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当代牙科美学中的实际应用——使用口腔内扫描仪进行比色评估

Practical Implications in Contemporary Dental Aesthetics-Shade Selection Assessment Using Intraoral Scanners.

作者信息

Ciocan Pendefunda Alice Arina, Dascalu Cristina Gena, Bahrim Sebastian, Iordache Cristina, Luca Odette, Antohe Magda-Ecaterina

机构信息

Department of Odontology-Periodontology, Fixed Prosthodontics, Faculty of Dental Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania.

Department of Medical Informatics and Biostatistics, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania.

出版信息

Dent J (Basel). 2025 Jan 20;13(1):43. doi: 10.3390/dj13010043.

DOI:10.3390/dj13010043
PMID:39851619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11763794/
Abstract

Aesthetics is a challenging aspect to restore for both dentists and dental technicians. One of the characteristics of aesthetic restoration is the shade. The purpose of the study is to assess the accuracy of the shade selection feature of intraoral scanners (CEREC Omnican, 3Shape TRIOS) in comparison with an already established method-the VITA Easyshade V spectrophotometer (VE)-and test if there is any significant difference between the three devices. To conduct this in vitro study, the VITA Classical shade guide was used. The intraoral scanners would not be able to scan the VITA Classical as it is, hence, a study model (SM) was fabricated. To be able to test the accuracy of the intraoral scanners (IOSs) in detecting the dental color, a spectrophotometer had to be included in the study, as it was shown that it is the most accurate instrument for this purpose. Therefore, for the current study, the VITA Easyshade V spectrophotometer (VITA Zahnfabrik, Bad Sackingen, Germany) was selected. The accuracy of the three devices when measuring the shade of the study model was calculated as a percentage. When comparing the primary results of the VE and the results obtained by the Omnicam and TRIOS, the latter is the most accurate (26.67%), whereas the other two scored 20%. The study also revealed the limitations of the instrumental devices that were used. First, both the VE and IOSs obtained unexpectedly low accuracy results. Possibly, the material VC is made of influenced the final accuracy values, but in practice, on a daily basis, dental materials represent a factor that cannot really be controlled.

摘要

美学修复对于牙医和牙科技师来说都是一个具有挑战性的方面。美学修复的特点之一是颜色。本研究的目的是评估口腔内扫描仪(CEREC Omnican、3Shape TRIOS)的颜色选择功能与已确立的方法——VITA Easyshade V分光光度计(VE)相比的准确性,并测试这三种设备之间是否存在显著差异。为了进行这项体外研究,使用了VITA经典比色板。由于口腔内扫描仪无法直接扫描VITA经典比色板,因此制作了一个研究模型(SM)。为了能够测试口腔内扫描仪(IOS)检测牙齿颜色的准确性,研究中必须纳入一台分光光度计,因为事实证明它是用于此目的最准确的仪器。因此,在本研究中,选择了VITA Easyshade V分光光度计(德国巴德萨克京的VITA Zahnfabrik公司)。将三种设备测量研究模型颜色时的准确性计算为百分比。在比较VE的主要结果与Omnicam和TRIOS获得的结果时,后两者最为准确(26.67%),而另外两者的得分是20%。该研究还揭示了所使用仪器设备的局限性。首先,VE和IOS都出人意料地获得了较低的准确性结果。可能是制作VC的材料影响了最终的准确性数值,但在实际日常操作中,牙科材料是一个难以真正控制的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/8d71efa811d3/dentistry-13-00043-g011.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/cc9fe748ebd8/dentistry-13-00043-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/8d71efa811d3/dentistry-13-00043-g011.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/f0c548b65676/dentistry-13-00043-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/ddd0898570a9/dentistry-13-00043-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/c8e1df30b689/dentistry-13-00043-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/c7d05bb5241d/dentistry-13-00043-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/e32d440290f5/dentistry-13-00043-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/5593d0bf3f84/dentistry-13-00043-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/c3769f165d3e/dentistry-13-00043-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/f6bb51eb1bc4/dentistry-13-00043-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/cc9fe748ebd8/dentistry-13-00043-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/11763794/8d71efa811d3/dentistry-13-00043-g011.jpg

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本文引用的文献

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Knowledge, Attitude, and Practice of Dental Practitioners Towards Anterior Teeth Shade Matching in Saudi Arabia.沙特阿拉伯牙科从业者对前牙比色的知识、态度和实践
Cureus. 2022 Oct 20;14(10):e30505. doi: 10.7759/cureus.30505. eCollection 2022 Oct.
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A Comparative Analysis of Dental Measurements in Physical and Digital Orthodontic Case Study Models.物理正畸病例研究模型和数字正畸病例研究模型中的牙齿测量的对比分析。
Medicina (Kaunas). 2022 Sep 6;58(9):1230. doi: 10.3390/medicina58091230.
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The Role of Intraoral Scanners in the Shade Matching Process: A Systematic Review.
口内扫描仪在比色过程中的作用:一项系统评价
J Prosthodont. 2023 Mar;32(3):196-203. doi: 10.1111/jopr.13576. Epub 2022 Aug 16.
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Accuracy and repeatability of different intraoral scanners on shade determination.不同口内扫描仪在比色准确性和可重复性方面的比较。
J Esthet Restor Dent. 2021 Sep;33(6):844-848. doi: 10.1111/jerd.12687. Epub 2020 Nov 23.
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Objective shade matching, communication, and reproduction by combining dental photography and numeric shade quantification.通过结合牙科摄影和数字比色定量来实现目标比色匹配、沟通和再现。
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Heliyon. 2019 Jul 23;5(7):e02100. doi: 10.1016/j.heliyon.2019.e02100. eCollection 2019 Jul.
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Outcomes of visual tooth shade selection performed by operators with different experience.不同经验的操作人员进行的视觉牙齿比色的结果。
J Esthet Restor Dent. 2019 Sep;31(5):500-507. doi: 10.1111/jerd.12507. Epub 2019 Jun 22.
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A comparison between visual, intraoral scanner, and spectrophotometer shade matching: A clinical study.视觉比色、口内扫描仪和分光光度计比色的比较:一项临床研究。
J Prosthet Dent. 2019 Feb;121(2):271-275. doi: 10.1016/j.prosdent.2018.05.004. Epub 2018 Oct 26.
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A Study on Possibility of Clinical Application for Color Measurements of Shade Guides Using an Intraoral Digital Scanner.采用口腔内数字扫描仪对比色板颜色测量的临床应用可能性研究。
J Prosthodont. 2018 Aug;27(7):670-675. doi: 10.1111/jopr.12559. Epub 2016 Nov 7.