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      CBCT and Intra-Oral Scanner: The Advantages of 3D Technologies in Orthodontic Treatment

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          Abstract

          Background: The aim is to demonstrate the validity of the monitoring through intraoral scanner of the dental movements and the real impact, advantages, and convenience, in terms of treatment time and efficiency gain, to frequently monitor a patient with the scanner application. Methods: A movement control of palatally impacted canines was performed, surgically treated with laser opercolectomy. Three-dimensional models of the patient’s dental arch were obtained with intraoral scanner during a monitoring time of 4 months. The STL (Standard Triangle Language) files were superimposed with the 3D models extrapolated from the pre-operative CT (Computerized Tomography). The measurements of eruption, exposed palatal and vestibular areas, and distances between the canines and the incisors were performed, using digital technologies and with a digital caliber. Results: Descriptive and inferential statistical analysis of the data obtained from both conventional and digital monitoring has been realized and performing the T Student Test for paired data. Conclusion: The advantages of digital monitoring are numerous, like the possibility to reduce the error of method caused by manual measurement on plaster casts and the possibility to compare the pattern and amount of eruption of the canine in the same patient overtime.

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          Most cited references33

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          Comparison of digital and conventional impression techniques: evaluation of patients’ perception, treatment comfort, effectiveness and clinical outcomes

          Background The purpose of this study was to compare two impression techniques from the perspective of patient preferences and treatment comfort. Methods Twenty-four (12 male, 12 female) subjects who had no previous experience with either conventional or digital impression participated in this study. Conventional impressions of maxillary and mandibular dental arches were taken with a polyether impression material (Impregum, 3 M ESPE), and bite registrations were made with polysiloxane bite registration material (Futar D, Kettenbach). Two weeks later, digital impressions and bite scans were performed using an intra-oral scanner (CEREC Omnicam, Sirona). Immediately after the impressions were made, the subjects’ attitudes, preferences and perceptions towards impression techniques were evaluated using a standardized questionnaire. The perceived source of stress was evaluated using the State-Trait Anxiety Scale. Processing steps of the impression techniques (tray selection, working time etc.) were recorded in seconds. Statistical analyses were performed with the Wilcoxon Rank test, and p < 0.05 was considered significant. Results There were significant differences among the groups (p < 0.05) in terms of total working time and processing steps. Patients stated that digital impressions were more comfortable than conventional techniques. Conclusions Digital impressions resulted in a more time-efficient technique than conventional impressions. Patients preferred the digital impression technique rather than conventional techniques.
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            Accuracy of complete-arch dental impressions: a new method of measuring trueness and precision.

            A new approach to both 3-dimensional (3D) trueness and precision is necessary to assess the accuracy of intraoral digital impressions and compare them to conventionally acquired impressions.
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              Early treatment of palatally erupting maxillary canines by extraction of the primary canines.

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                16 December 2020
                December 2020
                : 17
                : 24
                : 9428
                Affiliations
                Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, via Caserta 6, 00161 Rome, Italy; martinahorodynski@ 123456gmail.com (M.H.); Adriana.destefano@ 123456uniroma1.it (A.D.S.); gaspare.palaia@ 123456uniroma1.it (G.P.); Antonella.polimeni@ 123456uniroma1.it (A.P.); umberto.romeo@ 123456uniroma1.it (U.R.); elisaguercio@ 123456hotmail.com (E.G.-M.); gabriella.galluccio@ 123456uniroma1.it (G.G.)
                Author notes
                Author information
                https://orcid.org/0000-0002-0660-4062
                https://orcid.org/0000-0001-5115-3582
                https://orcid.org/0000-0001-8509-2255
                https://orcid.org/0000-0002-2679-7607
                https://orcid.org/0000-0003-2439-2187
                https://orcid.org/0000-0002-6876-8839
                Article
                ijerph-17-09428
                10.3390/ijerph17249428
                7765620
                33339197
                d136f338-accf-41a7-a6c7-d5f3b28a0083
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 18 November 2020
                : 09 December 2020
                Categories
                Article

                Public health
                digital technologies,dental movement,intraoral scanner,plaster cast,impacted canines,laser,orthodontics movement

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