Evaluation of the effect of endocrown tooth preparation depth and cavity wall angulation on intraoral scanner accuracy: An in vitro study

Yıl 2024, Cilt: 10 Sayı: 3, 146 - 152, 31.12.2024

Bahadır Ezmek

https://doi.org/10.21306/dishekimligi.1535409

Öz

Objective. This in vitro study evaluated the accuracy of an intraoral scanner (IOS) on endocrown preparations with different cavity depths (CD) and cavity wall angulations (CWA).
Methods. Endocrown preparations with 2, 3, and 4mm CD and 80, 100, and 120 CWA were digitally designed. Nine digital models were produced using an stereolithography 3D printer (Form3B) with model resin (Model V3). An industrial scanner (ATOS) was used as the reference scanner. 10 scans for each model were performed using an IOS (Trios-4). Standard Tessellation Language (STL) files were superimposed on the reference STLs and 3D comparision was performed using 3D analysis software (Geomagic Control X). All data were analyzed with 2-way ANOVA and Tukey HSD tests (α=.05).
Results. Higher deviations were noted in endocrown preparations with 4 mm CD (30.43± 3.18 µm) than in endocrown preparations with 3 mm CD (27.47± 3.15 µm) and 2 mm CD (23.57± 1.27 µm) (p<.001). In addition, endocrown preparations with a CWA of 80 (28.4± 4.6 µm) had more distortion than endocrown preparations with a CWA of 100 (26.64± 3.37 µm) (p=.021) and 120 (26.43± 3.35 µm) (p=.008). CD (p<.001) and CD-CWA interaction (p=.001) were found to affect the precision of IOS. CWA alone had no effect on the precision of IOS (p=.862).
Conclusion. A deep pulpal chamber extension with steeper CWA could adversely affect scan accuracy.

Anahtar Kelimeler

Endocrown, Intreoral scanner, Scan accuracy, Cavity depth

Etik Beyan

In this in-vitro study, ethics committee approval was not required as the experiments were not performed in patients.

Endokron diş preparasyon derinliğinin ve kavite duvarı açılanmasının intraoral tarayıcı doğruluğu üzerindeki etkisinin değerlendirilmesi: İn vitro çalışma

Öz

Amaç Bu in-vitro çalışmada, farklı kavite derinliklerine (KD) ve kavite duvarı açılanmalarına (KDA) sahip endokron diş preparasyonlarının ağız içi tarayıcının doğruluğu üzerindeki etkisi değerlendirildi.
Gereç ve Yöntemler 2, 3 ve 4 mm KD ve 80, 100 ve 120 KDA sahip EDP’ler dijital olarak tasarlandı. Dokuz Dijital tasarım stereolitografi 3D yazıcıya (Form3B) aktarıldı ve model reçine (Model V3) kullanılarak modeller üretildi. Referans veriler, modellerin endüstriyel tarayıcı da (ATOS) taranması ile elde edildi. Her bir model ağız içi tarayıcı (Trios-4) ile 10 kere tarandı. Tarama dosyaları 3 boyutlu analiz yazılımı (Geomagic Control X) kullanılarak referans dosyaları ile çakıştırıldı ve 3 boyutlu karşılaştırma yapıldı. Tüm veriler 2 yönlü ANOVA ve Tukey HSD testleri ile analiz edildi (α= .05).
Bulgular 4 mm KD’ye sahip endokronlardaki sapmanın (30,43± 3,18 µm); 3 mm KD’ye (27,47± 3,15 µm) ve 2 mm KD’ye (23,57± 1,27 µm) sahip endokronlardan istatistiksel olarak daha fazla olduğu görüldü (p<.001). Ayrıca, 80 KDA’ya sahip endokronlarda (28,4± 4,6 µm) 100 (26,64± 3,37 µm) (p=.021) ve 120 KDA’ya (26,43± 3,35 µm) (p=.008) sahip endokronlara göre daha fazla sapma belirlendi. KD (p<.001) ve KD-KDA ilişkisinin (p= 0.001); ağız içi tarayıcı hassasiyetini etkilediği belirlendi. KDA’nın tek başına ağız içi tarayıcının hassasiyeti üzerinde etkisi olmadığı görüldü (p= 0.862).
SONUÇ. Daha düşük KDA ile daha yüksek KD’ler ağız içi tarayıcıların doğruluğunu olumsuz etkileyebilir.

Anahtar Kelimeler

Endokron, Ağıziçi tarayıcı, Tarama doğrululğu, Kavite derinliği, Kavite duvar açılanması

Etik Beyan

Bu in-vitro çalışmada deneyler hastalarda yapılmadığı için etik komite onayına gerek duyulmamıştır.

Kaynakça

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