Browsing by Author "Tak, Onjen"
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Item Effect of Substrate Adjacent to the Scan Region on the Trueness of Four Intraoral Scanners: An in Vitro Study(2023) Elter, Bahar; Tak, Onjen; 0000-0002-8971-6819; 37778497Objectives: The purpose of this in vitro study was to evaluate the trueness of four commercially available intraoral scanners (IOSs) on scanning different substrates that existed in the adjacent proximal contact area.Methods: Four IOSs (TRIOS 4, TRIOS 3, Primescan, Omnicam) were used for scanning the intact enamel surface of a molar tooth, and six restorative materials (zirconia, lithium disilicate glass-ceramic, composite resin, hybrid ceramic, feldspathic ceramic, metal) that were located at the adjacent proximal contact area of the same tooth. Reference scans were obtained using an extraoral scanner (inEos X5). A 3-dimensional analyzing software (Geomagic Control X) was used to compare the reference and tested scans. The two-way analysis of variance (ANOVA) followed by Bonferroni correction was performed for statistical analyses (alpha=0.05).Results: TRIOS 3 and TRIOS 4 showed higher trueness than Primescan, and Primescan showed higher trueness than Omnicam (p<0.001), while there were no differences between TRIOS 3 and TRIOS 4. Metal showed significantly higher Root Mean Square values (0.273 +/- 0.24 mm) than other substrates. No difference was found between the scanners' zirconia, lithium disilicate glass-ceramic, composite, and feldspathic ceramic scans (p > 0.05). For the metal, TRIOS 3 and TRIOS 4 showed higher trueness than Primescan and Omnicam, while Omnicam showed lower trueness among all scanners. For the hybrid ceramic, TRIOS 3 showed higher trueness than Omnicam (p<0.001). For the enamel, TRIOS 3 showed higher trueness than Primescan and Omnicam (p<0.001).Conclusions: The trueness of IOSs can be affected by the substrates that exist in the proximal contact area. Amongst all, the metal substrate affected most the trueness of the IOSs.Clinical Significance: The clinician should decide on the impression system, taking into account that the IOS and the surfaces to be scanned affect the trueness of the digital data. The deviation of the digital impression would be high in the presence of a metal restoration on the adjacent proximal surface.Item The Trueness of An Intraoral Scanner in Scanning Different Post Space Depths(2022) Elter, Bahar; Diker, Burcu; Tak, Onjen; 0000-0002-8971-6819; 0000-0001-5367-9369; 36334784Objectives: The purpose of this in vitro study was to evaluate the trueness of scanning the post space up to 20 mm with an intraoral scanner (IOS).Methods: We captured 20-, 18-, 16-, 14-, 12-, and 10-mm length post space scans using an IOS (Primescan) eight times each by shortening the apical 2 mm end of the same mandibular canine tooth. The reference impressions of each length group were taken using a light-body polyvinyl siloxane impression material and were scanned with an extraoral scanner. The recorded standard tessellation language (STL) data of all impressions were uploaded to a 3D matching program for the trueness evaluation via the root mean square (RMS) calculation. For the statistical analysis, the Kruskal-Wallis and post-hoc Mann-Whitney U nonparametric tests were performed to compare the differences among the groups (alpha=0.05).Results: The median RMS values increased in direct proportion to the length of the post space from 10 mm (357.1 mu m) to 20 mm (897.5 mu m). We noted a significant difference among groups (p< 0.001). In the pairwise comparisons, there were no significant differences between the 14 mm and 16 mm groups (p=0.431) or between the 18 mm and 20 mm groups (p=0.036), while other paired groups showed significant differences (p=0.001). Conclusions: The scanned space depth affected the trueness of the IOS (Primescan). If the post depth was below 14 mm, and the minimum diameter was 2.2 mm, Primescan could be used for impressions of the post-core structure, simplifying the impression procedure.Clinical significance: IOS seems to be a promising technology for taking digital impressions of post spaces, but cannot be recommended as a routine procedure at its present stage, as final results are highly dependent on the clinical situation. Further studies with different IOS systems are needed to gain sound evidence.