Accuracy of Computerized Optical Impression Making in Fabrication of Removable Dentures for Partially Edentulous Jaws: An In Vivo Feasibility Study

The use of computerized optical impression making (COIM) for the fabrication of removable dentures for partially edentulous jaws is a rising trend in dental prosthetics. However, the accuracy of this method compared with that of traditional impression-making techniques remains uncertain. We therefor...

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Main Authors: Babak Saravi, Julia Ilbertz, Kirstin Vach, Ralf J. Kohal, Sebastian B. M. Patzelt
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Journal of Functional Biomaterials
Subjects:
Online Access:https://www.mdpi.com/2079-4983/14/9/458
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author Babak Saravi
Julia Ilbertz
Kirstin Vach
Ralf J. Kohal
Sebastian B. M. Patzelt
author_facet Babak Saravi
Julia Ilbertz
Kirstin Vach
Ralf J. Kohal
Sebastian B. M. Patzelt
author_sort Babak Saravi
collection DOAJ
description The use of computerized optical impression making (COIM) for the fabrication of removable dentures for partially edentulous jaws is a rising trend in dental prosthetics. However, the accuracy of this method compared with that of traditional impression-making techniques remains uncertain. We therefore decided to evaluate the accuracy of COIM in the context of partially edentulous jaws in an in vivo setting. Twelve partially edentulous patients with different Kennedy classes underwent both a conventional impression (CI) and a computerized optical impression (COI) procedure. The CI was then digitized and compared with the COI data using 3D analysis software. Four different comparison situations were assessed: Whole Jaw (WJ), Mucosa with Residual Teeth (M_RT), Isolated Mucosa (IM), and Isolated Abutment Teeth (AT). Statistical analyses were conducted to evaluate group differences by quantifying the deviation values between the CIs and COIs. The mean deviations between the COIs and CIs varied significantly across the different comparison situations, with mucosal areas showing higher deviations than dental hard tissue. However, no statistically significant difference was found between the maxilla and mandible. Although COIM offers a no-pressure impression method that captures surfaces without irritation, it was found to capture mucosa less accurately than dental hard tissue. This discrepancy can likely be attributed to software algorithms that automatically filter out mobile tissues. Clinically, these findings suggest that caution is required when using COIM for prosthetics involving mucosal tissues as deviations could compromise the fit and longevity of the prosthetic appliance. Further research is warranted to assess the clinical relevance of these deviations.
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spelling doaj.art-e6f3a234f70f4fc3ae7bdab027e554bf2023-11-19T11:23:23ZengMDPI AGJournal of Functional Biomaterials2079-49832023-09-0114945810.3390/jfb14090458Accuracy of Computerized Optical Impression Making in Fabrication of Removable Dentures for Partially Edentulous Jaws: An In Vivo Feasibility StudyBabak Saravi0Julia Ilbertz1Kirstin Vach2Ralf J. Kohal3Sebastian B. M. Patzelt4Department of Orthopedics and Trauma Surgery, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Street 55, 79106 Freiburg, GermanyDepartment of Prosthetic Dentistry, Medical Center—University of Freiburg, Center for Dental Medicine, Faculty of Medicine, University of Freiburg, Hugstetter Street 55, 79106 Freiburg, GermanyInstitute of Medical Biometry and Statistics, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Stefan-Meier-Str. 26, 79104 Freiburg, GermanyDepartment of Prosthetic Dentistry, Medical Center—University of Freiburg, Center for Dental Medicine, Faculty of Medicine, University of Freiburg, Hugstetter Street 55, 79106 Freiburg, GermanyDepartment of Prosthetic Dentistry, Medical Center—University of Freiburg, Center for Dental Medicine, Faculty of Medicine, University of Freiburg, Hugstetter Street 55, 79106 Freiburg, GermanyThe use of computerized optical impression making (COIM) for the fabrication of removable dentures for partially edentulous jaws is a rising trend in dental prosthetics. However, the accuracy of this method compared with that of traditional impression-making techniques remains uncertain. We therefore decided to evaluate the accuracy of COIM in the context of partially edentulous jaws in an in vivo setting. Twelve partially edentulous patients with different Kennedy classes underwent both a conventional impression (CI) and a computerized optical impression (COI) procedure. The CI was then digitized and compared with the COI data using 3D analysis software. Four different comparison situations were assessed: Whole Jaw (WJ), Mucosa with Residual Teeth (M_RT), Isolated Mucosa (IM), and Isolated Abutment Teeth (AT). Statistical analyses were conducted to evaluate group differences by quantifying the deviation values between the CIs and COIs. The mean deviations between the COIs and CIs varied significantly across the different comparison situations, with mucosal areas showing higher deviations than dental hard tissue. However, no statistically significant difference was found between the maxilla and mandible. Although COIM offers a no-pressure impression method that captures surfaces without irritation, it was found to capture mucosa less accurately than dental hard tissue. This discrepancy can likely be attributed to software algorithms that automatically filter out mobile tissues. Clinically, these findings suggest that caution is required when using COIM for prosthetics involving mucosal tissues as deviations could compromise the fit and longevity of the prosthetic appliance. Further research is warranted to assess the clinical relevance of these deviations.https://www.mdpi.com/2079-4983/14/9/458intraoral scanconventional impressiondigital impressionpartially edentulousdental prosthesis3D analyses
spellingShingle Babak Saravi
Julia Ilbertz
Kirstin Vach
Ralf J. Kohal
Sebastian B. M. Patzelt
Accuracy of Computerized Optical Impression Making in Fabrication of Removable Dentures for Partially Edentulous Jaws: An In Vivo Feasibility Study
Journal of Functional Biomaterials
intraoral scan
conventional impression
digital impression
partially edentulous
dental prosthesis
3D analyses
title Accuracy of Computerized Optical Impression Making in Fabrication of Removable Dentures for Partially Edentulous Jaws: An In Vivo Feasibility Study
title_full Accuracy of Computerized Optical Impression Making in Fabrication of Removable Dentures for Partially Edentulous Jaws: An In Vivo Feasibility Study
title_fullStr Accuracy of Computerized Optical Impression Making in Fabrication of Removable Dentures for Partially Edentulous Jaws: An In Vivo Feasibility Study
title_full_unstemmed Accuracy of Computerized Optical Impression Making in Fabrication of Removable Dentures for Partially Edentulous Jaws: An In Vivo Feasibility Study
title_short Accuracy of Computerized Optical Impression Making in Fabrication of Removable Dentures for Partially Edentulous Jaws: An In Vivo Feasibility Study
title_sort accuracy of computerized optical impression making in fabrication of removable dentures for partially edentulous jaws an in vivo feasibility study
topic intraoral scan
conventional impression
digital impression
partially edentulous
dental prosthesis
3D analyses
url https://www.mdpi.com/2079-4983/14/9/458
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