Effect of intraoral scanner, printer, and digital analog system on the accuracy of 3D printed models

Purpose: To present an experimental strategy for successfully capturing the margins of prepared single teeth with an intraoral scanner (IOS). Methods: The protocol was as follows: (1) an intraoral impression was captured with an IOS, without taking care of the visibility of the margins; (2) a partial analog impression was taken by means of a 3D-printed custom tray filled with polyvinylsiloxane light, after the removal of a retraction cord; (3) the hollow portion of the analog impression, with the preparation margins clearly visible, was scanned extraorally with the same IOS; (4) the scan of the analog impression was imported into computer-assisted-design (CAD) software, where its normals were inverted; (5) the scan with inverted normals was registered on the first intraoral scan, and replaced it; (6) the technician designed the final restoration, which was fabricated and delivered for application. The study outcomes were: (1) the marginal adaptation of the final crown; (2) the quality of interproximal contacts; and (3) the quality of occlusal contacts. Results: Thirty patients (18 males, 12 females; mean age 51.3 ± 11.6 years) were selected for this study. All these patients were restored with a monolithic translucent zirconia crown, fabricated following the aforementioned protocol. The clinical precision and the marginal adaptation of the crowns were optimal, interproximal contact points were perfect, and the only necessary adaptations were occlusal, with some minor precontacts that had to be polished. Conclusions: The present protocol seems to be compatible with the fabrication of clinically precise zirconia crowns. Further studies are needed to confirm these results.

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Accuracy of Conventional and Digital Methods for Obtaining Dental Impressions and 3D Printed Models

10.21203/rs.3.rs-66906/v1 ◽

2020 ◽

Author(s):

CAIO CÉSAR DIAS Resende ◽

Tiago Augusto Quirino Barbosa ◽

Guilherme Faria Moura ◽

Lucas Nascimento Tavares ◽

Fabio Antonio Piola Rizzante ◽

...

Keyword(s):

3D Models ◽

3D Printer ◽

Test Results ◽

Intraoral Scanner ◽

Tukey Test ◽

Digital Impressions ◽

3D Printed ◽

Digital Methods ◽

Similar Accuracy ◽

Conventional Impression

Abstract Background: Different sizes of arch could influence in digital methods to obtaining dental impressions and 3D models. The purpose of this study was to evaluate and compare the accuracy of two intra-oral scanners and conventional impression methods for the fabrication of working casts. Methods: Conventional impressions of a reference cast were obtained. Digital impressions were obtained with two intra-oral scanners: Cerec Omnicam (CO) and 3Shape Trios (ST). The obtained digital stereolithographic casts were printed on Zenith D 3D printer. The reference cast and fabricated casts were scanned with a bench top scanner and saved in STL format. All STL records were analyzed in specific software: complete arch (CA), partial arch (PA) and prepared teeth area (PT). One-way and two-way analyses of variance were performed to compare the accuracy, followed by the Tukey test. Results: No significant intergroup differences in trueness and precision were observed for the two intra-oral scanners. 3D printed casts had the lowest trueness when complete arch was analyzed and differed statistically from the stone cast. For complete arch precision, stone cast presented better results, however statistically different only from the CO. Conclusions: The two intraoral scanner systems had similar accuracy. Stone casts had higher trueness than 3D printed casts for CA. For CA precision, 3D printed cast presented similar results to the stone cast.

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Comparison of the Accuracy of Three-Dimensional Printed Casts, Digital, and Conventional Casts: An In Vitro Study

European Journal of Dentistry ◽

10.1055/s-0040-1705243 ◽

2020 ◽

Vol 14 (02) ◽

pp. 189-193 ◽

Cited By ~ 2

Author(s):

Passent Aly ◽

Cherif Mohsen

Keyword(s):

Treatment Planning ◽

Computer Aided Design ◽

Three Dimensional ◽

In Vitro Study ◽

Vitro Study ◽

The Other ◽

Intraoral Scanner ◽

Linear Measurements ◽

3D Printed

Abstract Objectives The integration of computer-aided design and manufacturing technologies in diagnosis, treatment planning, and fabrication of prosthetic restoration is changing the way in which prosthodontic treatment is provided to patients. The aim of this study was to compare the accuracy of three-dimensional (3D) printed casts produced from the intraoral scanner using stereolithographic (SLA) 3D printing technique, their digital replicas, and conventional stone casts. Materials and Methods In this in vitro study, a typodont of maxillary and mandibular arches with full dentate ivory teeth was used as a reference cast. The typodont was digitized using Trios 3Shape intraoral scanner to create digital casts. The digital files were converted into 3D printed physical casts using a prototyping machine that utilizes the stereolithography printing technology and photocurable polymer as printing material. Linear measurements (mesiodistal and occlusocervical) and interarch measurements (intercanine and intermolar) were made for digital and prototyped models and were compared with the original stone casts. The reference teeth were canines, first premolars and second premolars in the maxillary and mandibular arches on the right and left sides. The measurements on printed and conventional casts were done by digital caliper while on digital casts; Geomagic Qualify software was used. Statistical Analysis One-way analysis of variance (ANOVA) was used to compare measurements among groups. Results Digital casts showed significantly higher error than the other two groups in all linear and interarch measurements. The mean errors of the digital cast in occlusocervical (OC) and mesiodistal (MD) measurements (0.016 and 0.006, respectively) were higher compared with those in the other two groups (OC, 0.004 and 0.007 and MD, 0.003 and 0.005 [p < 0.0001 and p = 0.02, respectively]). Also, digital mean error in intermolar width (IMW) and intercanine width (ICW) (0.142 and 0.113, respectively) were greater than the other two groups (IMW, 0.019 and 0.008 and ICW, 0.021 and 0.011 [p < 0.0001]). However, the errors were within the acceptable clinical range. Conclusion The 3D printed casts may be considered as a substitute for stone casts with clinically acceptable accuracy that can be used in diagnosis, treatment planning, and fabrication of prosthetic restorations.

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