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Accuracy of Intraoral Digital Impressions for Whole Upper Jaws, Including Full Dentitions and Palatal Soft Tissues

Identifieur interne : 000763 ( Pmc/Curation ); précédent : 000762; suivant : 000764

Accuracy of Intraoral Digital Impressions for Whole Upper Jaws, Including Full Dentitions and Palatal Soft Tissues

Auteurs : Ning Gan ; Yaoyang Xiong ; Ting Jiao

Source :

RBID : PMC:4934918

Abstract

Intraoral digital impressions have been stated to meet the clinical requirements for some teeth-supported restorations, though fewer evidences were proposed for larger scanning range. The aim of this study was to compare the accuracy (trueness and precision) of intraoral digital impressions for whole upper jaws, including the full dentitions and palatal soft tissues, as well as to determine the effect of different palatal vault height or arch width on accuracy of intraoral digital impressions. Thirty-two volunteers were divided into three groups according to the palatal vault height or arch width. Each volunteer received three scans with TRIOS intraoral scanner and one conventional impression of whole upper jaw. Three-dimensional (3D) images digitized from conventional gypsum casts by a laboratory scanner were chose as the reference models. All datasets were imported to a specific software program for 3D analysis by "best fit alignment" and "3D compare" process. Color-coded deviation maps showed qualitative visualization of the deviations. For the digital impressions for palatal soft tissues, trueness was (130.54±33.95)μm and precision was (55.26±11.21)μm. For the digital impressions for upper full dentitions, trueness was (80.01±17.78)μm and precision was (59.52±11.29)μm. Larger deviations were found between intraoral digital impressions and conventional impressions in the areas of palatal soft tissues than that in the areas of full dentitions (p<0.001). Precision of digital impressions for palatal soft tissues was slightly better than that for full dentitions (p = 0.049). There was no significant effect of palatal vault height on accuracy of digital impressions for palatal soft tissues (p>0.05), but arch width was found to have a significant effect on precision of intraoral digital impressions for full dentitions (p = 0.016). A linear correlation was found between arch width and precision of digital impressions for whole upper jaws (r = 0.326, p = 0.034 for palatal soft tissues and r = 0.485, p = 0.002 for full dentitions). It was feasible to use the intraoral scanner to obtain digital impressions for whole upper jaws. Wider dental arch contributed to lower precision of an intraoral digital impression. It should be confirmed in further studies that whether accuracy of digital impressions for whole upper jaws is clinically acceptable.


Url:
DOI: 10.1371/journal.pone.0158800
PubMed: 27383409
PubMed Central: 4934918

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PMC:4934918

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<p>Intraoral digital impressions have been stated to meet the clinical requirements for some teeth-supported restorations, though fewer evidences were proposed for larger scanning range. The aim of this study was to compare the accuracy (trueness and precision) of intraoral digital impressions for whole upper jaws, including the full dentitions and palatal soft tissues, as well as to determine the effect of different palatal vault height or arch width on accuracy of intraoral digital impressions. Thirty-two volunteers were divided into three groups according to the palatal vault height or arch width. Each volunteer received three scans with TRIOS intraoral scanner and one conventional impression of whole upper jaw. Three-dimensional (3D) images digitized from conventional gypsum casts by a laboratory scanner were chose as the reference models. All datasets were imported to a specific software program for 3D analysis by "best fit alignment" and "3D compare" process. Color-coded deviation maps showed qualitative visualization of the deviations. For the digital impressions for palatal soft tissues, trueness was (130.54±33.95)μm and precision was (55.26±11.21)μm. For the digital impressions for upper full dentitions, trueness was (80.01±17.78)μm and precision was (59.52±11.29)μm. Larger deviations were found between intraoral digital impressions and conventional impressions in the areas of palatal soft tissues than that in the areas of full dentitions (p<0.001). Precision of digital impressions for palatal soft tissues was slightly better than that for full dentitions (p = 0.049). There was no significant effect of palatal vault height on accuracy of digital impressions for palatal soft tissues (p>0.05), but arch width was found to have a significant effect on precision of intraoral digital impressions for full dentitions (p = 0.016). A linear correlation was found between arch width and precision of digital impressions for whole upper jaws (r = 0.326, p = 0.034 for palatal soft tissues and r = 0.485, p = 0.002 for full dentitions). It was feasible to use the intraoral scanner to obtain digital impressions for whole upper jaws. Wider dental arch contributed to lower precision of an intraoral digital impression. It should be confirmed in further studies that whether accuracy of digital impressions for whole upper jaws is clinically acceptable.</p>
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<subject>Biology and Life Sciences</subject>
<subj-group>
<subject>Anatomy</subject>
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<subject>Digestive System</subject>
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<subject>Teeth</subject>
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<subject>Molars</subject>
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<subject>Biology and Life Sciences</subject>
<subj-group>
<subject>Anatomy</subject>
<subj-group>
<subject>Head</subject>
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<subject>Jaw</subject>
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<subject>Teeth</subject>
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<subject>Molars</subject>
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<subject>Teeth</subject>
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<subject>Biology and Life Sciences</subject>
<subj-group>
<subject>Anatomy</subject>
<subj-group>
<subject>Digestive System</subject>
<subj-group>
<subject>Mouth</subject>
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<subject>Palate</subject>
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</subj-group>
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<subject>Medicine and Health Sciences</subject>
<subj-group>
<subject>Anatomy</subject>
<subj-group>
<subject>Digestive System</subject>
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<subject>Mouth</subject>
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<subject>Palate</subject>
</subj-group>
</subj-group>
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</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Engineering and Technology</subject>
<subj-group>
<subject>Digital Imaging</subject>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and Life Sciences</subject>
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<subject>Biotechnology</subject>
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<subject>Medical Devices and Equipment</subject>
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<subject>Prosthetics</subject>
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<subject>Medicine and Health Sciences</subject>
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<title-group>
<article-title>Accuracy of Intraoral Digital Impressions for Whole Upper Jaws, Including Full Dentitions and Palatal Soft Tissues</article-title>
<alt-title alt-title-type="running-head">Accuracy of Intraoral Digital Impressions for Whole Upper Jaws</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gan</surname>
<given-names>Ning</given-names>
</name>
<xref ref-type="aff" rid="aff001"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xiong</surname>
<given-names>Yaoyang</given-names>
</name>
<xref ref-type="corresp" rid="cor001">*</xref>
<xref ref-type="aff" rid="aff001"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jiao</surname>
<given-names>Ting</given-names>
</name>
<xref ref-type="corresp" rid="cor001">*</xref>
<xref ref-type="aff" rid="aff001"></xref>
</contrib>
</contrib-group>
<aff id="aff001">
<addr-line>Department of Prosthodontics, Ninth People's Hospital, affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, PR China</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Papaccio</surname>
<given-names>Gianpaolo</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1">
<addr-line>Second University of Naples, ITALY</addr-line>
</aff>
<author-notes>
<fn fn-type="conflict" id="coi001">
<p>
<bold>Competing Interests: </bold>
The authors have declared that no competing interests exist.</p>
</fn>
<fn fn-type="con" id="contrib001">
<p>Conceived and designed the experiments: NG YX TJ. Performed the experiments: NG YX TJ. Analyzed the data: NG YX. Contributed reagents/materials/analysis tools: TJ. Wrote the paper: NG. Critically revised the manuscript for important intellectual content: TJ. Gave final approval: NG YX TJ.</p>
</fn>
<corresp id="cor001">* E-mail:
<email>jiao_ting@126.com</email>
(TJ);
<email>yaoyang_x@163.com</email>
(YX)</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>6</day>
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<year>2016</year>
</pub-date>
<volume>11</volume>
<issue>7</issue>
<elocation-id>e0158800</elocation-id>
<history>
<date date-type="received">
<day>6</day>
<month>4</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>6</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© 2016 Gan et al</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Gan et al</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the terms of the
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="pone.0158800.pdf"></self-uri>
<abstract>
<p>Intraoral digital impressions have been stated to meet the clinical requirements for some teeth-supported restorations, though fewer evidences were proposed for larger scanning range. The aim of this study was to compare the accuracy (trueness and precision) of intraoral digital impressions for whole upper jaws, including the full dentitions and palatal soft tissues, as well as to determine the effect of different palatal vault height or arch width on accuracy of intraoral digital impressions. Thirty-two volunteers were divided into three groups according to the palatal vault height or arch width. Each volunteer received three scans with TRIOS intraoral scanner and one conventional impression of whole upper jaw. Three-dimensional (3D) images digitized from conventional gypsum casts by a laboratory scanner were chose as the reference models. All datasets were imported to a specific software program for 3D analysis by "best fit alignment" and "3D compare" process. Color-coded deviation maps showed qualitative visualization of the deviations. For the digital impressions for palatal soft tissues, trueness was (130.54±33.95)μm and precision was (55.26±11.21)μm. For the digital impressions for upper full dentitions, trueness was (80.01±17.78)μm and precision was (59.52±11.29)μm. Larger deviations were found between intraoral digital impressions and conventional impressions in the areas of palatal soft tissues than that in the areas of full dentitions (p<0.001). Precision of digital impressions for palatal soft tissues was slightly better than that for full dentitions (p = 0.049). There was no significant effect of palatal vault height on accuracy of digital impressions for palatal soft tissues (p>0.05), but arch width was found to have a significant effect on precision of intraoral digital impressions for full dentitions (p = 0.016). A linear correlation was found between arch width and precision of digital impressions for whole upper jaws (r = 0.326, p = 0.034 for palatal soft tissues and r = 0.485, p = 0.002 for full dentitions). It was feasible to use the intraoral scanner to obtain digital impressions for whole upper jaws. Wider dental arch contributed to lower precision of an intraoral digital impression. It should be confirmed in further studies that whether accuracy of digital impressions for whole upper jaws is clinically acceptable.</p>
</abstract>
<funding-group>
<award-group id="award001">
<funding-source>
<institution>the National Natural Science Foundation of China</institution>
</funding-source>
<award-id>81100774</award-id>
<principal-award-recipient>
<name>
<surname>Jiao</surname>
<given-names>Ting</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group id="award002">
<funding-source>
<institution>Shanghai Science and Technology Commission Funded Projects</institution>
</funding-source>
<award-id>114119a3900, 14411964200</award-id>
<principal-award-recipient>
<name>
<surname>Jiao</surname>
<given-names>Ting</given-names>
</name>
</principal-award-recipient>
</award-group>
<funding-statement>This work was supported by the National Natural Science Foundation of China (Project Number: 81100774; URL:
<ext-link ext-link-type="uri" xlink:href="http://www.nsfc.gov.cn/">http://www.nsfc.gov.cn/</ext-link>
), and Shanghai Science and Technology Commission Funded Projects (Project Number: 114119a3900, 14411964200; URL:
<ext-link ext-link-type="uri" xlink:href="http://www.stcsm.gov.cn/">http://www.stcsm.gov.cn/</ext-link>
). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts>
<fig-count count="7"></fig-count>
<table-count count="4"></table-count>
<page-count count="15"></page-count>
</counts>
<custom-meta-group>
<custom-meta id="data-availability">
<meta-name>Data Availability</meta-name>
<meta-value>All relevant data are available from the Clinical Trial Management Public Platform (public access without accession number).
<ext-link ext-link-type="uri" xlink:href="http://www.medresman.org/login.aspx">http://www.medresman.org/login.aspx</ext-link>
.</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
<notes>
<title>Data Availability</title>
<p>All relevant data are available from the Clinical Trial Management Public Platform (public access without accession number).
<ext-link ext-link-type="uri" xlink:href="http://www.medresman.org/login.aspx">http://www.medresman.org/login.aspx</ext-link>
.</p>
</notes>
</front>
</pmc>
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