Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Comparison of the Effect of Scan Patterns on the Accuracy of Complete-Arch Implant Intraoral Scans: An in vitro Study
Tam Ark İmplant Ağız İçi Taramalarının Doğruluğu Üzerinde Tarama Paternlerinin Etkisinin Karşılaştırılması: Bir in vitro Çalışma
Bahadır EZMEKa , Büşra POLATa
aUniversity of Health Sciences Gülhane Faculty of Dentistry, Department of Prosthodontics, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2025;31(1):100-8
doi: 10.5336/dentalsci.2024-105660
Article Language: EN
Full Text
ABSTRACT
 Objective: To determine the effect of scan pattern on the accuracy of intraoral scanners (IOS) used to digitize implants in edentulous arches. Material and Methods: Implant analogs were placed in the tooth regions #26, #24, #23, #11, #13, #14, and #16 of the edentulous maxillary acrylic model. The model was scanned 10 times with a laboratory scanner (E4, 3Shape) to obtain reference data. Intraoral scans (Trios 5, 3Shape) were performed with six different scan patterns including occlusal-buccal-palatine (OBP), buccal-occlusalpalatine (BOP), buccal-palatine-occlusal (BPO), palatine-occlusal-buccal (POB), zigzag (ZZ) and circumferential (C) (n=10). Centroid and centre-axis of scan bodies were determined using a 3D-metrology program. The distance and angles between implants (#26-#24, #24-#23, #23-#11, #11-#13, #13-#14, #14-#16) were calculated. Linear and angular deviation values were determined by subtracting the measurements from the means of reference scans. Two-way analysis of variance and Tukey post-hoc test with Bonferroni adjustment were used to compare the effect of scan pattern and implant regions on scan accuracy (p<0.05). Results: The linear deviation of C was higher than POB (p=0.008), ZZ (p=0.035) and BOP (p=0.045). The #16-#26 region had highest linear deviation (p<0.001). The angular deviation of BPO was higher than OBP (p=0.01). #23-#11 and #16-#26 region had highest angular deviations (p<0.001). Conclusion: The scan pattern and the distance between the implants affected the linear and angular accuracy of the IOS. C scan pattern negatively affects the linear deviation values. Lower angular deviation values can be achieved with the scan pattern (OBP) recommended by the scanner manufacturer.

Keywords: Dental implants; dental impression technique; dental prosthesis, implant-supported
ÖZET
 Amaç: Dişsiz arklarda implant pozisyonlarını dijital ortama aktarmak için kullanılan ağız içi tarayıcıların [intraoral scanners (IOS)] doğruluğu üzerinde tarama paternlerinin etkisini belirlenmesidir. Gereç ve Yöntemler: Dişsiz maksiller akrilik modelin #26, #24, #23, #11, #13, #14 ve #16 diş bölgelerine implant analogları yerleştirildi. Model, referans veriler elde etmek için bir laboratuvar tarayıcısı (E4, 3Shape) ile 10 kez tarandı. Ağız içi taramalar (Trios 5, 3Shape) okluzal-bukkalpalatin (OBP), bukkal-okluzal-palatin (BOP), bukkal-palatin-okluzal (BPO), palatin-okluzal-bukkal (POB), zigzag (ZZ) ve çevresel (C) olmak üzere 6 farklı tarama paterni gerçekleştirildi (n=10). Tarama gövdelerinin merkezi ve merkez ekseni bir 3D-metroloji programı kullanılarak belirlendi. İmplantlar arasındaki mesafe ve açılar (#26-#24, #24-#23, #23-#11, #11-#13, #13-#14, #14-#16) hesaplandı. Doğrusal ve açısal sapma değerleri, ölçümlerin referans taraması ölçümlerinin ortalamasından çıkarılmasıyla belirlendi. İki yönlü varyans analizi ve Bonferroni düzeltmeli Tukey ''post hoc'' testi, tarama paterni ve implant bölgelerinin tarama doğruluğu üzerindeki etkisini karşılaştırmak için kullanıldı (p<0,05). Bulgular: C'nin doğrusal sapması POB (p=0,008), ZZ (p=0,035) ve BOP2tan (p=0,045) daha yüksekti. 16-#26 bölgesi en yüksek doğrusal sapmaya sahipti (p<0,001). BPO'nun açısal sapması OBP'den daha yüksekti (p=0,01). #23-#11 ve #16-#26 bölgeleri en yüksek açısal sapmalara sahipti (p<0,001). Sonuç: Tarama paterni ve implantlar arasındaki mesafe İOS'nin doğrusal ve açısal doğruluğunu etkilemektedir. C tarama paterni doğrusal sapma değerlerini olumsuz etkilemektedir. Tarayıcı üreticisi tarafından önerilen tarama paterni (OBP) ile daha düşük açısal sapma değerleri elde edilebilir.

Anahtar Kelimeler: Diş implantları; diş ölçü tekniği; diş protezi, implant destekli
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