• The Journal of Korean Academy of Prosthodontics
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• v.59 no.3
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• pp.341-349
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• 2021

The evaluation of occlusion using digital methods is easier and simpler in terms of recording, comparison, analysis, and objectivity compared to existing methods such as articulating paper and occlusion foil. The purpose of this case report was utilizing the digital method for evaluating occlusion. The occlusion of patient requiring full veneer crown restoration was evaluated using an intraoral scanner (i500, Medit, Seoul, Korea) at every visit. The occlusion was also assessed using conventional articulating paper and a digital occlusal analysis system (Dental prescale II, GC corp., Tokyo, Japan) for comparison. Throughout the treatment process, the intraoral scanner and the conventional articulating paper method showed similar outcomes. The results suggest that the use of digital evaluation system is highly probable in the near future.

• The Journal of Advanced Prosthodontics
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• v.13 no.4
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• pp.205-215
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• 2021

PURPOSE. The purpose of this study was to compare the accuracy of three intraoral scanner (IOS) systems with three different dental arch widths. MATERIALS AND METHODS. Three dental models with different intermolar widths (small, medium, and large) were attached to metal bars of different lengths (30, 40, and 50 mm). The bars were measured with a coordinate measuring machine and used as references. Three IOSs were compared: TRIOS 3 (TRI), True Definition (TD), and Dental Wings (DW). The relative length and angular deviation of both ends of the metal bars from the scan data set (n = 15) were calculated and analyzed. RESULTS. Comparing among scanners in terms of trueness, the relative length deviation of DW in the small (1.28%) and medium (1.08%) arches were significantly higher than TRI (0.46% and 0.48%) and TD (0.33% and 0.18%). The angular deviation of DW in the small (1.75°) and medium (1.83°) arches were also significantly greater than TRI (0.63° and 0.40°) and TD (0.55° and 0.89°). Comparing within scanner, the large arch of DW showed better accuracy than other arch sizes (P < .05). On the other hand, the larger arch of TD presented a greater tendency of angular deviation in terms of trueness. No significant differences were found in terms of trueness between the arch widths of TRI group. CONCLUSION. The different widths of the dental arches can affect the accuracy of some intraoral scanners in full arch scan.

• The Journal of Advanced Prosthodontics
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• v.14 no.6
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• pp.388-398
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• 2022

PURPOSE. This in vitro study aimed to evaluate the accuracy of 14 different intraoral scanners for the All-on-4 treatment concept. MATERIALS AND METHODS. Four implants were placed in regions 13, 16, 23, and 26 of an edentulous maxillary model that was poured with scannable Type 4 gypsum to imitate the All-on-4 concept. The cast was scanned 10 times for each of 14 intraoral scanners (Primescan, iTero 2, iTero 5D, Virtuo Vivo, Trios 3, Trios 4, CS3600, CS3700, Emerald, Emerald S, Medit i500, BenQ BIS-I, Heron IOS, and Aadva IOS 100P) after the polyether ether ketone scanbody was placed. For the control group, the gypsum model was scanned 10 times with an industrial scanner. The first of the 10 virtual models obtained from the industrial model was chosen as the reference model. For trueness, the data of the 14 dental scanners were superimposed with the reference model; for precision, the data of all 14 scanners were superimposed within the groups. Statistical analyses were performed using the Kolmogorov-Smirnov, Shapiro-Wilks, and Dunn's tests. RESULTS. Primescan showed the highest trueness and precision values (P < .005), followed by the iTero 5D scanner (P < .005). CONCLUSION. Some of these digital scanners can be used to make impressions within the All-on-4 concept. However, the possibility of data loss due to artifacts, reflections, and the inability to combine the data should be considered.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.46 no.3
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• pp.1-6
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• 2023

In the realm of dental prosthesis fabrication, obtaining accurate impressions has historically been a challenging and inefficient process, often hindered by hygiene concerns and patient discomfort. Addressing these limitations, Company D recently introduced a cutting-edge solution by harnessing the potential of intraoral scan images to create 3D dental models. However, the complexity of these scan images, encompassing not only teeth and gums but also the palate, tongue, and other structures, posed a new set of challenges. In response, we propose a sophisticated real-time image segmentation algorithm that selectively extracts pertinent data, specifically focusing on teeth and gums, from oral scan images obtained through Company D's oral scanner for 3D model generation. A key challenge we tackled was the detection of the intricate molar regions, common in dental imaging, which we effectively addressed through intelligent data augmentation for enhanced training. By placing significant emphasis on both accuracy and speed, critical factors for real-time intraoral scanning, our proposed algorithm demonstrated exceptional performance, boasting an impressive accuracy rate of 0.91 and an unrivaled FPS of 92.4. Compared to existing algorithms, our solution exhibited superior outcomes when integrated into Company D's oral scanner. This algorithm is scheduled for deployment and commercialization within Company D's intraoral scanner.

• The Journal of Korean Academy of Prosthodontics
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• v.59 no.1
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• pp.79-87
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• 2021

The digital workflow of optical impressions by the intraoral scanner and CADCAM manufacture of dental prostheses is actively developing. The complex process of traditional impression taking, definite cast fabrication, wax pattern making, and casting has been shortened, and the number of patient's visits can also be reduced. Advances in intraoral scanner technology have increased the precision and accuracy of optical impression, and its indication is progressively widened toward the long span fixed dental prosthesis. This case report describes the long span implant case, and the operator fully utilized digital workflow such as computer-guided implant surgical template and CAD-CAM produced restoration after the digital impression. The provisional restoration and customized abutments were prepared with the optical impression taken on the same day of implant surgery. Moreover, the final prosthesis was fabricated with the digital scan while utilizing the same customized abutment from the provisional restoration. During the data acquisition step, stl data of customized abutments, previously scanned at the time of provisional restoration delivery, were imported and automatically aligned with digital impression data using an 'A.I. abutment matching algorithm' the intraoral scanner software. By using this algorithm, it was possible to obtain the subgingival margin without the gingival retraction or abutment removal. Using the digital intraoral scanner's advanced functions, the operator could shorten the total treatment time. So that both the patient and the clinician could experience convenient and effective treatment, and it was possible to manufacture a prosthesis with predictability.

• Journal of Korean Academy of Dental Administration
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• v.10 no.1
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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.

• The Journal of Advanced Prosthodontics
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• v.13 no.2
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• pp.107-116
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• 2021

PURPOSE. Several studies focused on the accuracy of intra-oral scanners in implant dentistry, but the data of inter-implant distances were not widely mentioned. Therefore, this study aimed to evaluate the effect of distance between two implants on the surface distortion of scanned models generated by intra-oral scanners. MATERIALS AND METHODS. Three models with the distances between two fixed scan bodies of 7, 14, and 21 mm were fabricated and scanned with a highly precise D900L dental laboratory scanner as reference models. Fifteen scans were performed with TRIOS3 and CEREC Omnicam intra-oral scanners. Trueness, precision, and angle deviation of the test models were analyzed (α=.05). RESULTS. There was a significant difference among inter-implant distances in both intraoral scanners (P<.001). The error of trueness and precision increased with the increasing inter-implant length, while the angle deviation did not show the same trend. A significant difference in the angle deviation was found among the inter-implant distance. The greatest angle deviation was reported in the 14-mm group of both scanners (P<.05). In contrast, the lowest angle deviation in the 21-mm group of the TR scanner and the 7-mm of the CR scanner was reported (P<.001). CONCLUSION. The inter-implant distance affected the accuracy of intra-oral scanner. The error of trueness and precision increased along with the increasing distance between two implants. However, the distortions were not clinically significant. Regarding angle deviation, the clinically significant angle deviation may be possible when using intra-oral scanners in the partially edentulous arch.

• Journal of Korean Dental Science
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• v.15 no.1
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• pp.61-67
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• 2022

Purpose: This study aimed to evaluate the accuracy of bite registration using intraoral scanner based on data trimming strategy for fremitus teeth. Materials and Methods: A reference model was designed by Medit Model Builder software (MEDIT Corp., Seoul). Tooth number 24 and 25 were separated as dies and tooth number 26 was prepared for full-coverage crown. Those were printed using a 3D printer (NextDent 5100). The scanning procedure was performed by a single trained operator with one intraoral scanner (i700; MEDIT Corp.). The scanning groups were divided as follows: group 1 (G1), no fremitus; group 2 (G2), 0.5 mm buccal fremitus in the maxillary left first and second premolar; and group 3 (G3), 1.5 mm buccal fremitus in the maxillary left first and second premolar. Each group was scanned 10 times and were analyzed using the reference model data. Surface-based occlusal clearance was analyzed at the prepared tooth to evaluate accuracy. Result: Mean values of control group (G1) were 1.587±0.021 mm. G2 showed similar values to those from the control group (1.580±0.024 mm before trimming strategy and 1.588±0.052 mm after trimming strategy). G3 showed significantly greater values (1.627±0.025 mm before trimming strategy and 1.590±0.024 mm after trimming strategy) and the differences were found between trimming strategy (P=0.004). Conclusion: Bite trimming strategy for fremitus teeth is a reliable technique to reduce inaccuracies caused by the mobility at maximum intercuspation.

• Korean Journal of Computational Design and Engineering
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• v.21 no.3
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• pp.296-305
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• 2016

This paper proposes a framework to automatically align Dental range image captured by depth sensors like the Microsoft Kinect. Aligning dental images by intraoral scanning technology is a difficult problem for applications requiring accurate model of dental-scan datasets with efficiency in computation time. The most important thing in dental scanning system is accuracy of the dental prosthesis. Previous approaches in intraoral scanning uses a Z-buffer ICP algorithm for fast registration, but it is relatively not accurate and it may cause cumulative errors. This paper proposes additional Alignment using the rough result comes after intraoral scanning alignment. It requires that Each Depth Image of the total set shares some overlap with at least one other Depth image. This research implements the automatically additional alignment system that aligns all depth images into Completed model by computing a network of pairwise registrations. The order of the each individual transformation is derived from a global network and AABB box overlap detection methods.

• Journal of Korean Dental Science
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• v.15 no.1
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• pp.1-8
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• 2022

Purpose: Intraoral scanners, desktop scanners, and cone-beam computed tomography (CBCT) are being used in a complementary way for diagnosis and treatment planning. Limited patient-based results are available about dimensional reproducibility among different three-dimensional imaging systems. This study aimed to evaluate dimensional reproducibility among patient-derived digital models created from an intraoral scanner, desktop scanner, and two CBCT systems. Materials and Methods: Twenty-nine arches from sixteen patients who were candidates for implant treatments were enrolled. Different types of CBCT systems (KCT and VCT) were used before and after the surgery. Polyvinylsiloxane impressions were taken on the enrolled arches after the healing period. Gypsum casts were fabricated and scanned with an intraoral scanner (CIOS) and desktop scanner (MDS). Four test groups of digital models, each from CIOS, MDS, KCT, and VCT, respectively, were compared to the reference gypsum cast group. For comparison of linear measurements, intercanine and intermolar widths and left and right canine to molar lengths were measured on individual gypsum cast and digital models. All measurements were triplicated, and the averages were used for statistics. Bland-Altman plots were drawn to assess the degree of agreement between each test group with the reference gypsum cast group. A linear mixed model was used to analyze the fixed effect of the test groups compared to the reference group (α=0.05). Result: The Bland-Altman plots showed that the bias of each test group was -0.07 mm for CIOS, -0.07 mm for MDS, -0.21 mm for VCT, and -0.25 mm for KCT. The linear mixed model did not show significant differences between the test and reference groups (P>0.05). Conclusion: The linear distances measured on the digital models created from CIOS, MDS, and two CBCT systems showed slightly larger than the references but clinically acceptable reproducibility for diagnosis and treatment planning.