scholarly journals Accuracy of Five Intraoral Scanners and Two Laboratory Scanners for a Complete Arch: A Comparative In Vitro Study

2019 ◽  
Vol 10 (1) ◽  
pp. 74 ◽  
Author(s):  
Byung-hyun Kang ◽  
Keunbada Son ◽  
Kyu-bok Lee

This study aims to evaluate the accuracy of five different intraoral scanners and two different laboratory scanners for a complete arch. A computer-aided design (CAD) reference model (CRM) was obtained using industrial scanners. A CAD test model (CTM) was obtained using five types of intraoral scanners (CS3500, CS3600, Trios2, Trios3, and i500) and two types of laboratory scanners (3shape E1 and DOF) (N = 20). In addition, the CRM and CTM were superimposed using a 3D inspection software (Geomagic control X; 3D Systems) and 3D analysis was performed. In the 3D analysis, the accuracy was measured by the type of tooth, the anterior and posterior region, and the overall region. As for the statistical analysis of the accuracy, the differences were confirmed using the Kruskal–Wallis H test (α = 0.05). Also, the differences between the groups were analyzed by post-hoc tests including Mann–Whitney U-test and Bonferroni correction method (α = 0.0017). There was a significant difference in the scanning accuracy of the complete arch according to the type of scanner (P < 0.001). The i500 Group showed the lowest accuracy (143 ± 69.6 µm), while the 3Shape E1 Group was the most accurate (14.3 ± 0.3 µm). Also, the accuracy was lower in the posterior region than in the anterior region in all types of scanners (P < 0.001). Scanning accuracy of the complete arch differed depending on the type of scanner. While three types of intraoral scanners (CS3500, CS3600, Trios3) can be recommended for scanning of a complete arch, the two remaining types of intraoral scanners (Trios2 and i500) cannot be recommended.

Materials ◽  
2020 ◽  
Vol 13 (7) ◽  
pp. 1744 ◽  
Author(s):  
Keunbada Son ◽  
Kyu-bok Lee

The purpose of this study was to evaluate the accuracy of dental three-dimensional (3D) scanners according to the types of teeth. A computer-aided design (CAD) reference model (CRM) was obtained by scanning the reference typodont model using a high-precision industrial scanner (Solutionix C500, MEDIT). In addition, a CAD test model (CTM) was obtained using seven types of dental 3D scanners (desktop scanners (E1 and DOF Freedom HD) and intraoral scanners (CS3500, CS3600, Trios2, Trios3, and i500)). The 3D inspection software (Geomagic control X, 3DSystems) was used to segment the CRM according to the types of teeth and to superimpose the CTM based on the segmented teeth. The 3D accuracy of the scanner was then analyzed according to the types of teeth. One-way analysis of variance (ANOVA) was used to compare the differences according to the types of teeth in statistical analysis, and the Tukey HSD test was used for post hoc testing (α = 0.05). Both desktop and intraoral scanners showed significant differences in accuracy according to the types of teeth (P < 0.001), and the accuracy of intraoral scanners tended to get worse from anterior to posterior. Therefore, when scanning a complete arch using an intraoral scanner, the clinician should consider the tendency for the accuracy to decrease from anterior to posterior.


2019 ◽  
Vol 9 (9) ◽  
pp. 1798 ◽  
Author(s):  
Son ◽  
Yu ◽  
Yoon ◽  
Lee

This study set out to compare the three-dimensional (3D) trueness of crowns produced from three types of lithium disilicate blocks. The working model was digitized, and single crowns (maxillary left second molar) were designed using computer-aided design (CAD) software. To produce a crown design model (CDM), a crown design file was extracted from the CAD software. In addition, using the CDM file and a milling machine (N = 20), three types of lithium disilicate blocks (e.max CAD, HASS Rosetta, and VITA Suprinity) were processed. To produce a crown scan model (CSM), the inner surface of each fabricated crown was digitized using a touch-probe scanner. In addition, using 3D inspection software, the CDM was partitioned (into marginal, axis, angular, and occlusal regions), the CDM and CSM were overlapped, and a 3D analysis was conducted. A Kruskal–Wallis test (α = 0.05) was conducted with all-segmented teeth with the root mean square (RMS), and they were analyzed using the Mann–Whitney U-test and the Bonferroni correction method as a post hoc test. There was a significant difference in the trueness of the crowns according to the type of lithium disilicate block (p < 0.001). The overall RMS value was at a maximum for e.max (42.9 ± 4.4 µm), followed by HASS (30.1 ± 9.0 µm) and then VITA (27.3 ± 7.9 µm). However, there was no significant difference between HASS and VITA (p = 0.541). There were significant differences in all regions inside the crown (p < 0.001). There was a significantly high trueness in the angular region inside the crown (p < 0.001). A correction could thus be applied in the CAD process, considering the differences in the trueness by the type of lithium disilicate block. In addition, to attain a crown with an excellent fit, it is necessary to provide a larger setting space for the angular region during the CAD process.


Author(s):  
Keunbada Son ◽  
Wan-Sun Lee ◽  
Kyu-Bok Lee

This in vitro study aimed to evaluate the 3D analysis for complete arch, half arch, and tooth preparation region by using four analysis software programs. The CAD reference model (CRM; N = 1 per region) and CAD test models (CTMs; N = 20 per software) of complete arch, half arch, and tooth preparation were obtained by using scanners. For both CRM and CTMs, mesh data other than the same area were deleted. For 3D analysis, four analysis software programs (Geomagic control X, GOM Inspect, Cloudcompare, and Materialise 3-matic) were used in the alignment of CRM and CTMs as well as in the 3D comparison. Root mean square (RMS) was regarded as the result of the 3D comparison. One-way analysis of variance and Tukey honestly significant difference tests were performed for statistical comparison of four analysis software programs (α = 0.05). In half-arch and tooth preparation region, the four analysis software programs showed a significant difference in RMS values (p < 0.001), but in complete-arch region, no significant difference was found among the four software programs (p = 0.139). As the area of the virtual cast for 3D analysis becomes smaller, variable results are obtained depending on the software program used, and the difference in results among software programs are not considered in the 3D analysis for complete-arch region.


2021 ◽  
Vol 11 (20) ◽  
pp. 9399
Author(s):  
Dong-Geun Lee ◽  
Keunbada Son ◽  
Kyu-Bok Lee

The purpose of this study was to evaluate the accuracy of intraoral scanners in 10 abutments (five premolars and five molars) obtained in a dental clinic and to analyze the impacts of the volume and area of abutments on scanning accuracy. Abutment casts were scanned five times with a 3D contact scanner (DS10; Renishaw plc). The five scan files were lined up and then merged, and one high-resolution computer-aided design reference model (CRM) was obtained. To obtain a computer-aided design test model (CTM), three types of intraoral scanners (CS3600 (Carestream Dental), i500 (Medit), and EZIS PO (DDS)) and one type of laboratory scanner (E1; 3Shape) were employed. Using 3D analysis software (Geomagic control X; 3D Systems), the accuracy of the scanners was evaluated, including optimal overlap by optimal alignment. The conformity of the overlapped data was calculated by the root mean square (RMS) value, using the 3D compare function for evaluation. As for statistical analysis, testing was conducted, using one-way and two-way ANOVA and the Tukey HSD test (α = 0.05) for the comparison of the groups. To analyze the correlations of the volume and area of the abutments with accuracy, Pearson’s correlation analysis was conducted (α = 0.00625). Both premolar and molar abutments showed a lower RMS value on the laboratory scanner than on the intraoral scanners, and the RMS value was lower in premolars than in molars (p < 0.001). In the intraoral scanner group, CS3600 showed the best accuracy (p < 0.001). There were significant positive correlations for the volume and area of the abutments with accuracy (p < 0.001). The type, volume, and area of the clinically applicable abutments may affect the accuracy of intraoral scanners; however, the scanners used in the present study showed a clinically acceptable accuracy range, regardless of the type of abutment.


2019 ◽  
Vol 9 (16) ◽  
pp. 3395
Author(s):  
Duk-Yeon Kim ◽  
Keunbada Son ◽  
Kyu-bok Lee

This study aimed to evaluate the correlation between the cutting efficiency and bur eccentricity of high-speed handpieces. The prepared lithium disilicate samples were digitized using a 3D model scanner (reference model, RM) (n = 45), and the lithium disilicate samples were cut using three high-speed handpieces. To evaluate the cutting efficiency, the cut lithium disilicate sample was digitized (cutting model, CM), and the RM and CM were superimposed using a 3D analysis software. Bur eccentricity of the high-speed handpieces was measured using dedicated equipment. Statistical analyses were performed using an analysis software. The statistical differences in pairwise comparisons (α = 0.05) were analyzed using the Kruskal–Wallis and post hoc tests. The S-max M600 obtained a cutting efficiency of 6.13 mm3. TG-98 and TRAUS ATN-400 showed similar efficiencies of 2.914 and 3.05 mm3, respectively. There was a significant difference in the cutting efficiency of the S-max M600 compared with TG-98 and TRAUS ATN-400 (p < 0.001). S-max M600 had an eccentricity of 3.507 µm. TG-98 and TRAUS ATN-400 had eccentricities of 5.99 and 7.767 µm, respectively. There were statistically significant differences in the eccentricity among all the high-speed handpieces (p < 0.001).


2021 ◽  
Vol 11 (2) ◽  
pp. 857
Author(s):  
Keunbada Son ◽  
Kyu-Bok Lee

The purpose of this in vitro study was to evaluate marginal and internal fits of ceramic crowns fabricated with chairside computer-aided design and manufacturing (CAD/CAM) systems. An experimental model based on ISO 12836:2015 was digitally scanned with different intraoral scanners (Omnicam (CEREC), EZIS PO (DDS), and CS3500 (Carestream)). Ceramic crowns were fabricated using the CAD/CAM process recommended by each system (CEREC, EZIS, and Carestream systems; N = 15). The 3-dimensional (3D) marginal and internal fit of each ceramic crown was measured using a 3D inspection software (Geomagic control X). Differences among the systems and various measurements were evaluated using the Kruskal–Wallis test. Statistically significant differences were validated using pairwise comparisons (α = 0.05). Occlusal gaps in the CEREC, EZIS, and Carestream groups were 113.0, 161.3, and 438.2 µm, respectively (p < 0.001). The axial gaps were 83.4, 78.0, and 107.9 µm, respectively. The marginal gaps were 77.8, 99.3, and 60.6 µm, respectively, and the whole gaps were 85.9, 107.3, and 214.0 µm, respectively. Significant differences were observed with the EZIS system compared with the other two systems in terms of the marginal gap sizes. The CEREC system showed no significant differences among the four measured regions. However, the EZIS and Carestream systems did show a statistically significant difference (p < 0.05). All three systems were judged to be capable of fabricating clinically acceptable prostheses, because the marginal gap, which is the most important factor in the marginal fit of prostheses, was recorded to be below 100 µm in all three systems.


Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 983
Author(s):  
Keunbada Son ◽  
Jung-Ho Lee ◽  
Kyu-Bok Lee

This study aimed to evaluate the intaglio surface trueness of interim dental crowns fabricated with three 3-dimensional (3D) printing and milling technologies. Dental crown was designated and assigned as a computer-aided design (CAD) reference model (CRM). Interim dental crowns were fabricated based on CRM using two types of 3D printer technologies (stereolithography apparatus and digital light processing) and one type of milling machine (n = 15 per technology). The fabricated interim dental crowns were obtained via 3D modeling of the intaglio surface using a laboratory scanner and designated as CAD test models (CTMs). The alignment and 3D comparison of CRM and CTM were performed based on the intaglio surface using a 3D inspection software program (Geomagic Control X). Statistical analysis was validated using one-way analysis of variance and Tukey HSD test (α = 0.05). There were significant differences in intaglio surface trueness between the three different fabrication technologies, and high trueness values were observed in the milling group (p < 0.05). In the milling group, there was a significant difference in trueness according to the location of the intaglio surface (p < 0.001). In the manufacturing process of interim dental crowns, 3D printing technologies showed superior and uniform manufacturing accuracy than milling technology.


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