Precision and Accuracy of a Digital Impression Scanner in Full-Arch Implant Rehabilitation.

Purpose: To evaluate the accuracy and precision of a digital scanner used to scan four implants positioned according to an immediate loading implant protocol and to assess the accuracy of an aluminum framework fabricated from a digital impression.Materials and Methods: Five master casts reproducing...

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Publicado en:International Journal of Prosthodontics Vol. 31; no. 2; pp. 171 - 176
Autores principales: Pesce, Paolo, Pera, Francesco, Setti, Paolo, Menini, Maria
Formato: pictorial research tables/charts Journal Article
Publicado: Quintessence Publishing Company Inc. Mar/Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Prosthodontics
      issn: 08932174
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      dt: Mar/Apr2018
      vid: 31
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      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
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        10.11607/ijp.5535
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        128618419
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        atl: Precision and Accuracy of a Digital Impression Scanner in Full-Arch Implant Rehabilitation.
      aug:
        au:
          Pesce, Paolo
          Pera, Francesco
          Setti, Paolo
          Menini, Maria
        affil: Research Fellow, Department of Surgical Sciences (DISC), Implant and Prosthetic Dentistry Unit, University of Genoa, Genoa, Italy
      sug:
        subj:
          Dental Implants
          Computer-Aided Design
          Dental Prosthesis, Implant-Supported
          Jaw, Edentulous Rehabilitation
          Technology, Dental
          Dental Models
          Dental Impression Materials
      ab: Purpose: To evaluate the accuracy and precision of a digital scanner used to scan four implants positioned according to an immediate loading implant protocol and to assess the accuracy of an aluminum framework fabricated from a digital impression.Materials and Methods: Five master casts reproducing different edentulous maxillae with four tilted implants were used. Four scan bodies were screwed onto the low-profile abutments, and a digital intraoral scanner was used to perform five digital impressions of each master cast. To assess trueness, a metal framework of the best digital impression was produced with computer-aided design/computer-assisted manufacture (CAD/CAM) technology and passive fit was assessed with the Sheffield test. Gaps between the frameworks and the implant analogs were measured with a stereomicroscope. To assess precision, three-dimensional (3D) point cloud processing software was used to measure the deviations between the five digital impressions of each cast by producing a color map. The deviation values were grouped in three classes, and differences were assessed between class 2 (representing lower discrepancies) and the assembled classes 1 and 3 (representing the higher negative and positive discrepancies, respectively).Results: The frameworks showed a mean gap of < 30 μm (range: 2 to 47 μm). A statistically significant difference was found between the two groups by the 3D point cloud software, with higher frequencies of points in class 2 than in grouped classes 1 and 3 (P < .001).Conclusion: Within the limits of this in vitro study, it appears that a digital impression may represent a reliable method for fabricating full-arch implant frameworks with good passive fit when tilted implants are present.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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