上海口腔医学 ›› 2022, Vol. 31 ›› Issue (5): 512-516.doi: 10.19439/j.sjos.2022.05.012

• 论著 • 上一篇    下一篇

2种不同印模方法致上颌游离缺失端黏膜组织形变量差异分析

彭艳, 邬雪颖, 钟群, 房硕博, 叶页   

  1. 上海市口腔医院 修复科,上海市颅颌面发育与疾病重点实验室,上海 200001
  • 收稿日期:2022-05-12 修回日期:2022-08-03 出版日期:2022-10-25 发布日期:2022-11-01
  • 通讯作者: 邬雪颖,E-mail: xueyingwu_kq@fudan.edu.cn; 钟群,E-mail:zhongqun681115@qq.com。#共同通信作者
  • 作者简介:彭艳(1985-),女,硕士研究生,主治医师 ,E-mail:458049611@qq.com
  • 基金资助:
    上海市口腔医院临床研究创新团队建设项目(SSDC-2020-CXTD-B06)

Study of the morphological difference of upper jaw impressions taken by intra-oral digital scanning, functional impression technique

PENG Yan, WU Xue -ying, ZHONG Qun, FANG Shuo-bo, YE Ye   

  1. Department of Prosthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University; Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University. Shanghai 200001, China
  • Received:2022-05-12 Revised:2022-08-03 Online:2022-10-25 Published:2022-11-01

摘要: 目的: 比较光学印模与功能性印模技术制取的牙列缺损上颌模型致游离端黏膜组织形变量的差异。方法: 选取Kennedy第一类和第二类上颌牙列缺损患者各10例,分别使用光学印模和功能性印模技术为同一患者制取2个上颌模型。将功能性印模所翻制的石膏模型使用口外台式扫描仪获得的三维图像作为参照模型,在Geomagic Qualify 12 软件中,将同一患者的光学印模与功能性印模进行比对,得到偏差色谱图。采用 SPSS 20.0 软件包对数据进行统计学分析。结果: Kennedy第一类和Kennedy第二类缺牙组间的平均偏倚均方根差(Root Mean Square,RMS)无统计学差异(P>0.05);所有病例均呈现随着与末端基牙距离的增加,平均RMS随之上升的趋势。结论: 光学印模与功能性印模对上颌游离端缺牙区黏膜组织形变量的差异与缺牙类型无明显相关性,与游离缺牙区的长度呈现正相关趋势,需扩大样本量进一步验证。

关键词: 光学印模, 功能性印模, 牙列缺损, 末端游离

Abstract: PURPOSE: To compare the difference in distal-extension models taken by intra-oral digital scanning and functional impression technique. METHODS: Twenty patients with dentition defect in upper jaw, including 10 Kennedy Ⅰ defect and another 10 Kennedy Ⅱ defect, were chosen to treat with intraoral digital scanning and functional impression technique respectively. Laboratory cast scanner was used to scan the plaster casts made from the functional impression to obtain the three-dimensional data. All the data were stored in STL format. The 3D data collecting from intra-oral digital scanning and functional impression from the same patient were compared by Geomagic Qualify 12 software, and the trueness of the difference on free end morphology were analyzed. Paired t test was used to analyze the difference of the alveolar mucosa variable with SPSS 20.0 software package. RESULTS: There was no significant difference between the group of Kennedy I defect and Kennedy Ⅱ defect(P>0.05) regarding the two methods of impression. All the cases presented the tendency that with distance from distal teeth increasing, the average RMS also increased. CONCLUSIONS: Whether using intra-oral digital scanning or functional impression technique, the type of dentition defect was not obviously related to the difference of RMS in distal-extension tissues. In addition, there is positive correlation between the length of distal-extension edentulous area and difference of RMS, which needs further studies with more cases.

Key words: Intra-oral digital scanning, Functional impression, Dentition defect, Distal-extension

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