首页> 外文期刊>The Journal of Prosthetic Dentistry >Positional accuracy of a prosthetic treatment plan incorporated into a cone beam computed tomography scan using surface scan registration
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Positional accuracy of a prosthetic treatment plan incorporated into a cone beam computed tomography scan using surface scan registration

机译:使用表面扫描配准,掺入锥形光束的假体治疗计划的位置准确性

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Statement of problemThe registration of surface scans onto cone beam computed tomography (CBCT) scans has been proposed as a method of visualizing different anatomic structures and the prosthetic treatment plan simultaneously. This method also overcomes some of the problems associated with conventional radiographic templates. However, it has not been thoroughly investigated or validated for use in implant dentistry. PurposeThe purpose of this in?vitro study was to evaluate the accuracy of a prosthetic treatment plan surface scan incorporated into a CBCT scan and to compare it to conventional radiographic templates for single tooth replacement. Material and methodsDirect surface scans of a completely dentate master model with removable radiopaque teeth were made using an intraoral scanner, and indirect surface scans of a stone duplicate of the master model were made using a laboratory scanner. To simulate a clinical scenario, the mandibular left first molar was removed. A CBCT scan of the clinical scenario was made. The surface scans were registered onto the CBCT scans. Radiographic templates for the clinical scenario were fabricated, and the master model was subsequently scanned using the same CBCT scanner with each radiographic template seated. Metrology software was used to assess the accuracy of each method by measuring the 3-dimensional deviation on standard tessellation language (STL) files generated from the CBCT scans against an STL file of the completely dentate master model generated from a CBCT scan. One-way ANOVA and the Tukey HSD test were used for statistical analysis (α=.05). ResultsThe incorporation technique had a significant effect on deviation from the master model (P=.004). The overall mean 3-dimensional deviation was 0.04 mm for direct surface scan registrations, 0.03 mm for indirect surface scan registrations, and 0.33 mm for radiographic templates. Radiographic templates were significantly less accurate compared with both surface scan registration methods (P<.001), whereas no statistically significant difference in accuracy was found between the registration of a laboratory scan and that of an intraoral scan (P=.94). ConclusionsIntraoral and laboratory surface scan registration on CBCT scans were more accurate than radiographic templates for prosthetic treatment plan incorporation. The accuracy of the registration of an intraoral scan and a laboratory scan was comparable.
机译:问题陈述将表面扫描与锥束计算机断层扫描(CBCT)进行配准是一种同时显示不同解剖结构和假体治疗方案的方法。该方法还克服了与传统射线照相模板相关的一些问题。然而,它尚未被彻底调查或验证用于种植牙科。目的这件事的目的是什么?体外研究旨在评估CBCT扫描中包含的修复治疗计划表面扫描的准确性,并将其与单颗牙齿置换的常规放射学模板进行比较。材料与方法:使用口腔内扫描仪对一个完全有牙齿的主模型进行直接表面扫描,并使用实验室扫描仪对主模型的一个石头复制品进行间接表面扫描。为了模拟临床场景,将下颌左第一磨牙移除。对临床情况进行了CBCT扫描。表面扫描记录在CBCT扫描上。制作了用于临床场景的放射学模板,随后使用相同的CBCT扫描仪扫描主模型,并将每个放射学模板固定。通过测量CBCT扫描生成的标准镶嵌语言(STL)文件与CBCT扫描生成的完全齿状主模型STL文件的三维偏差,使用计量软件评估每种方法的准确性。采用单因素方差分析和Tukey HSD检验进行统计分析(α=0.05)。结果掺入技术对偏离主模型有显著影响(P=0.004)。直接表面扫描配准的总体平均三维偏差为0.04 mm,间接表面扫描配准为0.03 mm,射线照相模板为0.33 mm。与两种表面扫描配准方法相比,放射学模板的准确度显著降低(P<0.001),而实验室扫描和口腔内扫描的配准准确度无统计学差异(P=0.94)。结论CBCT扫描上的口腔和实验室表面扫描配准比放射学模板更准确,可用于修复治疗计划的合并。口腔内扫描和实验室扫描的登记准确性相当。

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  • 作者单位

    Advanced Education in Prosthodontics Program Division of Restorative Sciences and Prosthodontics;

    Research Program Director and Associate Professor Division of Orthodontics The Ohio State;

    Division of Restorative Sciences and Prosthodontics The Ohio State University College of Dentistry;

    Program Director and Assistant Professor Advanced Education in Prosthodontics Program Division of;

    Research Internship in Restorative Prosthetic and Implant Dentistry Program Director and;

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  • 正文语种 eng
  • 中图分类 口腔科学;
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