Intraoral Scan for Virtual Skull-Dentition Hybrid Images of Young Patients

J. Lee, Byoung-Eun Yang, Hyelim Lee
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Abstract

Additional dentition images are needed because the dentitions are distorted in cone-beam computed tomography (CBCT) due to streak artifacts and non-uniformity of the x-ray beam. The purpose of this study is to evaluate the feasibility of improving the dentition image of CBCT scan with intraoral scanner instead of plaster models. Maxilla images from plaster models, two intraoral scanners, and CBCT of 20 patients aged 12 to 18 were used in this study. With one of the intraoral scanners, the full arch was scanned by three segments and combined into a complete full arch. Virtual skull-dentition hybrid images from intraoral scanners were superimposed with the images from plaster models to evaluate the coordinate value difference and distance at reference points. The results showed that the coordinate value difference and distance were smallest with segmented intraoral scan, which showed only 2 ㎛ distance. Intraoral scan may provide good dentition images for virtual skull-dentition images.
年轻患者的虚拟颅牙混合图像的口内扫描
由于条纹伪影和x射线光束的不均匀性,在锥形束计算机断层扫描(CBCT)中,牙列会发生畸变,因此需要额外的牙列图像。本研究的目的是评估用口腔内扫描仪代替石膏模型改善CBCT扫描牙列图像的可行性。本研究使用了20例12 - 18岁患者的上颌骨石膏模型图像、2台口内扫描仪和CBCT。利用其中一台口内扫描仪,将全弓分成三段扫描并合并成一个完整的全弓。将口腔内扫描仪的虚拟颅牙混合图像与石膏模型的图像叠加,评估参考点的坐标值差和距离。结果表明,采用分段式口腔内扫描时,配标值差和距离最小,仅为2微米(um)的距离。口腔内扫描可为虚拟颅牙列图像提供良好的牙列图像。
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