Accuracy of implant impression using a multifunctional guide in the All-on-Four treatment concept

Introduction: The passivity of prosthetic components is one of the most important prerequisites in oral implant rehabilitation for maintenance of osseointegration. Objective: Thus, the present study analyzed in vitro the accuracy of different molding techniques in prosthetic rehabilitation on angle...

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Main Authors: Juliano de Alencar Vasconcelos, Sabrina Maria Castanharo, Monica Estefania Tinajero Aroni, Raphael Ferreira de Souza Bezerra Araújo, Maria Silvia Mauricio Rigolin, Lucas Portela Oliveira, Francisco de Assis Mollo Júnior
Format: Article
Language:English
Published: Editorial Ciencias Médicas 2020-09-01
Series:Revista Cubana de Estomatología
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Online Access:https://revestomatologia.sld.cu/index.php/est/article/view/3016
Description
Summary:Introduction: The passivity of prosthetic components is one of the most important prerequisites in oral implant rehabilitation for maintenance of osseointegration. Objective: Thus, the present study analyzed in vitro the accuracy of different molding techniques in prosthetic rehabilitation on angled implants installed in an anatomical model of a metallic edentulous maxilla. Methods: Laboratory experiment study. A reference metal model of an edentulous maxilla was used. A metal framework was used for the misadaptation assessment. Three groups (n= 10) were compared and impressions were made with vinyl-polysiloxane and casts were obtained with type IV stone: (1) Impression with a metallic open-tray without splinted transfers; (2) Impression with a metallic open-tray and metal splinted transfers; (3) Impression with a multifunctional guide and metal splinted transfers. Misadaptation was assessed with the aid of a stereomicroscope and measuring software. Data were submitted to ANOVA with Welch correction and the Games-Howell post-hoc test with the significance set at 5 %. Results: Misadaptation (µm) was 110,23 ± 30,94, 37,53 ± 3,92, and 37,69 ± 2,79 for the the groups. Statistically significant differences between impression with a metallic open-tray with and without splinted transfers were observed (p < 0,001). No significant differences between the other types of impression. Conclusions: Impression with a metallic open-tray without splinted transfers and with a multifunctional guide splinted with metal transfers were the most precise methods resulting in higher accuracy in transferred implants.
ISSN:0034-7507
1561-297X