机械关节仪、虚拟关节仪和下颌跟踪仪测量髁突矢状倾角的比较研究。

IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Advanced Prosthodontics Pub Date : 2023-02-01 DOI:10.4047/jap.2023.15.1.11
Liya Ma, Fei Liu, Jiansong Mei, Jiarui Chao, Zhenyu Wang, Jiefei Shen
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引用次数: 2

摘要

目的:比较用机械关节仪(MA)、虚拟关节仪(VA)和下颌跟踪仪(JTD)系统测量有齿个体矢状髁倾角(SCI)的不同方法。材料与方法:本研究共招募了22名牙齿健康的受试者。在MA工作流程中,脊髓损伤是由一个半可调节的关节器获得的,具有突出的咬合记录。脊髓损伤也分别通过口内扫描(IOS)与锥形束计算机断层扫描(CBCT)和面部扫描(FS)对齐在VA上。这些虚拟工作流程在牙科设计软件VAIOS-CBCT和VAIOS-FS中进行。同时,还利用JTD系统进行了测量。类内相关性用于评估工作流内的可重复性。采用Wilcoxon配对对签名秩检验比较各工作流程的双侧SCI值,采用Kruskal-Wallis检验和事后p值Bonferroni校正比较4个工作流程之间的差异。采用Bland-Altman分析评价VAIOS-CBCT、VAIOS-FS和JTD与MA的一致性。结果:SCI的类内相关性显示了每个工作流程的高度可重复性。除了VAIOS-CBCT (P = 0.028)外,左右两侧无显著差异(P > 0.05)。MA与VAIOS-FS比较差异无统计学意义(P > 0.05)。Bland-Altman图显示,VAIOS-CBCT、VAIOS-FS和JTD被认为可以替代MA,具有95%的一致性限。结论:与MA相比,VAIOS-FS工作流程提供了一种测量SCI的替代方法。
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A comparative study to measure the sagittal condylar inclination using mechanical articulator, virtual articulator and jaw tracking device.

Purpose: To compare the sagittal condylar inclination (SCI) in dentate individuals measured by the different methods with mechanical articulator (MA), virtual articulator (VA), and a jaw tracking device (JTD) system.

Materials and methods: A total of 22 healthy dentate participants were enrolled in this study. For MA workflow, the SCI was obtained by a semi-adjustable articulator with protrusive interocclusal records. The SCI was also set on a VA by aligning intraoral scan (IOS) with cone beam computed tomography (CBCT) and facial scan (FS), respectively. These virtual workflows were conducted in a dental design software, namely VAIOS-CBCT and VAIOS-FS. Meanwhile, a JTD system was also utilized to perform the measurement. Intraclass correlation was used to assess the repeatability within workflows. The bilateral SCI values were compared by Wilcoxon matched-pairs signed rank test for each workflow, and Kruskal-Wallis test and post hoc p-value Bonferroni correction were used to compare the differences among four workflows. The agreement of VAIOS-CBCT, VAIOS-FS, and JTD compared with MA was evaluated by Bland-Altman analysis.

Results: Intraclass correlation of the SCI revealed a high degree of repeatability for each workflow. There were no significant differences between the left and right sides (P > .05), except for VAIOS-CBCT (P = .028). Significant differences were not found between MA and VAIOS-FS (P > .05). Bland-Altman plots indicated VAIOS-CBCT, VAIOS-FS, and JTD were considered to substitute MA with high 95% limits of agreement.

Conclusion: The workflow of VAIOS-FS provided an alternative approach to measure the SCI compared with MA.

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来源期刊
Journal of Advanced Prosthodontics
Journal of Advanced Prosthodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.70
自引率
3.80%
发文量
25
期刊介绍: This journal aims to convey scientific and clinical progress in the field of prosthodontics and its related areas to many dental communities concerned with esthetic and functional restorations, occlusion, implants, prostheses, and biomaterials related to prosthodontics. This journal publishes • Original research data of high scientific merit in the field of diagnosis, function, esthetics and stomatognathic physiology related to prosthodontic rehabilitation, physiology and mechanics of occlusion, mechanical and biologic aspects of prosthodontic materials including dental implants. • Review articles by experts on controversies and new developments in prosthodontics. • Case reports if they provide or document new fundamental knowledge.
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