口内扫描获得无牙颌牙弓数字印模的准确性:系统性综述

IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Evidence-Based Dental Practice Pub Date : 2024-03-01 DOI:10.1016/j.jebdp.2023.101933
YIYANG WANG , YANING LI , SHANSHAN LIANG , FUSONG YUAN , YUNSONG LIU , HONGQIANG YE , YONGSHENG ZHOU
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引用次数: 0

摘要

目的准确性是评估数字印模质量的关键因素。本系统性综述旨在评估口内扫描(IOS)在获得无牙颌数字印模时的准确性。方法本系统性综述遵守系统性综述和元分析首选报告项目(PRISMA),并在国际系统性综述前瞻性注册(PROSPERO ID:CRD42022382983)中注册。对 7 个电子数据库进行了全面检索,包括 MEDLINE (PubMed)、Web of Science、EMBASE、Scopus、Cochrane Library、Virtual Health Library 和 Open gray,检索期至 2023 年 9 月 11 日。通过追踪所纳入研究的参考文献目录进行了滚雪球式搜索。本系统综述的人群、干预、比较和结果(PICO)问题为"口内扫描获得无牙颌牙弓数字印模的准确性如何?结果从数据库和人工搜索中检索到的研究中,共有 25 项研究被选入本系统综述,包括 9 项体内研究和 16 项体外研究。其中 21 项研究采用了三维偏差分析方法,4 项研究采用了线性或角度偏差分析方法。体外研究的准确度结果表明,真实度范围为 20-600 μm,精度范围为 2-700 μm。结论根据这项研究的结果,IOS 直接数字印模无法取代完全无牙颌牙弓的传统印模。在软腭、前庭沟和舌下区等有移动组织的周边区域,IOS 的无牙颌数字印模显示出较低的精确度。
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THE ACCURACY OF INTRAORAL SCAN IN OBTAINING DIGITAL IMPRESSIONS OF EDENTULOUS ARCHES: A SYSTEMATIC REVIEW

Objectives

Accuracy is a crucial factor when assessing the quality of digital impressions. This systematic review aims to assess the accuracy of intraoral scan (IOS) in obtaining digital impressions of edentulous jaws.

Methods

This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was registered in the International Prospective Register of Systematic Reviews (PROSPERO ID: CRD42022382983). A thorough retrieval of 7 electronic databases was undertaken, encompassing MEDLINE (PubMed), Web of Science, EMBASE, Scopus, Cochrane Library, Virtual Health Library, and Open gray, through September 11, 2023. A snowball search was performed by tracing the reference lists of the included studies. The Population, Intervention, Comparison, and Outcome (PICO) question of this systematic review was: “What is the accuracy of intraoral scan in obtaining digital impressions of edentulous arches?” The Modified Methodological Index for Nonrandomized Studies (MINORS) was employed to assess the risk of bias.

Results

Among the studies retrieved from databases and manual search, a total of 25 studies were selected for inclusion in this systematic review, including 9 in vivo and 16 in vitro studies. Twenty-one of the included studies utilized the 3D deviation analysis method, while 4 studies employed the linear or angular deviation analysis method. The accuracy results of in vitro studies indicated a trueness range of 20-600 μm and a precision range of 2-700 μm. Results of in vivo studies indicated a trueness range of 40-1380 μm, while the precision results were not reported.

Conclusion

According to the results of this study, direct digital impressions by IOS cannot replace the conventional impressions of completely edentulous arches in vivo. Edentulous digital impressions by IOS demonstrated poor accuracy in peripheral areas with mobile tissues, such as the soft palate, vestibular sulcus, and sublingual area.

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来源期刊
Journal of Evidence-Based Dental Practice
Journal of Evidence-Based Dental Practice DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
6.00
自引率
16.70%
发文量
105
审稿时长
28 days
期刊介绍: The Journal of Evidence-Based Dental Practice presents timely original articles, as well as reviews of articles on the results and outcomes of clinical procedures and treatment. The Journal advocates the use or rejection of a procedure based on solid, clinical evidence found in literature. The Journal''s dynamic operating principles are explicitness in process and objectives, publication of the highest-quality reviews and original articles, and an emphasis on objectivity.
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