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Improved scanning accuracy with newly designed scan bodies: An in vitro study comparing digital versus conventional impression techniques for complete‐arch implant rehabilitation

Ruoxuan Huang, Yuanxiang Liu, Baoxin Huang, Chaobiao Zhang, Zhuofan Chen, Zhipeng Li

2020Clinical Oral Implants Research159 citationsDOI

Abstract

OBJECTIVES: To compare the accuracy of an original and two newly designed CAD/CAM scan bodies used in digital impressions with one another as well as conventional implant impressions. MATERIAL AND METHODS: A reference model containing four implants was fabricated. Digital impressions were taken using an intraoral scanner with different scan bodies: original scan bodies for Group I (DO), CAD/CAM scan bodies without extensional structure for Group II (DC), and CAD/CAM scan bodies with extensional structure for Group III (DCE). For Group IV, conventional splinted open-tray impressions (CI) were taken. The reference model and conventional stone casts were digitalized with a laboratory reference scanner. The Standard Tessellation Language datasets were imported into an inspection software for trueness and precision assessment. Statistical analysis was performed with a Kruskal-Wallis test and Dunn-Bonferroni test. The level of significance was set at α = .05. RESULTS: The median of trueness was 35.85, 38.50, 28.45, and 25.55 μm for Group I, II, III, and IV, respectively. CI was more accurate than DO (p = .015) and DC (p = .002). The median of precision was 48.40, 48.90, 27.30, and 19.00 for Group I, II, III, and IV, respectively. CI was more accurate than DO (p < .001), DC (p < .001), and DCE (p = .007). DCE was more accurate than DC (p < .001) and DO (p < .001). CONCLUSIONS: The design of the extensional structure could significantly improve scanning accuracy. Conventional splinted open-tray impressions were more accurate than digital impressions for full-arch implant rehabilitation.

Topics & Concepts

ImpressionImplantArchRehabilitationOrthodonticsDentistryMedicineBiomedical engineeringComputer scienceSurgeryEngineeringStructural engineeringPhysical therapyWorld Wide WebDental materials and restorationsDental Implant Techniques and OutcomesEndodontics and Root Canal Treatments