scholarly journals Accuracy of Digital and Conventional Full-Arch Impressions in Patients: An Update

2020 ◽  
Vol 9 (3) ◽  
pp. 688 ◽  
Author(s):  
Alexander Schmidt ◽  
Leona Klussmann ◽  
Bernd Wöstmann ◽  
Maximiliane Amelie Schlenz
Keyword(s):  
Three Dimensional ◽  
Reference Dataset ◽  
Coordinate Measurement ◽  
Long Span ◽  
Impression Technique ◽  
Digital Impressions ◽  
Scan Data ◽  
Conventional Models ◽  
Conventional Impression ◽  
Transfer Accuracy

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.

scholarly journals The Influence of Hard- and Software Improvement of Intraoral Scanners on the Implant Transfer Accuracy from 2012 to 2021: An In Vitro Study

2021 ◽  
Vol 11 (15) ◽  
pp. 7166
Author(s):  
Alexander Schmidt ◽  
Maximiliane Amelie Schlenz ◽  
Haoyu Liu ◽  
Holger Sebastian Kämpe ◽  
Bernd Wöstmann
Keyword(s):  
Three Dimensional ◽  
In Vitro Study ◽  
Scan Paths ◽  
Master Model ◽  
The Absolute ◽  
Conventional Models ◽  
True Definition ◽  
Conventional Impression ◽  
Transfer Accuracy

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.

scholarly journals A New Method to Evaluate Trueness and Precision of Digital and Conventional Impression Techniques for Complete Dental Arch

2021 ◽  
Vol 11 (10) ◽  
pp. 4612
Author(s):  
KweonSoo Seo ◽  
Sunjai Kim
Keyword(s):  
Intraclass Correlation ◽  
Three Dimensional ◽  
New Method ◽  
Digital Impression ◽  
Dental Arch ◽  
Digital Models ◽  
Digital Impressions ◽  
Measuring Machine ◽  
Master Model ◽  
Conventional Impression

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.

scholarly journals Digital Intraoral Scanners and Alginate Impressions in Reproducing Full Dental Arches: A Comparative 3D Assessment

2020 ◽  
Vol 10 (21) ◽  
pp. 7637
Author(s):  
Kyungmin Clara Lee ◽  
Seong-Joon Park
Keyword(s):  
Surface Analysis ◽  
Three Dimensional ◽  
Dental Arch ◽  
Posterior Teeth ◽  
Average Surface ◽  
3D Surface ◽  
Surface Deviations ◽  
Scan Data ◽  
Conventional Impression

The purpose of this in vivo study was to compare in vivo full arch intraoral scans obtained using two intraoral scanners and conventional impression. Twenty patients were scanned using TRIOS and iTero scanners, as well as conventional impression. Dental models obtained from alginate impression were scanned with a laboratory desktop scanner. Individual intraoral scan data were compared with corresponding model scans using three-dimensional (3D) surface analysis. The average surface deviations were calculated for quantitative evaluation, and these values were compared between two intraoral scanners using the paired t-test. In the 3D surface analysis, most deviations between intraoral scans and model scans presented on the posterior teeth. The average surface deviations were less than 0.10 ± 0.03 mm. The results of 3D surface analysis indicated that there was 0.10 mm of overall deviation between conventional alginate impressions and in vivo full dental arch intraoral scans. Clinicians should take this into consideration when performing intraoral scanning for full dental arches.

scholarly journals CONVENTIONAL VS DIGITAL IMPRESSION TECHNIQUE FOR MANUFACTURING OF THREE-UNIT ZIRCONIA BRIDGES: CLINICAL TIME EFFICIENCY

2021 ◽  
Vol 27 (2) ◽  
pp. 3765-3771
Author(s):  
Kiril Gogushev ◽  
◽  
Metodi Abadjiev ◽  
Keyword(s):  
Soft Tissues ◽  
Digital Impression ◽  
Controlled Clinical Trial ◽  
Dental Arch ◽  
Manufacturing Companies ◽  
Impression Technique ◽  
Impression Materials ◽  
Digital Impressions ◽  
Time Required ◽  
Conventional Impression

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.

scholarly journals Conventional Vs Digital Impressions: Acceptability, Treatment Comfort and Stress Among Young Orthodontic Patients

2018 ◽  
Vol 12 (1) ◽  
pp. 118-124 ◽  
Author(s):  
Alessandro Mangano ◽  
Matteo Beretta ◽  
Giuseppe Luongo ◽  
Carlo Mangano ◽  
Francesco Mangano
Keyword(s):  
State Anxiety ◽  
The State ◽  
Anxiety Scale ◽  
Previous Experience ◽  
Intraoral Scanner ◽  
Impression Material ◽  
Impression Technique ◽  
Digital Impressions ◽  
Orthodontic Patients ◽  
Conventional Impression

Objective: The objective of the present study was to compare patients’ acceptability, comfort and stress with conventional and digital impressions. Materials and Methods: Thirty young orthodontic patients (15 males and 15 females) who had no previous experience of impressions were enrolled in this study. Conventional impressions for orthodontic study models of the dental arches were taken using an alginate impression material (Hydrogum®, Zhermack Spa, Badia Polesine, Rovigo, Italy). Fifteen days later, digital impressions of both arches were acquired using an intraoral scanner (CS3600®, Carestream Dental, Rochester, NY, USA). Immediately after impression taking, patients’ acceptability, comfort and stress were measured using two questionnaires and the State anxiety scale. Results: Data showed no difference in terms of anxiety and stress; however, patients preferred the use of digital impressions systems instead of conventional impression techniques. Alginate impressions resulted as fast as digital impressions. Conclusions: Digital impressions resulted the most accepted and comfortable impression technique in young orthodontic patients, when compared to conventional techniques.

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

2020 ◽  
Vol 17 (13) ◽  
pp. 4725
Author(s):  
Maximiliane Amelie Schlenz ◽  
Victoria Schubert ◽  
Alexander Schmidt ◽  
Bernd Wöstmann ◽  
Sabine Ruf ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Three Dimensional ◽  
Digital Impression ◽  
P Value ◽  
Digital Impressions ◽  
High Prevalence ◽  
The Absolute ◽  
True Definition ◽  
Conventional Impression ◽  
Tooth Migration

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.

scholarly journals Accuracy of photogrammetry, intraoral scanning, and conventional impression techniques for complete-arch implant rehabilitation: an in vitro comparative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bowen Ma ◽  
Xinxin Yue ◽  
Yujie Sun ◽  
Lingyan Peng ◽  
Wei Geng
Keyword(s):  
Digital Library ◽  
Intraoral Scanner ◽  
Intraoral Scanning ◽  
Impression Technique ◽  
Digital Impressions ◽  
Reference File ◽  
Implant Abutment ◽  
Laboratory Reference ◽  
Conventional Impression

Abstract Background To compare the accuracy of photogrammetry, intraoral scanning and conventional impression techniques for complete-arch implant rehabilitation. Methods A master cast containing 6 implant abutment replicas was fabricated. Group PG: digital impressions were taken 10 times using a photogrammetry system; Group IOS: intraoral scanning was performed to fabricate 10 digital impressions; Group CNV: splinted open-tray impression technique was used to fabricate 10 definitive casts. The master cast and conventional definitive casts were digitized with a laboratory reference scanner. For all STL files obtained, scan bodies were converted to implant abutment replicas using a digital library. The accuracy of a digitizer was defined by 2 main parameters, trueness and precision. "Trueness" was used to describe the deviation between test files and reference file, and "precision" was used to describe the closeness between test files. Then, the trueness and precision of three impression techniques were evaluated and statistically compared (α = 0.05). Results The median trueness was 24.45, 43.45 and 28.70 μm for group PG, IOS and CNV; Group PG gave more accurate trueness than group IOS (P < 0.001) and group CNV (P = 0.033), group CNV showed more accurate trueness than group IOS (P = 0.033). The median precision was 2.00, 36.00 and 29.40 μm for group PG, IOS and CNV; Group PG gave more accurate precision than group IOS (P < 0.001) and group CNV (P < 0.001), group CNV showed more accurate precision than IOS (P = 0.002). Conclusions For complete-arch implant rehabilitation, the photogrammetry system showed the best accuracy of all the impression techniques evaluated, followed by the conventional impression technique, and the intraoral scanner provided the least accuracy.

scholarly journals Elastic deformation of the mandibular jaw revisited—a clinical comparison between digital and conventional impressions using a reference

2021 ◽  
Author(s):  
Alexander Schmidt ◽  
Leona Klussmann ◽  
Maximiliane A. Schlenz ◽  
Bernd Wöstmann
Keyword(s):  
Statistical Analysis ◽  
Elastic Deformation ◽  
Clinical Relevance ◽  
Mouth Opening ◽  
Reference Structure ◽  
Intraoral Scanner ◽  
Digital Impressions ◽  
Normal Vectors ◽  
Mandibular Deformation ◽  
Conventional Impression

Abstract Objectives Due to the partly strongly differing results in the literature, the aim of the present study was to investigate a possible deformation of the mandible during mouth opening using an intraoral scanner (IOS) and a conventional impression for comparison with a reference aid. Materials and methods Four steel spheres were reversibly luted in the mandibular (n = 50) with a metallic reference aid at maximum mouth opening (MMO). Two digital impressions (Trios3), at MMO and at slightly mouth opening SMO and a conventional impression (Impregum), were taken as the measuring accuracy of the reference structure was already known. Difference between MMO-SMO for digital impressions and deviations between digital and conventional (SMO) were calculated. Furthermore, the angle between the normal vectors of two constructed planes was measured. Statistical analysis was performed with SPSS25. Results Deviations for linear distances ranged from −1 ± 3 μm up to 17 ± 78 μm (digital impressions, MMO-SMO), from 19 ± 16 μm up to 132 ± 90 μm (digital impressions, SMO), and from 28 ± 17 μm up to 60 ± 52 μm (conventional impressions, SMO). There were no significant differences for digital impressions (MMO-SMO), and there were significant differences between the conventional and digital impressions at SMO. Conclusions Based on the results of the present study, no mandibular deformation could be detected during mouth opening with regard to the digital impressions. The results were rather within the measuring tolerance of the intraoral scanner. Clinical relevance Based on the present study, no deformation of the mandibular during mouth opening could be observed at the level previously assumed. Therewith related, dental techniques related to a possible mandibular deformation therefore should be reconsidered.

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