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디지털 인상법과 전통적 인상법의 정확도 비교: 체계적 고찰

Comparison of the accuracy of digital impressions and traditional impressions: Systematic review

김선재|서권수|김경록
대한치과보철학회 (The Korean Academy Of Prosthodontics)|2018.07|대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)|제56권 제3호|pp. 258-268|DOI https://doi.org/10.4047/jkap.2018.56.3.258

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참고문헌

키워드

PrecisionAccuracy정확도정밀도Intraoral scanner충실도Digital impression구강 내 스캐너Trueness디지털인상
주제분류치의학

초록

목적: 본 연구는 보철물의 적합 및 인상의 정확성에 관한 문헌들을 체계적으로 고찰하여 구강 내 스캐너를 이용한 디지털 인상법이 전통적인 인상법을 대체할 만한 정확도를 보이는지 알아보고자 한다. 재료 및 방법: 1997년 8월 1일부터 2017년 7월 31일까지 출판된 영어로 쓰여진 연구를 대상으로 디지털 인상법의 정확성에 대한 문헌을 MEDLINE/PubMed 전자 검색 및 수기탐색을 시행하였다. 조건에 따라 선택된 연구의 데이터를 스프레드 시트에 2명의 검토자가 독립적으로 정리하였다. 결과: 총 35개의 연구가 선택되었고, 26개의 연구는 보철물의 적합성을 비교하였고 9개의 연구는 보철물 없이 스캔 데이터를 통해 인상의 정확성을 비교하였다. 대부분의 연구가 보철물을 이용해 인상법의 정확성을 비교하였다. 결론: 본 고찰에 따르면 자연치열에서 디지털 인상법으로 단일관이나 근원심으로 길이가 짧은 보철물을 제작하는 것은 임상적으로 충분히 신뢰할만한하다. 그러나 디지털 인상법으로 길이가 긴 보철물을 제작하는 것은 연구가 적어 아직 한계가 있다. 임플란트 보철물 제작에 있어서 구내스캐너를 이용한 디지털 인상법으로 전통적인 인상법을 완전히 대체하기는 아직 어렵다.

Abstract

Purpose: This study systematically examines literatures on the suitability of prostheses and accuracy of obtained impressions to see if digital impressions using intraoral scanners can replace traditional impressions. Materials and methods: A MEDLINE/PubMed search and manual search was performed for studies written in English about accuracy of digital impression published in dental journals from August 1, 1997, to July 31, 2017. Depending on criteria, the data for the selected articles were independently organized into standardized spreadsheets by 2 reviewers. Results: Among the total 35 studies met the inclusion criteria, there were 26 studies comparing the suitability of prostheses, and 9 studies comparing the accuracy of impressions through scan data without prostheses. Most studies used prostheses to compare the accuracy of impression techniques. Conclusion: This review suggests that making single crown or mesio-distally short prostheses with digital impressions is clinically reliable in natural teeth. However, there is still a limit to making mesio-distally long prostheses with digital impressions from the lack of related studies. Digital impression cannot fully replace traditional impressions in implant prostheses yet.

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