用于无牙弓扫描和交叉安装的多功能扫描体的精度测试:病例对照试验研究。

Albert Young Hoon Lee, Steve T Hahn
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摘要

研究目的这项试验性研究的主要目的是评估使用定制多功能扫描体进行口内数字化扫描的三维对比结果,以及根据传统的上下颌骨全缺牙开托盘印模制作的数字化牙石模型的三维对比结果,以测试扫描体的精确度。这项研究的第二个目标是展示一种利用扫描体库生成无牙颌牙弓交叉安装固定靶标的方法。设计:以病例对照研究的形式进行比较分析。方法:利用定制扫描体从三个上颌牙弓(All-On-6、All-On-5 和 All-On-4)和两个下颌 All-On-4 牙弓的口内模型和数字化牙石模型中生成钛基底的位置。使用先进的 3D 检测软件对钛基托的位置进行了比较。结果:平均±SD 为 30.38±17.78 μm(95% CI:[14.8-45.97 μm])。上颌骨的平均±SD 为 38.73±19.24 μm(95% CI:16.96-60.5 μm),下颌骨的平均±SD 为 17.85±0.92 μm(95% CI:16.58-19.12 μm)。结论研究结果表明,口内印模与数字化牙石模型之间的偏差在既定的容差范围内,这一点很有希望。初步研究结果表明,数字化工作流程的成功实施与传统方法类似。使用扫描体库生成靶标,成功展示了一种高效的无牙弓交叉安装方法。
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Precision Test of a Multifunctional Scan Body for the Scan and Cross-Mount of an Edentulous Arch: A Pilot Case-Control Study.

The primary goal of this pilot study was to evaluate, via 3D analysis, the scan body precision of an intraoral digital scan utilizing a custom multifunctional scan body compared to that of digitized stone models fabricated from a conventional open tray impression in the fully edentulous maxilla and mandible. The secondary goal of this study was to showcase a method for utilizing the scan body library to generate a fixed fiducial marker for the cross-mount of an edentulous arch. Comparative analysis was performed as a case-control study. A custom scan body was utilized to generate the positions of the titanium bases from the intraoral models and digitized stone models of three maxillary arches (All-On-6, All-On-5, and All-On-4) and two mandibular arches (both All-On-4). The titanium base positions were compared using advanced 3D inspection software. The mean ± SD deviation was 30.38 ± 17.78 μm (95% CI: [14.8 to 45.97 μm]), with mean deviations of 38.73 ± 19.24 μm (95% CI: 16.96 to 60.5 μm) in the maxilla and 17.85 ± 0.92 μm (95% CI: 16.58 to 19.12 μm) in the mandible. The present results were promising, showing that deviations between the intraoral impressions and the digitized stone models fell within established tolerance ranges. Initial studies showed promising results that the digital workflow could be implemented with success similar to the conventional approach. Using the scan body library to generate a fiducial marker successfully demonstrated an efficient method for cross-mounting the edentulous arch.

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