Conventional open-tray impression versus intraoral digital scan for implant-level complete-arch impression.

The best-fit method is frequently used to evaluate the accuracy of different implant impression techniques. However, the method includes inherent superimposition errors, which may accumulate and become more exaggerated in complete-arch impressions. The purpose of this in vitro study was to evaluate...

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Publicado en:Journal of Prosthetic Dentistry Vol. 122; no. 6; pp. 543 - 550
Autores principales: Kim, Kyoung Rok, Seo, Kyoung-young, Kim, Sunjai
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2019
      vid: 122
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.prosdent.2018.10.018
        139977335
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        atl: Conventional open-tray impression versus intraoral digital scan for implant-level complete-arch impression.
      aug:
        au:
          Kim, Kyoung Rok
          Seo, Kyoung-young
          Kim, Sunjai
        affil: Clinical Research Professor, College of Dentistry, Yonsei University, Seoul, Republic of Korea
      sug:
        subj:
          Dental Impression Methods
          Digital Imaging Methods
          Diagnosis, Oral Methods
          Dental Arch Anatomy and Histology
          Dental Implants
          Dental Models
          Human
          In Vitro Studies
          Resins, Synthetic
          Maxilla Pathology
          Jaw, Edentulous Diagnosis
          Bicuspid Anatomy and Histology
          Incisor Anatomy and Histology
          Molar Anatomy and Histology
          Software
          Imaging, Three-Dimensional Methods
          Casts
      ab: The best-fit method is frequently used to evaluate the accuracy of different implant impression techniques. However, the method includes inherent superimposition errors, which may accumulate and become more exaggerated in complete-arch impressions. The purpose of this in vitro study was to evaluate and compare the trueness and precision of conventional open-tray impressions and intraoral digital scans at the implant level in an edentulous maxillary model with 6 implant replicas without superimposition. A master model was fabricated using epoxy resin by duplicating a maxillary edentulous cast that had 6 implant replicas in the right first molar, right first premolar, right lateral incisor, left lateral incisor, left first premolar, and left first molar positions. The conventional open-tray, splinted-coping impression technique was used to fabricate 10 definitive casts (group CI). Intraoral digital scans were performed, after which scan bodies were connected to each implant replica to fabricate 10 digital models (group IOS). For the master model and group CI, a computerized coordinate-measuring machine was used to determine the 3D spatial orientation of the implant replicas. For group IOS, the scan bodies were converted to implant replicas using a digital library, and an inspection software program was used to measure the implant replicas. To compare the accuracies of different impression techniques, a 3D part coordinate system was set to compute the centroid and projection angles of each implant replica. The changes in the centroid coordinates (linear displacement: Δx, Δy, Δz, and ΔD; Δ D = Δ x 2 + Δ y 2 + Δ z 2 ) and projection angles onto XY and ZX planes (angular displacement: ΔθXY and ΔθZX) were statistically compared (α=.05). Group CI gave more accurate trueness values than group IOS for overall Δx (P <.001), Δy (P =.029), Δz (P <.001), and ΔD (P <.001). Furthermore, group CI had more accurate precision values for Δx, Δy, and Δz. Group IOS exhibited a statistically greater angular displacement in the ZX plane (P =.002), but the difference was only 0.24 degrees. No differences were found between the 2 groups for the angular displacement in the XY plane (P =.529). Conventional open-tray impressions produced significantly smaller linear displacements than the digital scan obtained using an intraoral scanner at the implant level in a complete-arch model.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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