Influence of different palatal morphologies on the accuracy of intraoral scanning of the edentulous maxilla: A three-dimensional analysis.

Autor: Sorrentino R; Department of Neurosciences, Reproductive and Odontostomatological Sciences, Division of Prosthodontics, Scientific Unit of Digital Dentistry, University 'Federico II' of Naples, Naples, Italy., Ruggiero G; Department of Neurosciences, Reproductive and Odontostomatological Sciences, Division of Prosthodontics, Scientific Unit of Digital Dentistry, University 'Federico II' of Naples, Naples, Italy., Leone R; Department of Neurosciences, Reproductive and Odontostomatological Sciences, Division of Prosthodontics, Scientific Unit of Digital Dentistry, University 'Federico II' of Naples, Naples, Italy., Di Mauro MI; Department of Neurosciences, Reproductive and Odontostomatological Sciences, Division of Prosthodontics, Scientific Unit of Digital Dentistry, University 'Federico II' of Naples, Naples, Italy., Cagidiaco EF; Department of Prosthodontics and Dental Materials, School of Dentistry, University of Siena, Siena, Italy., Joda T; Center of Dental Medicine, Clinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland., Lo Russo L; Department of Clinical and Experimental Medicine, School of Dentistry, University of Foggia, Foggia, Italy., Zarone F; Department of Neurosciences, Reproductive and Odontostomatological Sciences, Division of Prosthodontics, Scientific Unit of Digital Dentistry, University 'Federico II' of Naples, Naples, Italy.
Jazyk: angličtina
Zdroj: Journal of prosthodontic research [J Prosthodont Res] 2024 Oct 16; Vol. 68 (4), pp. 634-642. Date of Electronic Publication: 2024 Jun 12.
DOI: 10.2186/jpr.JPR_D_23_00175
Abstrakt: Purpose: This study investigated the influence of different palatal morphologies on the accuracy of intraoral scanning (TRIOS 4) of edentulous maxillae.
Methods: Six typodonts were fabricated for different palatal morphologies with flat (F), medium (M), and deep (D) palates, with palatal wrinkles (W), or smooth palates (S), resulting in six groups: WF, WM, WD and SF, SM, SD. Ten scans were performed for each group; standard tessellation language files obtained were imported into a software to measure trueness and precision in micrometer. Trueness was calculated as the mean of the standard deviation values obtained by superimposing each scan onto the reference scan. Precision was achieved by overlapping each scan with that with the best trueness in the group. Descriptive and post-hoc analyses were conducted.
Results: The mean values for trueness were as follows: WM=48.7±4.7, WD=161.7±18.4, WF=85.9±16, SM=48.1±2.4, SD=349.9±8.8, and SF=349.1±25.5. The precision values were as follows: WM=46.7±7.3, WD=46.9±9, WF=48.9±6.7, SM=46±2.7, SD=105.9±17.4, SF=72.6±10.8. Significant differences were observed for trueness between SM and SD (P < 0.001), SM and SF (P < 0.001), and WF and SF (P = 0.003); whereas for precision, significant differences were reported between WD and SD (P = 0.015). Regarding trueness and precision, no difference was found between WM and SM (P = 1.0).
Conclusions: Medium palatal depth showed the best accuracy. The mean accuracy values were within the clinical acceptability thresholds for all palatal morphologies. The presence of rugae improved the precision of deeper palates and the trueness of flat palates. No differences were observed in the medium palates with or without rugae.
Databáze: MEDLINE