scholarly journals Digital versus Conventional Impression Taking Focusing on Interdental Areas: A Clinical Trial

Author(s):  
Maximiliane Amelie Schlenz ◽  
Victoria Schubert ◽  
Alexander Schmidt ◽  
Bernd Wöstmann ◽  
Sabine Ruf ◽  
...  

Due to the high prevalence of periodontitis, dentists have to face a larger group of patients with periodontally compromised dentitions (PCDs) characterized by pathologic tooth migration and malocclusion. Impression taking in these patients is challenging due to several undercuts and extensive interdental areas (IAs). The aim of this clinical trial was to analyze the ability of analog and digital impression techniques to display the IAs in PCDs. The upper and the lower jaws of 30 patients (n = 60, age: 48–87 years) were investigated with one conventional impression (CVI) using polyvinyl siloxane and four digital impressions with intraoral scanners (IOSs), namely True Definition (TRU), Primescan (PRI), CS 3600 (CAR), and TRIOS 3 (TIO). The gypsum models of the CVIs were digitalized using a laboratory scanner. Subsequently, the percentage of the displayed IAs in relation to the absolute IAs was calculated for the five impression techniques in a three-dimensional measuring software. Significant differences were observed among the impression techniques (except between PRI and CAR, p-value < 0.05). TRU displayed the highest percentage of IAs, followed by PRI, CAR, TIO, and CVI. The results indicated that the IOSs are superior to CVI regarding the ability to display the IAs in PCDs.

2021 ◽  
Vol 11 (10) ◽  
pp. 4612
Author(s):  
KweonSoo Seo ◽  
Sunjai Kim

Purpose: The aim of this study was to present a new method to analyze the three-dimensional accuracy of complete-arch dental impressions and verify the reliability of the method. Additionally, the accuracies of conventional and intraoral digital impressions were compared using the new method. Methods: A master model was fabricated using 14 milled polyetheretherketone cylinders and a maxillary acrylic model. Each cylinder was positioned and named according to its corresponding tooth position. Twenty-five definitive stone casts were fabricated using conventional impressions of the master model. An intraoral scanner was used to scan the master model 25 times to fabricate 25 digital models. A coordinate measuring machine was used to physically probe each cylinder in the master model and definitive casts. An inspection software was used to probe cylinders of digital models. A three-dimensional part coordinate system was defined and used to compute the centroid coordinate of each cylinder. Intraclass correlation coefficient (ICC) was evaluated to examine the reliability of the new method. Independent two sample t-test was performed to compare the trueness and precision of conventional and intraoral digital impressions (α = 0.05). Results: ICC results showed that, the new method had almost perfect reliability for the measurements of the master model, conventional and digital impression. Conventional impression showed more accurate absolute trueness and precision than intraoral digital impression for most of the tooth positions (p < 0.05). Conclusions: The new method was reliable to analyze the three-dimensional deviation of complete-arch impressions. Conventional impression was still more accurate than digital intraoral impression for complete arches.


2021 ◽  
Vol 11 (15) ◽  
pp. 7166
Author(s):  
Alexander Schmidt ◽  
Maximiliane Amelie Schlenz ◽  
Haoyu Liu ◽  
Holger Sebastian Kämpe ◽  
Bernd Wöstmann

This study aimed to investigate the transfer accuracy (trueness and precision) of three different intraoral scanning families using different hardware and software versions over the last decade from 2012 to 2021, compared to a conventional impression. Therefore, an implant master model with a reference cube was digitized and served as a reference dataset. Digital impressions of all three scanning families (True definition, TRIOS, CEREC) were recorded (n = 10 per group), and conventional implant impressions were taken (n = 10). The conventional models were digitized, and all models (conventional and digital) were measured. Therefore, it was possible to obtain the deviations between the master model and the scans or conventional models in terms of absolute three-dimensional (3D) deviations, deviations in rotation, and angulation. The results for deviations between the older and newer scanning systems were analyzed using pairwise comparisons (p < 0.05; SPSS 26). The absolute 3D deviations increased with increasing scan path length, particularly for the older hardware and software versions (old vs. new (MW ± SD) True Definition: 355 ± 62 µm vs. 483 ± 110 µm; TRIOS: 574 ± 274 µm vs. 258 ± 100 µm; and CEREC: 1356 ± 1023 µm vs. 110 ± 49 µm). This was also true for deviations in rotation and angulation. The conventional impression showed an advantage only regarding the absolute 3D deviation compared to the older systems. Based on the data of the present study, the accuracy of intraoral scanners is decisively related to hardware and software; though, newer systems or software do not necessarily warrant improvement. Nevertheless, to achieve high transfer accuracy, regular updating of digital systems is recommended. The challenge of increasing errors with increasing scan paths is overcome in the most recent systems. The combination of two different scanning principles in a single device seems to be beneficial.


2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Tae-Gyung Kim ◽  
Sungtae Kim ◽  
Hyunmin Choi ◽  
Jae-Hoon Lee ◽  
Jae-Hong Kim ◽  
...  

The purpose of this study was to compare the internal gap between CAD/CAM palladium-silver crowns and cast gold crowns generated from intraoral digital versus conventional impressions and to determine the clinical acceptability. Nickel-chrome master dies were made from the prepared resin tooth with the conventional impression method (n=40). For ICC (Intraoral, CAD/CAM) group, 10 intraoral digital impressions were made, and 10 CAD/CAM crowns of a PD-AG (palladium-silver) machinable alloy were generated. For IC (Intraoral, Cast) group, 10 gold crowns were cast from ten intraoral digital impressions. For CCC (Conventional, CAD/CAM) group, 10 CAD/CAM PD-AG crowns were made using the conventional impression method. For CC (Conventional, Cast) group, 10 gold crowns were fabricated from 10 conventional impressions. One hundred magnifications of the internal gaps of each crown were measured at 50 points with an optical microscope and these values were statistically analyzed using a two-way analysis of variance (α=0.05). The internal gap of the intraoral digital impression group was significantly larger than in the conventional impression group (P<0.05). No significant difference was observed between the CAD/CAM group and the cast group (P>0.05). Within the limitations of this in vitro study, crowns from intraoral digital impressions showed larger internal gap values than crowns from conventional impressions.


2015 ◽  
Vol 25 (4) ◽  
pp. 282-287 ◽  
Author(s):  
Björn Gjelvold ◽  
Bruno Ramos Chrcanovic ◽  
Eva-Karin Korduner ◽  
Ingrid Collin-Bagewitz ◽  
Jenö Kisch

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Maria Francesca Sfondrini ◽  
Paola Gandini ◽  
Maurizio Malfatto ◽  
Francesco Di Corato ◽  
Federico Trovati ◽  
...  

Introduction. Intraoral scanners allow direct images of oral situation, with fewer steps than conventional impressions. The purpose of this study was to compare the accuracy of digital impressions, traditional impressions, and digitalization of full-arch gypsum models, to evaluate timing of different methods and finally to study perception of patients about conventional and digital impression techniques. Methods. Dental arches of fourteen patients were evaluated by alginate impression, titanium dioxide powder-free intraoral scanning (Trios, 3Shape), and digitalization obtained from gypsum models using the same scanner. Conventional and digital techniques were evaluated through measurements (lower and upper arch anteroposterior length, lower and upper intercanine distance, and lower and upper intermolar distance) with a caliber for analogic models and using a computer software for digital models (Ortho Analyzer, Great Lakes Orthodontics). In addition, chairside and processing times were recorded. Finally, each patient completed a VAS questionnaire to evaluate comfort. Statistical analyses were performed with ANOVA and Tukey tests for accuracy measurements and paired t-test for times and VAS scores. Significance was predetermined at P<0.05. Results. The measurements obtained with intraoral scanning, gypsum models after conventional impression, and digitalized gypsum models were not significantly different. Both chairside and processing times of digital scanning were shorter than the traditional method. VAS reporting patients comfort were significantly higher when evaluating digital impression. Conclusions. Intraoral scanners used for orthodontic applications provide useful data in clinical practice, comparable to conventional impression. This technology is more time efficient than traditional impression and comfortable for patients. Further evolution with more accurate and faster scanners could in future replace traditional impression methods.


2020 ◽  
Vol 9 (3) ◽  
pp. 688 ◽  
Author(s):  
Alexander Schmidt ◽  
Leona Klussmann ◽  
Bernd Wöstmann ◽  
Maximiliane Amelie Schlenz

The aim of this clinical study was to update the available data in the literature regarding the transfer accuracy (trueness/precision) of four current intraoral scanners (IOS) equipped with the latest software versions and to compare these data with conventional impressions (CVI). A metallic reference aid served as a reference dataset. Four digital impressions (Trios3Cart, Trios3Pod, Trios4Pod, and Primescan) and one CVI were investigated in five patients. Scan data were analyzed using three-dimensional analysis software and conventional models using a coordinate measurement machine. The transfer accuracy between the reference aid and the impression methods were compared. Differences with p < 0.05 were considered to be statistically significant. Overall, mean ± standard deviation (SD) transfer accuracy ranged from 24.6 ± 17.7 µm (CVI) to 204.5 ± 182.1 µm (Trios3Pod). The Primescan yielded the lowest deviation for digital impressions (33.8 ± 31.5 µm), followed by Trios4Pod (65.2 ± 52.9 µm), Trios3Cart (84.7 ± 120.3 µm), and Trios3Pod. Within the limitations of this study, current IOS equipped with the latest software versions demonstrated less deviation for short-span distances compared with the conventional impression technique. However, for long-span distances, the conventional impression technique provided the lowest deviation. Overall, currently available IOS systems demonstrated improvement regarding transfer accuracy of full-arch scans in patients.


2021 ◽  
Vol 10 (9) ◽  
pp. 1908
Author(s):  
Eugen S. Bud ◽  
Vlad I. Bocanet ◽  
Mircea H. Muntean ◽  
Alexandru Vlasa ◽  
Sorana M. Bucur ◽  
...  

Digital impression devices are used alternatively to conventional impression techniques and materials. The aim of this study was to evaluate the precision of extraoral digitalization of three types of photosensitive resin polymers used for 3D printing with the aid of a digital extraoral optical scanner. The alignment of the scans was performed by a standard best-fit alignment. Trueness and precision were used to evaluate the models. The trueness was evaluated by using bias as a measure and the standard deviation was used to evaluate the precision. After assessing the normality of the distributions, an independent Kruskal–Wallis test was used to compare the trueness and precision across the material groups. The Mann–Whitney test was used as a post-hoc test for significant differences. The result of the analysis showed significant differences (U = 66, z = −2.337, p = 0.019) in trueness of mesiodistal distances. Upon visual inspection of the models, defects were noticed on two out of nine of the models printed with a photosensitive polymer. The defects were presented as cavities caused by air bubbles and were also reflected in the scans. Mean precision did not vary too much between these three photosensitive polymer resins, therefore, the selection of 3D printing materials should be based on the trueness and the required precision of the clinical purpose of the model.


2021 ◽  
Vol 27 (2) ◽  
pp. 3765-3771
Author(s):  
Kiril Gogushev ◽  
◽  
Metodi Abadjiev ◽  

Introduction: Taking an impression of the oral cavity, which accurately recreates the prosthetic field, the surrounding hard dental and soft tissues, is one of the main and most important stages in the process of making any fixed prosthetic restoration. In modern prosthetic dentistry, impressions taken with the help of polyether and vinyl polysiloxane impression materials are common. Digital impressions eliminate some of the steps of conventional impression techniques and save clinical time. Aim: The aim of this article is to compare the clinical time in digital and conventional impression techniques from a whole dental arch using a controlled clinical trial. Material and methods: The present study includes 36 patients from Varna who need prosthetic treatment with fixed 3-unit bridge construction. For all participants, the conventional impression technique was performed first and one week later - the digital one. All clinical manipulations related to the implementation of the two impression techniques were performed according to the instructions of the manufacturing companies by the same specialist dentist. Results: In all participants, the time required to perform the digital impression technique is significantly less than that of the conventional impression technique. Conclusion: The digital impression technique has proven to be more efficient in terms of clinical time required for its implementation than the conventional impression technique.


Author(s):  
Maryam Farahmand ◽  
Davood Khalili ◽  
Fahimeh Ramezani Tehrani ◽  
Gholamreza Amin ◽  
Reza Negarandeh

AbstractBackgroundPremenstrual syndrome (PMS) has a high prevalence among women of reproductive ages but despite its high prevalence, it has no determined and absolute treatment, so far. So, the aim of the present study was to compare the effect Pimpinella Anisum (Anise) with placebo on the intensity of the symptoms of PMS.MethodsThe present study was a randomized double-blind controlled clinical trial. College students who were suffering from PMS and had the inclusion criteria were selected and randomly assigned into two groups of intervention (Anise) and control (placebo). Participants in the intervention group, received 110 mg capsules of Anise three times day (a total dose of 330 mg per day); the control group received similar capsules with the same dosing that contained starch. Consumption of the capsules was started 7 days before the start of the menstruation and continued until 3 days after, which was a total of 10 days during two consecutive menstruation cycles. The intensity of the symptoms of premenstrual syndrome was measured using Premenstrual Symptoms Screening Tool (PSST). To compare the intensity of the symptoms between the two study groups, generalized estimating equation statistical method was used.ResultsEventually, sixty-seven 18–35 year old college students who were suffering from premenstrual syndrome were enrolled in the study. Comparing the mean score of the intensity of the syndrome between the two groups after the first and the second menstruation cycles showed a decrease in the intervention group to 13.9 (p-value<0.001; 95% CI: 16.5,−11.4) and 9.8 (p-value<0.001; 95% CI: 12.4,−7.3), respectively.ConclusionResults of the study showed that, in general, Anise was effective in decreasing the symptoms of premenstrual syndrome in comparison to placebo.


2021 ◽  
Vol 11 (24) ◽  
pp. 12034
Author(s):  
Mohammed E. Sayed ◽  
Abdulkarim Hussain Alshehri ◽  
Bandar M. A. Al-Makramani ◽  
Fuad Al-Sanabani ◽  
Fawzia Ibraheem Shaabi ◽  
...  

Accurate impression-making is considered a vital step in the fabrication of fixed dental prostheses. There is a paucity of studies that compare the casts generated by various impression materials and techniques that are commonly used for the fabrication of provisional and definitive fixed prostheses. The aim of this study is to compare the accuracy of casts obtained using conventional impression and digital impression techniques. Thirty impressions were made for the typodont model (10 impressions each of polyvinyl siloxane, alginate, and alginate alternative materials). Ten digital models were printed from the same model using a TRIOS-3 3Shape intraoral scanner. Accuracy was assessed by measuring four dimensions (horizontal anteroposterior straight, horizontal anteroposterior curved, horizontal cross-arch, and vertical). A one-way ANOVA and Tukey’s test (α = 0.05) were used to analyze data. A statistically significant difference in the four dimensions of the stone casts and digital models was observed among the four groups (exception: between alginate alternative and 2-step putty–light body impression in the horizontal anteroposterior straight, horizontal anteroposterior curved, and horizontal cross-arch dimensions; between alginate and alginate alternative in the horizontal anteroposterior curved dimension; between alginate and 2-step putty–light body impression in the horizontal anteroposterior curved dimension; and between alginate alternative and digital in the vertical dimension). Polyvinyl siloxane had the highest accuracy compared to casts obtained from other impression materials and digital impressions.


Sign in / Sign up

Export Citation Format

Share Document