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牙齿改良扫描体准确性作为无牙全牙弓种植支持式义齿的一种新技术:一项体内前瞻性对比研究。

Trueness of tooth modified scan bodies as a novel technique for edentulous full arch implant supported dental prosthesis: an in vivo prospective comparative study.

作者信息

Eldabe Abdelrahman K, Adel-Khattab Doaa, Botros Kirollos H

机构信息

Oral Medicine, Periodontology and Oral Diagnosis, Faculty of Dentistry, Assiut University, Assiut, Egypt.

Oral Medicine, Periodontology and Oral Diagnosis, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

出版信息

BMC Oral Health. 2025 Jan 6;25(1):29. doi: 10.1186/s12903-024-05172-y.

Abstract

OBJECTIVE

This study aimed to evaluate the clinical performance (degree of trueness) of a novel scan body "tooth-modified Scan body" (TMSB)& conventional scan body (CSB) in implant-supported full arch screw retained cases.

METHODS

Seven edentulous arches (two maxillae, five mandibles) in 6 patients were rehabilitated with monolithic zirconia screw-retained implant prostheses supported by 4 (n = 1) and 5 implants (n = 6) for a total amount of 34 implants. Implant locations were scanned by intra-oral scanner (IOS) using two types of scan bodies, conventional scan bodies (CSB) in group (1) and tooth-modified scan bodies (TMSB) in group (2). 68 implant positions (representing the total sample size) were captured and compared to the relative reference scans regarding angular and Euclidian deviation (ΔEUC).

RESULTS

The ΔEUC deviation Of TMSB group had lower values (M = 61.46, SD = 42.12) than that Of CSB group (M = 97.97, SD = 56.69). This difference was statistically significant (p = .005), 95% Confidence interval. The angular deviation of TMSC group had lower values (M = 0.85, SD = 0.69) than that Of CSB group (M = 1.3, SD = 1.06) which was statistically significant (p = .033), 95% Confidence interval. There was a correlation between the type of Jaw and both angular and ΔEUC deviation of both groups, which was statistically significant.

CONCLUSION

A tooth-modified scan body (TMSB) may improve the ease and trueness of full-arch implant scanning, even in challenging mandibular arches.

CLINICAL TRIAL REGISTRY DATE

Retrospectively registered in 20/ 12/ 2023.

CLINICAL TRIAL REGISTRY NUMBER

NCT06177782.

摘要

目的

本研究旨在评估一种新型扫描体“牙齿改良扫描体”(TMSB)与传统扫描体(CSB)在种植体支持的全牙弓螺丝固位病例中的临床性能(准确性)。

方法

6例患者的7个无牙牙弓(2个上颌骨,5个下颌骨)采用整体式氧化锆螺丝固位种植修复体进行修复,种植体数量为4颗(n = 1)和5颗(n = 6),共计34颗种植体。使用两种类型的扫描体,通过口内扫描仪(IOS)对种植体位置进行扫描,第1组使用传统扫描体(CSB),第2组使用牙齿改良扫描体(TMSB)。采集68个种植体位置(代表总样本量),并与相对参考扫描进行角度和欧几里得偏差(ΔEUC)比较。

结果

TMSB组的ΔEUC偏差值(M = 61.46,SD = 42.12)低于CSB组(M = 97.97,SD = 56.69)。这种差异具有统计学意义(p = 0.005),95%置信区间。TMSC组的角度偏差值(M = 0.85,SD = 0.69)低于CSB组(M = 1.3,SD = 1.06),具有统计学意义(p = 0.033),95%置信区间。颌骨类型与两组的角度和ΔEUC偏差之间存在相关性,具有统计学意义。

结论

即使在具有挑战性的下颌牙弓中,牙齿改良扫描体(TMSB)也可能提高全牙弓种植扫描的便利性和准确性。

临床试验注册日期

2023年12月20日回顾性注册。

临床试验注册号

NCT06177782。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/528e/11706187/e0b482e33f78/12903_2024_5172_Fig1_HTML.jpg

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