和用于无缝图像拼接的先进软件,使扫描过程更加高效。患者对IOS操作的舒适度良好,减轻了与传统取模相关的不适。目前已朝着开放数据接口转变,显著增强了互操作性。然而,将IOS集成到大型牙科机构的进程缓慢,面临着与现有健康记录系统的兼容性以及大量数据存储管理等挑战。IOS的应用现已超越计算机辅助设计和制造领域,软件解决方案将其转变为诊断、患者沟通和治疗计划的平台。一些IOS配备了龋齿检测工具,利用荧光技术或近红外成像来识别龋损。IOS有助于对牙齿磨损和软组织尺寸进行定量监测。对于口腔内扫描中精确的牙齿分割(这对正畸应用至关重要),开发者正在利用基于创新深度神经网络的方法。基于口腔内扫描制作的修复体的临床性能已被证明与使用传统印模获得的修复体相当,证实了IOS在修复牙科中的可靠性。在口腔颌面外科中,IOS在取模过程中提高气道安全性,并有助于治疗唇腭裂等先天性颅面疾病以及其他不同年龄组的疾病。虽然IOS在牙科护理的各个方面都有所改进,但持续提高可用性、诊断准确性和图像分割能力对于挖掘该技术在优化患者护理方面的潜力至关重要。