Objective <p>Evaluation of the accuracy of direct digitization of maxillary scans depending on the scanning strategy.</p> Materials and methods <p>A maxillary model with a metal bar as a reference structure fixed between the second molars was digitized using the CEREC Primescan AC scanner (<i>N</i> = 225 scans). Nine scanning strategies were selected (<i>n</i> = 25 scans per strategy), differing in scan area segmentation (F = full jaw, H = half jaw, S = sextant) and scan movement pattern (L = linear, Z = zig-zag, C = combined). Trueness was assessed by evaluating linear differences in the X, Y, and Z axes and angular deviations (α axial, α coronal, α total) compared to a reference dataset. Statistical differences were analyzed using Kruskal-Wallis and Mann-Whitney U tests (p&lt;0.017). Precision was analyzed by the standard deviation of linear and angular aberrations (ISO 5725-1) (<i>p</i> &lt; 0.05).</p> Results <p>Strategy F<sub>L</sub> showed significantly higher trueness and precision than F<sub>Z</sub> for VE (<i>p</i> = 0.009), V<sub>E</sub>(y) (<i>p</i> = 0.010), α<sub>overall</sub> (<i>p</i> = 0.004), and α<sub>axial</sub> (<i>p</i> = 0.002). Strategy F<sub>C</sub> demonstrated significantly better trueness than F<sub>Z</sub> for VE (<i>p</i> = 0.007), α<sub>overall</sub> (<i>p</i> = 0.010), and α<sub>coronal</sub> (<i>p</i> = 0.013). For scan segmentation, F<sub>L</sub> showed better trueness for V<sub>E</sub>(y) (<i>p</i> = 0.001) and α<sub>axial</sub> (<i>p</i> &lt; 0.001) than H<sub>L</sub>. Strategy H<sub>L</sub> showed better trueness for V<sub>E</sub>(z) than for F<sub>L</sub> and S<sub>L</sub> (<i>p</i> = 0.001, <i>p</i> = 0.002). The scanning patterns F<sub>L</sub>, F<sub>C</sub>, and H<sub>L</sub> exhibited the best performance for trueness and precision.</p> Conclusions <p>Scanning motion and segmentation have a significant impact on the trueness and precision of full-arch scans.</p> Clinical relevance <p>The scanning strategy is decisive in enhancing the clinical workflow and the accuracy of full-arch scans.</p>

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Accuracy of full arch scans performed with nine different scanning patterns– an in vitro study

  • Kerstin Schlögl,
  • Jan-Frederik Güth,
  • Tobias Graf,
  • Christine Keul

摘要

Objective

Evaluation of the accuracy of direct digitization of maxillary scans depending on the scanning strategy.

Materials and methods

A maxillary model with a metal bar as a reference structure fixed between the second molars was digitized using the CEREC Primescan AC scanner (N = 225 scans). Nine scanning strategies were selected (n = 25 scans per strategy), differing in scan area segmentation (F = full jaw, H = half jaw, S = sextant) and scan movement pattern (L = linear, Z = zig-zag, C = combined). Trueness was assessed by evaluating linear differences in the X, Y, and Z axes and angular deviations (α axial, α coronal, α total) compared to a reference dataset. Statistical differences were analyzed using Kruskal-Wallis and Mann-Whitney U tests (p<0.017). Precision was analyzed by the standard deviation of linear and angular aberrations (ISO 5725-1) (p < 0.05).

Results

Strategy FL showed significantly higher trueness and precision than FZ for VE (p = 0.009), VE(y) (p = 0.010), αoverall (p = 0.004), and αaxial (p = 0.002). Strategy FC demonstrated significantly better trueness than FZ for VE (p = 0.007), αoverall (p = 0.010), and αcoronal (p = 0.013). For scan segmentation, FL showed better trueness for VE(y) (p = 0.001) and αaxial (p < 0.001) than HL. Strategy HL showed better trueness for VE(z) than for FL and SL (p = 0.001, p = 0.002). The scanning patterns FL, FC, and HL exhibited the best performance for trueness and precision.

Conclusions

Scanning motion and segmentation have a significant impact on the trueness and precision of full-arch scans.

Clinical relevance

The scanning strategy is decisive in enhancing the clinical workflow and the accuracy of full-arch scans.