Validity and reliability of digital occlusal analyzing methods in Dentistry. A systematic review

IF 5.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-09-21 DOI:10.1016/j.jdent.2025.106124

Chahak Seth-Johansen, Klaus Gotfredsen

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引用次数: 0

Abstract

Objective

This systematic review aimed to evaluate the validity and reliability of digital occlusal analyzing methods in terms of intraoral scanning (IOS) and sensor-based systems.

Material and methods

Following PRISMA guidelines, a comprehensive search was conducted across the databases: PubMed, Cochrane Library, Web of Science, Scopus and Embase. In vitro and in vivo studies published between January 1990 and July 2024, assessing the focused question: “Do digital occlusal analyzing methods provide sufficient reliability and validity in occlusal registration”. In vivo studies were limited to dentate or partially dentate patients. Exclusion criteria were systematic reviews, case reports, questionnaires, and studies not available in English.

Results

Thirty-nine studies were included (11 in vitro, 28 in vivo). Intraoral scanners (IOS) were assessed in 27 studies, while 15 studies investigated T-scan technology, 3 studies evaluated Dental Prescale, 2 studies explored the Accura system, and 2 studies with Occlusense®. Both IOS and the sensor-based systems demonstrated high degree of reliability in identifying occlusal contacts. However, validity in assessing contact intensity and exact interocclusal relationships was limited. Methodological heterogeneity between studies and lack of patient-reported outcomes were noted.

Conclusions

Digital methods, including both sensor-based systems and IOS, provide relatively reliable and valid illustration of teeth with interocclusal contacts, but show limited validity in evaluating contact intensity and area.

Clinical implications

Digital methods can indicate the location of tooth contacts, but their validity remains insufficient for making occlusal diagnoses used for occlusal corrections. These limitations suggest that digital occlusal tools are best used as adjuncts rather than replacements for traditional occlusal analysis. Future directions could be to include patient-reported outcomes and calibration guidelines for digital occlusal analysis systems.

查看原文本刊更多论文

牙颌数字咬合分析方法的有效性和可靠性。系统回顾。

目的：本系统综述旨在评价口腔内扫描（IOS）和基于传感器系统的数字咬合分析方法的有效性和可靠性。材料和方法：遵循PRISMA指南，在PubMed、Cochrane Library、Web of Science、Scopus和Embase等数据库中进行了全面的检索。1990年1月至2024年7月期间发表的体外和体内研究，评估了重点问题：“数字咬合分析方法在咬合配准中是否提供足够的可靠性和有效性”。体内研究仅限于牙齿或部分牙齿患者。排除标准是系统评价、病例报告、问卷调查和没有英文版本的研究。结果：共纳入39项研究（11项体外研究，28项体内研究）。27项研究评估了口腔内扫描仪（IOS）， 15项研究研究了T-scan技术，3项研究评估了Dental precale， 2项研究探索了Accura系统，2项研究使用了Occlusense®。IOS和基于传感器的系统在识别咬合接触方面都表现出高度的可靠性。然而，评估接触强度和准确咬合关系的有效性是有限的。注意到研究之间的方法学异质性和缺乏患者报告的结果。结论：数字方法，包括基于传感器的系统和IOS，提供了相对可靠和有效的牙齿咬合接触的说明，但在评估接触强度和面积方面的有效性有限。临床意义：数字方法可以显示牙齿接触的位置，但其有效性仍然不足以进行咬合诊断，用于咬合矫正。这些局限性表明，数字咬合工具最好用作辅助工具，而不是替代传统的咬合分析。未来的方向可能包括患者报告的结果和数字咬合分析系统的校准指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.