• 한국융합학회논문지
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• 제9권7호
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• pp.135-140
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• 2018

본 연구는 디지털 구강스캐너 사용 경험에 따른 치과위생사의 인지도 및 선호도에 대한 변화를 융합연구를 통해 파악하고자 하였으며, 부산광역시와 경상 남 북도 지역의 치과위생사를 대상으로 온라인 설문에 의해 수집된 자료를 SPSS 24.0 프로그램을 통해 분석하였다. 디지털 구강스캐너 사용경험이 있을수록 디지털 구강스캐너의 인지도와 선호도가 유의하게 높게 나타났으며, 디지털 구강스캐너 사용경험은 디지털 구강스캐너 임상적용 경험과 디지털 구강스캐너 임상적용 경험은 디지털 구강스캐너 인지도와 디지털 구강스캐너의 인지도는 디지털 구강스캐너의 선호도와 정적 상관이 나타났다. 결국 치과위생사의 디지털 구강스캐너 임상적용 경험이 있을수록 그 인지도 및 선호도가 높아져 치과위생사의 업무 능력이 향상될 것으로 기대됨에 따라 디지털 구강스캐너 관련 지속적인 교육과 학습이 필요하다고 판단된다.

• The Journal of Advanced Prosthodontics
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• 제15권6호
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• pp.315-332
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• 2023

PURPOSE. This study aimed to investigate whether the accuracy of intraoral scanners is influenced by different scanning strategies in an in vitro setting, through a systematic review and meta-analysis. MATERIALS AND METHODS. This review was conducted in accordance with the PRISMA 2020 standard. The following PICOS approach was used: population, tooth impressions; intervention, the use of intraoral scanners with scanning strategies different from the manufacturer's instructions; control, the use of intraoral scanners following the manufacturers' requirements; outcome, accuracy of intraoral scanners; type of studies, in vitro. A comprehensive literature search was conducted across various databases including Embase, SciELO, PubMed, Scopus, and Web of Science. The inclusion criteria were based on in vitro studies that reported the accuracy of digital impressions using intraoral scanners. Analysis was performed using Review Manager software (version 5.3.5; Cochrane Collaboration, Copenhagen, Denmark). Global comparisons were made using a standardized mean difference based on random-effect models, with a significance level of α = 0.05. RESULTS. The meta-analysis included 15 articles. Digital impression accuracy significantly improved under dry conditions (P < 0.001). Moreover, trueness and precision were enhanced when artificial landmarks were used (P ≤ 0.02) and when an S-shaped pattern was followed (P ≤ 0.01). However, the type of light used did not have a significant impact on the accuracy of the digital intraoral scanners (P ≥ 0.16). CONCLUSION. The accuracy of digital intraoral scanners can be enhanced by employing scanning processes using artificial landmarks and digital impressions under dry conditions.

• Restorative Dentistry and Endodontics
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• 제27권2호
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• pp.113-121
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• 2002

Conventional intraoral radiography continues to be the most widely used image modality for the diagnosis of dental caries. But, conventional intraoral radiography has several shortcomings, including the difficulty of exposing and processing intraoral film of consistently acceptable quality. In addition, radiographic retaking that was the result of processing errors, may result in increased discomfort and radiation dose to the patient. Recently, various digital radiographies substitute for conventional intraoral radiography to overcome these disadvantages. The advantages of digital radiography are numerous. One of advantages Is the elimination of processing errors. In addition, the radiation dose for digital system is approximately 20% to 25% of that required for conventional intraoral radiography Another potential advantage of digital imaging is the ability to perform image quality enhancements such as contrast and density modulation, which may increase diagnostic accuracy. The purpose of this study was to compare the diagnostic ability of artificial proximal defects to conventional intraoral radiography, direct digital image(CDX2000HQ$^{\circledR}$) and indirect digital image(Digora$^{\circledR}$). Artificial defects were made in proximal surfaces of 60 extracted human molars using #1/2, #1, #2 round bur. Five dentists assessed proximal defects on conventional intraoral radiography, direct digital image(CDX2000HQ$^{\circledR}$) and indirect digital image(Digora$^{\circledR}$). ROC(Receiver Operating Characteristic) analysis and Two-way ANOVA test were used for the evaluation of detectability, and following results were acquired. 1. The mean ROC area of conventional intraoral radiography, direct digital image(CDX2000HQ$^{\circledR}$) and indirect digital Image(Digora$^{\circledR}$) were 0.6766, 0.7538, 0.6791(Grade I), 0.7176, 0.7594, 0.7361(Grade II), and 0.7449, 0.7608, 0.7414(Grade III), respectively. 2. Diagnostic ability of direct digital image was higher than other image modalities. But, there was no statistically significant difference among other imaging modalities for Grade I, II, III lesion(p>0.05). In conclusion, when direct and indirect digital system are comparable with conventional intraoral radiography. these systems may be considered an alternative of conventional intraoral radiography for the diagnosis of proximal surface caries.

• 대한치과의사협회지
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• 제57권9호
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• pp.524-528
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• 2019

With the advances of CAD-CAM (computer-aided design and computer-aided manufacturing) technology, the field of modern clinical dentistry has been dramatically changed. The first step in the digital workflow for tooth-supported dental prosthesis is a data acquisition with intraoral digital or conventional impression techniques. For the accuracy of intraoral digital impression data, the basic principles of conventional impression should be applied. It is necessary to obtain a good visibility with properly-dried field and well-exposed margin of the prepared abutment. Currently, the equi- or supra-gingival finish line can be recommended as an indication for intraoral digital impression. The scan data are generally exported to '.stl' file format, which has only morphological information of black and whitem while '.obj' file format can store data on color and texture.

• 대한치과의사협회지
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• 제52권6호
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• pp.354-362
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• 2014

With the development of digital dentistry, various intra-oral scanners which acquire intraoral image without conventional impression taking and stone pouring steps have been introduced. Fixed dental prostheses such as inlay, onlay, crown, and bridge fabricated by CAD/CAM technique combined with digital impressions is getting popular due to the recent rapid progress of digital impression taking system. In comparison with traditional prosthetic procedure, the advantages of intraoral image acquiring and CAD/CAM technique are as follows; the omission of conventional impression materials, reduced workflow step, and increased efficiency by online communication with clinic and laboratory. This review article covers some opinions about the suitable scanning procedures for the various prosthodontic treatments and the utilization of digital intraoral scanner and CAD/CAM system.

• 대한치과의료관리학회지
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• 제10권1호
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• pp.84-92
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• 2022

Impression taking is one of the most frequently performed tasks within the legal scope of dental hygienists. This study aims to compare traditional impression and digital impression taking in various aspects with dental hygienists who have experience using digital intraoral scanners. A total of 61 subjects were included in this analysis. Traditional and digital impression taking were compared, and the perception of intraoral scanners was classified into four factors through exploratory factor analysis. After a normality test of the main variables was performed, a non-parametric test was performed. In terms of the adequacy of the size of the tool inserted into the oral cavity, traditional impression taking was more positive, and there was no significant difference in the precision of impression taking, fit of the prosthesis, and time efficiency. In contrast, the digital intraoral scanner was positive in terms of reducing nausea. In the comparison between the items of the digital intraoral scanner, relatively low satisfaction was shown in terms of convenience of use. This study compared traditional impression taking based on the experience of dental hygienists using oral scanners. It is hoped that this will be one step closer to universalization. In addition, appropriate training on how to use them should be provided.

• 한국치위생학회지
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• 제19권1호
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• pp.33-44
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• 2019

Objectives: To investigate how dental hygienists who have never used a digital oral scanner perceive the impression acquisition and evidence needed for prosthesis planning by using a digital oral scanner. Methods: From July 1, 2017 to December 31, 2017, subjects from Daegu, Gyeongsangbuk-do, Korea, were selected. The purpose of the study was described to dental hygienists who had never used a digital intraoral scanner. Questionnaires were distributed to the students selected. Of the 137 questionnaires distributed, 93 were used in the analysis after excluding 44 completed questionnaires that had errors or missing answers. Results: Of the respondents, 33.7% (36/93) were aged ${\geq}30$ years, 68.8% graduated from a 3-year vocational college course, 33.5% were aged ${\geq}33$ years, and 61.3%. At present, our center has the largest number of clinics (92.5%). The difficulty of impression taking using the digital oral scanner significantly differed (p<0.05) according to age and current occupation (p<0.05). Impression taking using a digital oral scanner significantly affected the present workflow of dental hygienists and their interest in sharing information about future use of digital oral scanner (p<0.01). Conclusions: If more routes are available to access digital intraoral scanners and more systems are developed for clinical use, the digital intraoral scanner could become digitized in the dental system; thereby, the existing impressions could be replaced with digitized impressions. With digital intraoral scanners, the expansion of the business of dental hygiene can be expected.

• 한국융합학회논문지
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• 제9권5호
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• pp.69-75
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• 2018

본연구의 목적은 치과위생사의 디지털 구강스캐너 사용에 따른 체계적이고 융합적인 교육 요구도를 조사한 것이다. 치과 병 의원의 치과위생사를 대상으로 온라인 설문을 하여 응답한 127명의 수집된 자료를 SPSS 24.0 프로그램을 통해 빈도분석, t-test, one way ANOVA, 상관관계를 사용하여 산출하였다. 병원 내 디지털 구강스캐너 활용기간은 '1년 미만' 78.7%, 관련 교육경험 유무는 '없다'가 58.3%로 높게 나왔으며, 디지털 구강스캐너 임상활용은 77.4%가 사용하고 있다고 응답하였고, 디지털 구강스캐너 교육과 관련하여 61.4%가 교육이 필요하다고 응답하였다. 이러한 결과는 디지털 구강스캐너가 빠르게 치과 병 의원에 도입되고는 있으나, 체계적인 교육은 이루어지지 않고 있다는 것을 반영하고, 이에 본 논문은 디지털 구강스캐너의 교육 필요성이 인지되는 기본 자료로 연구결과가 활용되기를 기대한다.

• 대한치과기공학회지
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• 제42권1호
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• pp.17-25
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• 2020

Purpose: The purpose of this study was to evaluate and compare the accuracy of definitive casts that are fabricated from digital intraoral impression and conventional impression technique. Methods: A master model(ANNA-4, Frasaco GmbH, Tettnang, Germany) with the prepared upper full arch tooth was used. Conventional impression and then stone model(n=10) were produced from this master model, and on the other hands, digital impressions were made with the CS-3600 intraoral scanner(n=10). Six linear measurements were recorded between landmarks, directly on each of the stone models on two occasions by a single examiner. Measurements were made with a digital caliper to the nearest 0.01mm from manual models and with the software(Delcam PowerSHAPE) from the virtual models. The t-student test for paired samples and intraclass correlation coefficient(ICC) were used for statistical analysis. Results: The measurement of two methods showed good reliability. The ICC of the two models were 0.88~0.91(stone model) and 0.94~0.99(digital model). The mean differences to master model for stone model and digital model were 0.10~0.14mm, and 0.14~0.20mm, respectively. Conclusion: The definitive casts obtained with digital intraoral technique model had significantly larger dimensions as compared to those of the stone model. However, the differences to the master model detected appear to provide enough accuracy and reliability for clinical application.

• 대한치과보철학회지
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• 제59권3호
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• pp.341-349
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• 2021

디지털 방식을 이용한 교합평가는 종래의 방식인 교합지와 occlusion foil 등에 비해 기록, 비교, 분석 등이 쉽고 간편하며 객관적 이라는 장점이 있다. 이에 본 증례보고에서는 교합평가에 디지털 기술을 활용하고자 단일 전장관 수복이 필요한 환자에서 구강스캐너(i500, Medit, Seoul, Korea)를 이용하여 매 내원시 교합을 평가하였으며, 비교를 위하여 교합지를 이용한 교합관계 확인과 디지털 교합분석장비(Dental prescale II, GC corporation, Tokyo, Japan)를 이용하여 교합관계를 평가하였다. 치료과정에서 구강스캐너를 이용한 방법과 기존의 교합지를 이용한 방법이 유사한 결과를 보여 향후 임상적으로 유용하게 사용될 수 있을 것으로 사료되었다.