Sun S, Zheng X, Gan H, Tian R, Xie X
School of Stomatology, Bengbu Medical University, Bengbu 233030, China.
Department of Stomatology, The First Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2024 Nov 20;44(11):2250-2255. doi: 10.12122/j.issn.1673-4254.2024.11.23.
To study the influence of implant depth and scanning rod lengths on the accuracy of digital impression for single-tooth implant restoration of the mandibular posterior teeth.
Five standard dental cast models with missing right mandibular first molar (46) were prepared with the subgingival implant depths of 0, 1, 3, 5 and 7 mm. ITI RC and ITI RC H11 scanning rods were connected to the replacement body and placed into the seating tract for scanning. The reference data were obtained using a 3D dental scanner, and the experimental data were obtained by 10 scans of each model using a digitized intraoral scanner. Geomagic Wrap 2021 was used to analyze the model data to test the trueness and precision of the models.
The trueness did not differ significantly among the groups ( > 0.05). The implant depth of 1 mm achieved the highest impression precision (66.81±2.45 μm), and the depth of 0 mm resulted in a significantly lower precision (95.60±3.04 μm) than the depth of 1 and 3 mm. Starting from the subgingival depth of 1 mm, the precision of the scan decreased progressively with the increase of the implant depth. At the subgingival implant depth of 5 or 7 mm, the use of an extended rod significantly improved the scan precision.
For single-tooth implant restoration of the mandibular posterior teeth, the implant depth can substantially affect the accuracy of digital impression, which decreases as the implant depth increases. For a deep implant, the use of a longer scanning rod can improve the scanning accuracy.
研究种植体植入深度和扫描杆长度对下颌后牙单颗牙种植修复数字化印模准确性的影响。
制备5个右侧下颌第一磨牙(46)缺失的标准牙列模型,种植体龈下植入深度分别为0、1、3、5和7mm。将ITI RC和ITI RC H11扫描杆连接到替代体上,放入就位道进行扫描。使用三维牙科扫描仪获取参考数据,每个模型使用数字化口内扫描仪进行10次扫描获取实验数据。使用Geomagic Wrap 2021分析模型数据,以测试模型的准确性和精确性。
各组间准确性差异无统计学意义(>0.05)。植入深度为1mm时印模精确性最高(66.81±2.45μm),0mm深度的精确性显著低于1mm和3mm深度(95.60±3.04μm)。从龈下深度1mm开始,扫描精确性随种植体深度增加而逐渐降低。在龈下种植深度为5或7mm时,使用加长杆可显著提高扫描精确性。
对于下颌后牙单颗牙种植修复,种植体深度可显著影响数字化印模的准确性,且随种植体深度增加而降低。对于深部种植体,使用更长的扫描杆可提高扫描准确性。