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Dental 3D Scanning - a New Age Revolution

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This article explores how beneficial 3D scanning has been and its future scope in dentistry that would suit the convenience of both the operator and the patient.

Medically reviewed by

Dr. Sneha Kannan

Published At February 1, 2021
Reviewed AtAugust 3, 2023

Introduction:

Dental laboratories are usually involved in customizing crowns, bridges, and implants after the dentists take a manual or scanned impression of the patient's teeth. But that is not all! The 3D scanner that the labs use has several additive manufacturing technologies. The extensive applications for dental purposes include creating 3D models, patient guide drills for implants, and storing patient data in a 3D format that can be quickly retrieved to produce dental molds, tools, and products as and when required.

What Is 3D Scanning?

This is a technology used to convert a physical model into a digital 3D computer file, also known as CAD files (Computer-Aided Design). Your dentist usually takes advantage of this digital output technique for faster fabrication and design for customizing teeth, dentures, braces, and aligners (orthodontic treatment), veneers, and crowns. The digital output created by the lab technician is in accordance with patient data. It is as instructed by the dental surgeon that produces customized parts by manufacturing them through Additive Manufacturing technologies (AM technologies). The customized part is designed and usually printed or fabricated according to the anatomy of the teeth in question so that the patient is saved a lot of time at the dentist's office.

Steps to Create a 3D Dental Model:

  1. Developing a physical model for input purposes like the teeth and jaws prior to 3D scanning.
  2. 3D scanning of the jaw or teeth in multiple directions as per the output to be designed.
  3. Exporting the data of different image formats and converting it to a single output file (usually the STL format).
  4. Editing the data - Any edits or modifications to suit the convenience of the patient.
  5. 3D printing - Solid fabrication of the output layer by layer from the 3D scanned and edited patient data.
  6. Quality inspection and surface finishing - The final procedure in the dental model's manufacturing is checking for a quality finish and smooth surface. This has to be thoroughly inspected both by the lab technician and the surgeon before implementing its fit in the patient's mouth. Apart from surface smoothness and checking for any manufacturing defects, it is important to verify the final condition of the scanned model for strength and stress-bearing capacity.

What Is the Application of 3D Scanning in Dentistry?

1) Designing Dentures, Bridges, and Implants

This is currently the foremost application of dental scanners. 3D scanners are used to perfectly recreate dental devices by replicating the patient's jaw and teeth in three-dimensional structure for a perfect prosthetic fit in the oral cavity. For example, a denture or a single crown would match the original dimension of an earlier prosthesis or be created afresh by scanning the patient's jaw. In the field of dental implantology, the drill guide sequence adopted varies from patient to patient dimensionally, and yet again, the digitization here is a boon. This digital dentistry approach is greatly useful for dental practitioners because it replaces the traditional time-consuming technique of pouring the plaster model of the patient's mouth and then using that model for dental crown or bridge or device construction. A prosthesis manufactured by 3D technology also gives the patient the best fit model of teeth, ceramic crowns, or maxillofacial prosthesis.

2) Storage and Upgrade of Patient Data, Tools, and Equipment

An innovative and up-to-date dental practice is possible by upgrading patient's data in a long-lasting digital format so that quick retrieval of information is possible. An upgrade of tools and equipment is also easily achievable, especially for modifying dental implants.

3) Restoring and Correcting Old Parts or Devices

Alignment and accurate manufacturing of the dental device is by restoring and correcting at an early stage. Here, final corrections are made before the manufacturing is complete.

4) Education and Training

3D models designing serve a great purpose for aspiring dental and medical professionals or students to better understand the internal and external anatomy of the head and neck compared to simple 2D illustrated pictures. Apart from educational purposes, designing toothbrushes, flossers, or oral mouth shapes for patient demonstration is another innovative benefit that has recently come to light in the pharmaceutical market. Nowadays one can view teeth on the computer screen and manipulate them freely in 3D on different devices, which further facilitates communication with a patient.

5) Surgical Planning

A 3D model, if produced for the sake of pre-surgical review (before any dental surgery or implantation), provides better planning by the operator, reduces operation time, and reduces surgical risks. The surgeon finds it thus easier to predict the problem and understand better when surgical procedures are more complicated.

What IS the Principle of 3D Scanning?

A 3D scanning device works on a principle very similar to that of a camera wherein multiple images are combined to form a digital 3D model that includes several advantages like quick scanning, subsequent CAD files modeling, high-end compatibility with software analysis, and easy printing through high-end lab units (which happens in dental labs for manufacturing crowns, bridges, implants, and orthodontic devices), all of which can improve patient outcomes, the aesthetic value of the end result (dental device), and overall reliability of the process.

What Is the Future Scope of 3D Scanning?

Apart from dentistry, the same principle and methods are employed in various fields of engineering and medicine. Digitizing medicine and dentistry would prove beneficial both for the doctor and the patient as it improves the reliability of the outcome best suited to the patient's convenience and the doctor's operating or in-clinic time. The complexity of data variation that usually varies from one dentist to the other can be prevented by simple digital customization of patient data that holds true for all present records of the patient and will be useful in long term treatment planning if the patient's problem persists at any other future point of time. This non-contact technology utilized by 3D scanners can provide the best training for quality medical education. AM technologies are also beneficial in printing data in less time and cost.

Conclusion:

To conclude thus, 3D scanning, hitherto a part of industrial sciences, arts, defense, and aerospace, is now proving to be equally effective and less time consuming, especially in the fields of medicine and dentistry. It saves both the operator and patient a lot of time in the dental office and improves basic patient compliance. Through the advance of medical devices such as intraoral scanner quality of life in patients can be improved. Research and potential in this field is an evolving science that can improve the scope and quality content produced by the lab for dental surgeons resulting in patient-compliant devices and techniques.

Frequently Asked Questions

1.

How Long Does a Dental Three-Dimensional Scan Take?

A three-dimensional dental scan is a painless procedure that takes approximately 20 to 40 seconds. A three-dimensional dental X-ray can capture all images from different angles in a single orbit, taking about 10 seconds for a regional scan or 20 to 40 seconds for a full mouth X-ray.

2.

What Is a Three-dimensional Dental Scan?

A three dimension scan is a machine that captures images of the teeth and head using powerful digital processing software to create a three-dimensional image that enables precise diagnosis and treatment planning.

3.

How Much Does a 3D Dental Scan Cost?

Depending on the type of three-dimensional scanning being done, the size and complexity of the component used for scanning ultimately determine the pricing.

4.

How to Get the Best 3D Scan Results?

There are three steps for getting the best three-dimensional scans, and they are:
- Stable Environment - Ensure a stable environment is chosen for installing the three-dimensional scanner. 
- Calibrating the Scanner For Accuracy - Calibration is important for a three-dimensional scanner, as it needs to be calibrated to produce accurate three-dimensional scans. The calibration procedure helps the scanner determine the location, rotation, and behavior of the three-dimensional scanning apparatus (such as cameras and projectors) with respect to the scanned object.
- Capture Various Angles -  Single three-dimensional scans of the object should be captured from various angles, and these scans should eventually be combined and aligned during post-processing. To ensure proper alignment, each scan must have common features to provide adequate coverage.

5.

How to Prepare for a 3D Scan?

There is no special preparation needed for the procedure. Still, patients may be asked to remove all the jewelry or clothing with metal attachments and also remove any attachments from the head and neck, including hairpins, glasses, hearing aids, and other items.

6.

What to Wear for a 3D Scan?

Wear form-fitting apparel, such as sports innerwear and spandex-style workout shorts, boxer briefs, or other items, for accurate three-dimensional body Scanning measurements. Yoga pants are not acceptable. Attempt to wear the same outfit each time scan as well.

7.

Is a Dental 3D Dental Scan important?

Using three dimension dental X-rays for treatment planning, dentists can evaluate the condition of the underlying bone. Before starting the procedure, it is essential to arrange for the placement of dental implants to ensure there is enough jawbone. It also helps to determine the size and position of lesions and breaks.

8.

Are 3D Dental Scans Safe?

Yes, a three-dimensional dental scan is secure. The patient's exposure to radiation is minimal during a speedier process that involves taking a camera image of the entire head while standing.

9.

Is 3D Scan and CT Scan the Same?

In a three-dimensional scanner, the three-dimensional models are directly formed, whereas, using a computed tomography scanner, the three-dimensional models are indirectly created through calculations after scanning. Slice models created by a computed tomography scanner are then joined together.

10.

Is a 3D Scan Required for a Root Canal?

Root canal therapy is extremely difficult since many teeth have complicated root structures. In order to better understand the anatomy of the tooth and plan the procedure, the dentist can examine the tooth in three-dimensional scans before starting. It may result in a good clinical outcome.

11.

How Much Radiation Does a 3D Dental Scan Generate?

A digital X-ray uses less radiation to obtain a high-resolution image than conventional X-rays. Depending on the film, camera, and image captured, it could be a 90 % reduction in exposure. A typical daily dosage of radiation in daily life is 0.005 mSv (millisieverts), which is the quantity of radiation present overall.

12.

Is a 3D Scan More Accurate Than Impressions?

Yes, Alginate or polyvinyl silicone impressions, which are frequently less accurate and more irritating than digital impressions, can be done without a three dimensional scan.

13.

Are 3D Dentures Less Expensive?

The material of three-dimensional dentures is cheaper than traditional dentures. Traditional dentures are prone to wear and tear in the mouth and may eventually crack, fade, and chip. Three-dimensional dentures are significantly more durable. Three-dimensional dentures last much longer, saving money and ensuring they can eat hard or sticky food confidently.

14.

Is It Necessary to Drink Water for a 3-D Scan?

No, drinking water is not necessary for three-dimensional dental scans. Still, three-dimensional ultrasound scans like renal and prenatal scans may be needed to visualize the internal structures.. Consuming around eight glasses of water is advised for the best results. During renal ultrasonography.
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Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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