Pan Chin-Yun, Chen Min-Yan, Liu Chih-Te, Chen Jen-Hao, Hung Chun-Cheng, Lan Ting-Hsun
School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Dentistry, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan.
J Dent Sci. 2024 Dec;19(Suppl 2):S149-S155. doi: 10.1016/j.jds.2024.07.041. Epub 2024 Aug 10.
BACKGROUND/PURPOSE: Spacing between teeth is a common trait across different stages of dentition. With the tide of the digital impression, the scanning trueness of the intraoral scanner (IOS) is a hot subject. This study aimed to determine the correlation between the level of the spaced dentition and trueness of the intraoral scanning.
Four arch lengths of deciduous tooth models (spacing Model 1, Model 2, Model 3, Model 4 = 0, 1, 2, 3 mm; maxillary arch length = 73.268, 81.922, 90.776, 97.698 mm; mandibular arch length = 69.092, 76.160, 86.228, 94.344 mm) were designed to measure trueness via an IOS. Statistical analysis included one-way analysis of variance followed by post hoc Tukey tests for comparisons of the data.
The trueness varied across different levels of spacing, with the highest deviation observed between intraoral and desktop scans in Model 3, followed by Model 4, Model 2, and Model 1 in the maxillary arch. In the mandibular arch, the sequence of deviation from highest to lowest was Model 4, Model 3, Model 1, and Model 2. Significant differences were observed among these models in both the maxilla and mandible ( < 0.001).
In both the maxilla (2 mm spacing, arch length ≥81.922 mm) and mandible (3 mm spacing, arch length ≥86.228 mm), scanning accuracy decreases with longer arch lengths. This indicates that as arch length increases, so does the deviation in scanning accuracy. Therefore, the clinician should notice the deviation when using IOSs for the spaced cases.
背景/目的:牙间隙是牙列不同阶段的常见特征。随着数字印模的兴起,口腔内扫描仪(IOS)的扫描准确性成为热门话题。本研究旨在确定牙间隙程度与口腔内扫描准确性之间的相关性。
设计了四种乳牙列模型的牙弓长度(间隙模型1、模型2、模型3、模型4 = 0、1、2、3毫米;上颌牙弓长度 = 73.268、81.922、90.776、97.698毫米;下颌牙弓长度 = 69.092、76.160、86.228、94.344毫米),通过IOS测量准确性。统计分析包括单因素方差分析,随后进行事后Tukey检验以比较数据。
不同间隙水平的准确性各不相同,在上颌牙弓中,模型3的口腔内扫描与台式扫描之间的偏差最大,其次是模型4、模型2和模型1。在下颌牙弓中,偏差从高到低的顺序是模型4、模型3、模型1和模型2。在上颌和下颌中,这些模型之间均观察到显著差异(P < 0.001)。
在上颌(间隙2毫米,牙弓长度≥81.922毫米)和下颌(间隙3毫米,牙弓长度≥86.228毫米)中,随着牙弓长度增加,扫描准确性降低。这表明随着牙弓长度增加,扫描准确性偏差也增加。因此,临床医生在为有牙间隙的病例使用IOS时应注意这种偏差。