Intraoral scanners in children: evaluation of the patient perception, reliability and reproducibility, and chairside time—A systematic review

PurposeThe aim of this systematic review is to evaluate the perception of the patient, the chairside time, and the reliability and/or reproducibility of intraoral scanners for full arch in pediatric patients.MethodsA data search was performed in four databases (Medline-Pubmed, Scopus, ProQuest and W...

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Main Authors: Diego Serrano-Velasco, Andrea Martín-Vacas, Marta M. Paz-Cortés, Giovanni Giovannini, Patricia Cintora-López, Juan Manuel Aragoneses
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1213072/full
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author Diego Serrano-Velasco
Diego Serrano-Velasco
Andrea Martín-Vacas
Andrea Martín-Vacas
Marta M. Paz-Cortés
Giovanni Giovannini
Patricia Cintora-López
Juan Manuel Aragoneses
Juan Manuel Aragoneses
author_facet Diego Serrano-Velasco
Diego Serrano-Velasco
Andrea Martín-Vacas
Andrea Martín-Vacas
Marta M. Paz-Cortés
Giovanni Giovannini
Patricia Cintora-López
Juan Manuel Aragoneses
Juan Manuel Aragoneses
author_sort Diego Serrano-Velasco
collection DOAJ
description PurposeThe aim of this systematic review is to evaluate the perception of the patient, the chairside time, and the reliability and/or reproducibility of intraoral scanners for full arch in pediatric patients.MethodsA data search was performed in four databases (Medline-Pubmed, Scopus, ProQuest and Web of Science) in accordance with the PRISMA 2020 statements. Studies were classified in three categories (patient perception, scanning or impression time and reliability and/or reproducibility). The resources, the data extraction and the quality assessment were carried out independently by two operators. The variables recorded were population characteristics, material and methods aspects and included country, study design and main conclusion. A quality assessment of the selected studies was performed with QUADAS-2 tool, and Kappa-Cohen Index was calculated to analyze examiner agreement.ResultsThe initial search obtained 681 publications, and finally four studies matching inclusion criteria were selected. The distribution of the studies in the categories was three for the analysis of the patient's perception and scanning or impression time; and two items to assess the reliability and/or reproducibility of intraoral scans. All included studies have a repeated measures–transversal design. The sample size ranged between 26 and 59 children with a mean age. The intraoral scanners evaluated were Lava C.O.S, Cerec Omnicam, TRIOS Classic, TRIOS 3-Cart and TRIOS Ortho. The quality assessment of the studies using QUADAS-2 tool revealed a low risk of bias while evaluating patient perception, but an unclear risk of bias in the analysis of accuracy or chairside time. In relation to the applicability concerns, the patient selection was of high risk of bias. All studies agreed that the patient perception and comfort is better with intraoral scanners in comparison with the conventional method. The accuracy or reliability of the digital procedure is not clear, being clinically acceptable. In relation with the chairside time, it depends on the intraoral scanner, with contradictory data in the different analyzed studies.ConclusionThe use of intraoral scanners in children is a favorable option, finding a significantly higher patient perception and comfort with intraoral scanners compared to the conventional impression method. The evidence for reliability or reproducibility is not strong to date, however, the differences between the intraoral measurements and the digital models would be clinically acceptable.
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spelling doaj.art-0055f2f230594281a798daa215e4c2182023-06-26T10:25:25ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-06-011110.3389/fped.2023.12130721213072Intraoral scanners in children: evaluation of the patient perception, reliability and reproducibility, and chairside time—A systematic reviewDiego Serrano-Velasco0Diego Serrano-Velasco1Andrea Martín-Vacas2Andrea Martín-Vacas3Marta M. Paz-Cortés4Giovanni Giovannini5Patricia Cintora-López6Juan Manuel Aragoneses7Juan Manuel Aragoneses8PhD Program in Translational Medicine, San Pablo CEU University, Madrid, SpainFaculty of Dentistry, Alfonso X El Sabio University, Madrid, SpainFaculty of Dentistry, Alfonso X El Sabio University, Madrid, SpainMaster in Paediatric Dentistry, Faculty of Dentistry, Complutense University of Madrid, Madrid, SpainFaculty of Dentistry, Alfonso X El Sabio University, Madrid, SpainFaculty of Dentistry, Alfonso X El Sabio University, Madrid, SpainFaculty of Dentistry, Alfonso X El Sabio University, Madrid, SpainFaculty of Dentistry, Alfonso X El Sabio University, Madrid, SpainDepartment of Dental Research, Federico Henriquez y Carvajal University, Santo Domingo, Dominican RepublicPurposeThe aim of this systematic review is to evaluate the perception of the patient, the chairside time, and the reliability and/or reproducibility of intraoral scanners for full arch in pediatric patients.MethodsA data search was performed in four databases (Medline-Pubmed, Scopus, ProQuest and Web of Science) in accordance with the PRISMA 2020 statements. Studies were classified in three categories (patient perception, scanning or impression time and reliability and/or reproducibility). The resources, the data extraction and the quality assessment were carried out independently by two operators. The variables recorded were population characteristics, material and methods aspects and included country, study design and main conclusion. A quality assessment of the selected studies was performed with QUADAS-2 tool, and Kappa-Cohen Index was calculated to analyze examiner agreement.ResultsThe initial search obtained 681 publications, and finally four studies matching inclusion criteria were selected. The distribution of the studies in the categories was three for the analysis of the patient's perception and scanning or impression time; and two items to assess the reliability and/or reproducibility of intraoral scans. All included studies have a repeated measures–transversal design. The sample size ranged between 26 and 59 children with a mean age. The intraoral scanners evaluated were Lava C.O.S, Cerec Omnicam, TRIOS Classic, TRIOS 3-Cart and TRIOS Ortho. The quality assessment of the studies using QUADAS-2 tool revealed a low risk of bias while evaluating patient perception, but an unclear risk of bias in the analysis of accuracy or chairside time. In relation to the applicability concerns, the patient selection was of high risk of bias. All studies agreed that the patient perception and comfort is better with intraoral scanners in comparison with the conventional method. The accuracy or reliability of the digital procedure is not clear, being clinically acceptable. In relation with the chairside time, it depends on the intraoral scanner, with contradictory data in the different analyzed studies.ConclusionThe use of intraoral scanners in children is a favorable option, finding a significantly higher patient perception and comfort with intraoral scanners compared to the conventional impression method. The evidence for reliability or reproducibility is not strong to date, however, the differences between the intraoral measurements and the digital models would be clinically acceptable.https://www.frontiersin.org/articles/10.3389/fped.2023.1213072/fullintraoral scannerdigital floworthodonticdental practicespediatric dentistry
spellingShingle Diego Serrano-Velasco
Diego Serrano-Velasco
Andrea Martín-Vacas
Andrea Martín-Vacas
Marta M. Paz-Cortés
Giovanni Giovannini
Patricia Cintora-López
Juan Manuel Aragoneses
Juan Manuel Aragoneses
Intraoral scanners in children: evaluation of the patient perception, reliability and reproducibility, and chairside time—A systematic review
Frontiers in Pediatrics
intraoral scanner
digital flow
orthodontic
dental practices
pediatric dentistry
title Intraoral scanners in children: evaluation of the patient perception, reliability and reproducibility, and chairside time—A systematic review
title_full Intraoral scanners in children: evaluation of the patient perception, reliability and reproducibility, and chairside time—A systematic review
title_fullStr Intraoral scanners in children: evaluation of the patient perception, reliability and reproducibility, and chairside time—A systematic review
title_full_unstemmed Intraoral scanners in children: evaluation of the patient perception, reliability and reproducibility, and chairside time—A systematic review
title_short Intraoral scanners in children: evaluation of the patient perception, reliability and reproducibility, and chairside time—A systematic review
title_sort intraoral scanners in children evaluation of the patient perception reliability and reproducibility and chairside time a systematic review
topic intraoral scanner
digital flow
orthodontic
dental practices
pediatric dentistry
url https://www.frontiersin.org/articles/10.3389/fped.2023.1213072/full
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