使用口腔内扫描仪对固定种植体支持的假体设计进行个体下颌运动记录的准确性:一项比较研究。

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Bundhit Jirajariyavej, Panchanit Ounvorawong, Suchaya Pornprasertsuk-Damrongsri, Porntida Visuttiwattanakorn, Salisa Sriyarun, Pobploy Petchmedyai
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引用次数: 0

摘要

背景:准确的咬合定位是成功种植牙治疗的关键。传统的机械关节提供了咬合关系的洞察力,但不能准确地复制复杂的下颌运动。CAD/CAM的进步,包括虚拟关节器,根据所使用的系统,可以使用平均值设置或个性化下颌运动数据进行动态咬合分析。患者特定运动(PSM)技术,使用口腔内扫描仪记录实际的下颌运动,提供增强的功能咬合设计。尽管取得了这些进步,但诸如患者运动和有限的残余牙列等挑战会影响准确性,因此需要进一步研究动态咬合配准方法。本研究探讨不同牙合配准技术对不同缺牙条件下修复体设计的影响。方法:对10名参与者进行了体内研究,比较了三种咬合配准方法的准确性:1)静态咬合配准(SA),动态咬合配准(包括2)虚拟关节器(VA)和3)患者特异性运动(PSM)。通过三种缺牙情况下的数字拔牙模拟所测试的模型,评估虚拟拔牙前(参考)和虚拟拔牙后(测试)所记录的咬合接触三维偏差,以反映咬合形态再现的准确性。结果:用彩色编码的偏差图对划分的咬合表面积的均方根(RMS)、公差内和公差外百分比进行了分析和可视化。结论:本研究证实不同的咬合配准方法(STA、VA、PSM)对义齿设计有显著影响,均显示临床可接受的结果。PSM在定制方面具有优势,可以提高处理精度。咬合精度随着剩余牙齿数量的减少而下降,这突出了在部分无牙病例中保持足够的牙齿接触对于可靠的指义齿设计的重要性。试验注册:本研究回顾性注册并获得TCTR委员会批准(TCTR20241116001,日期:16/11/2024)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Accuracy of individual mandibular motion records using intraoral scanner for fixed implant- supported prosthesis designs: a comparative study.

Background: Accurate occlusal registration is critical for successful dental implant treatments. Traditional mechanical articulation provides insight into occlusal relationships but cannot replicate complex mandibular movements accurately. CAD/CAM advancements, including virtual articulators, enable dynamic occlusion analysis using either average-value settings or individualized mandibular movement data, depending on the system used. Patient Specific Motion (PSM) technology, using intraoral scanners to record actual mandibular movements, offers enhanced functional occlusal design. Despite these advancements, challenges such as patient movement and limited residual dentition affect accuracy, highlighting the need for further research into dynamic occlusal registration methods. This study investigates the impact of different occlusal registration techniques on prosthesis design under varying conditions of missing teeth.

Methods: Ten participants were examined in an in-vivo study comparing the accuracy of three occlusal registration methods: 1) Static Occlusal Registration (SA), Dynamic Occlusal Registration including 2) Virtual Articulator (VA), and 3) Patient-Specific Motion (PSM). The tested models were simulated by digital tooth removal in three conditions of missing teeth, and 3-D deviations of occlusal contacts recorded before (reference) and after (tested) virtually tooth removal were assessed to reflect the accuracy of occlusal morphology reproduction.

Results: The root mean square (RMS), and percentage of In-Tolerance and Out-of-Tolerance of divided occlusal surface areas were analyzed and visualized using a color-coded deviation map. Statistically significant differences were observed between static and dynamic methods (p < 0.05), though no significant differences between the two dynamic methods. The PSM method exhibited the highest RMS values and a trend of negative deviations, while the VA method demonstrated the largest positive deviations. In terms of the effect of missing teeth, greater deviations were observed in models with more extensive tooth loss, particularly at the functional cusp areas, suggesting reduced accuracy in complex occlusal conditions.

Conclusions: This study confirms that different occlusal registration methods (STA, VA, PSM) significantly influence prosthesis design, with all showing clinically acceptable outcomes. PSM demonstrated advantages in customization and may improve treatment precision. Occlusal accuracy declined as the number of remaining teeth decreased, highlighting the importance of maintaining sufficient tooth contacts for reliable digital prosthesis design in partially edentulous cases.

Trial registration: This study was retrospectively registered and obtained approval from the TCTR Committee (TCTR20241116001, Date: 16/11/2024).

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来源期刊
BMC Oral Health
BMC Oral Health DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.90
自引率
6.90%
发文量
481
审稿时长
6-12 weeks
期刊介绍: BMC Oral Health is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the mouth, teeth and gums, as well as related molecular genetics, pathophysiology, and epidemiology.
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