Accuracy of Extraoral Digital Impressions with Multi-Unit Implants

The aim of this in vitro study was to evaluate the accuracy of impressions made using two different silicones and corresponding stone casts in full-arch implant rehabilitation, using two laboratory scanners. A master model with six dental implants was created, scanned with a 12-megapixel scanner and...

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Main Authors: Manuel António Sampaio-Fernandes, Ricardo Pinto, Paulo Rocha Almeida, Maria Margarida Sampaio-Fernandes, Duarte Marques, Maria Helena Figueiral
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/15/8769
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author Manuel António Sampaio-Fernandes
Ricardo Pinto
Paulo Rocha Almeida
Maria Margarida Sampaio-Fernandes
Duarte Marques
Maria Helena Figueiral
author_facet Manuel António Sampaio-Fernandes
Ricardo Pinto
Paulo Rocha Almeida
Maria Margarida Sampaio-Fernandes
Duarte Marques
Maria Helena Figueiral
author_sort Manuel António Sampaio-Fernandes
collection DOAJ
description The aim of this in vitro study was to evaluate the accuracy of impressions made using two different silicones and corresponding stone casts in full-arch implant rehabilitation, using two laboratory scanners. A master model with six dental implants was created, scanned with a 12-megapixel scanner and used as digital master model. Ten implant impressions were obtained via two silicone impressions systems—Coltene<sup>®</sup> and Zhermack<sup>®</sup>—using the open-tray technique and poured gypsum. Two extraoral scanning systems (S600 ARTI Zirkonzhan<sup>®</sup> and Identica T500 Medit<sup>®</sup>) were used to scan the impressions and stone casts. Best-fit superimpositions were conducted between the master model and the virtual models obtained. A significance level of <i>p</i> < 0.05 was considered. The accuracy of the Medit<sup>®</sup> scanner was 82.26 [53.18; 111.34] µm for Coltene<sup>®</sup> silicone and 87.43 [72.00; 102.86] µm for Zhermack<sup>®</sup> silicone, and the accuracy of the Zirkonzhan<sup>®</sup> scanner was 69.90 [62.37; 77.43] µm for Coltene<sup>®</sup> silicone and 80.67 [65.77; 95.57] µm for Zhermack<sup>®</sup> silicone, without significant differences between scanners. When comparing the two silicones, no significant differences were found for the Medit<sup>®</sup> (<i>p</i> = 0.112) or Zirkonzhan<sup>®</sup> scanners (<i>p</i> = 0.162). The Zhermack<sup>®</sup> scanner showed better accuracy than the corresponding stone casts in the two scanners, Medit<sup>®</sup> (<i>p</i> = 0.019) and Zirkonzahn<sup>®</sup> (<i>p</i> = 0.002). The extraoral digitalization of impressions in edentulous dental arches with six implants proves to be a valid technique.
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spelling doaj.art-ff67a6b752984a84a61da5606e9a9b782023-11-18T22:37:18ZengMDPI AGApplied Sciences2076-34172023-07-011315876910.3390/app13158769Accuracy of Extraoral Digital Impressions with Multi-Unit ImplantsManuel António Sampaio-Fernandes0Ricardo Pinto1Paulo Rocha Almeida2Maria Margarida Sampaio-Fernandes3Duarte Marques4Maria Helena Figueiral5Faculdade de Medicina Dentária, Universidade do Porto, 4200-393 Oporto, PortugalFaculdade de Medicina Dentária, Universidade de Lisboa, 1649-003 Lisbon, PortugalFaculdade de Medicina Dentária, Universidade do Porto, 4200-393 Oporto, PortugalFaculdade de Medicina Dentária, Universidade do Porto, 4200-393 Oporto, PortugalFaculdade de Medicina Dentária, Universidade de Lisboa, 1649-003 Lisbon, PortugalFaculdade de Medicina Dentária, Universidade do Porto, 4200-393 Oporto, PortugalThe aim of this in vitro study was to evaluate the accuracy of impressions made using two different silicones and corresponding stone casts in full-arch implant rehabilitation, using two laboratory scanners. A master model with six dental implants was created, scanned with a 12-megapixel scanner and used as digital master model. Ten implant impressions were obtained via two silicone impressions systems—Coltene<sup>®</sup> and Zhermack<sup>®</sup>—using the open-tray technique and poured gypsum. Two extraoral scanning systems (S600 ARTI Zirkonzhan<sup>®</sup> and Identica T500 Medit<sup>®</sup>) were used to scan the impressions and stone casts. Best-fit superimpositions were conducted between the master model and the virtual models obtained. A significance level of <i>p</i> < 0.05 was considered. The accuracy of the Medit<sup>®</sup> scanner was 82.26 [53.18; 111.34] µm for Coltene<sup>®</sup> silicone and 87.43 [72.00; 102.86] µm for Zhermack<sup>®</sup> silicone, and the accuracy of the Zirkonzhan<sup>®</sup> scanner was 69.90 [62.37; 77.43] µm for Coltene<sup>®</sup> silicone and 80.67 [65.77; 95.57] µm for Zhermack<sup>®</sup> silicone, without significant differences between scanners. When comparing the two silicones, no significant differences were found for the Medit<sup>®</sup> (<i>p</i> = 0.112) or Zirkonzhan<sup>®</sup> scanners (<i>p</i> = 0.162). The Zhermack<sup>®</sup> scanner showed better accuracy than the corresponding stone casts in the two scanners, Medit<sup>®</sup> (<i>p</i> = 0.019) and Zirkonzahn<sup>®</sup> (<i>p</i> = 0.002). The extraoral digitalization of impressions in edentulous dental arches with six implants proves to be a valid technique.https://www.mdpi.com/2076-3417/13/15/8769three-dimensional scannerdental CAD/CAMdigital dentistrydigital implant impressionextraoral scannerfull-arch rehabilitation
spellingShingle Manuel António Sampaio-Fernandes
Ricardo Pinto
Paulo Rocha Almeida
Maria Margarida Sampaio-Fernandes
Duarte Marques
Maria Helena Figueiral
Accuracy of Extraoral Digital Impressions with Multi-Unit Implants
Applied Sciences
three-dimensional scanner
dental CAD/CAM
digital dentistry
digital implant impression
extraoral scanner
full-arch rehabilitation
title Accuracy of Extraoral Digital Impressions with Multi-Unit Implants
title_full Accuracy of Extraoral Digital Impressions with Multi-Unit Implants
title_fullStr Accuracy of Extraoral Digital Impressions with Multi-Unit Implants
title_full_unstemmed Accuracy of Extraoral Digital Impressions with Multi-Unit Implants
title_short Accuracy of Extraoral Digital Impressions with Multi-Unit Implants
title_sort accuracy of extraoral digital impressions with multi unit implants
topic three-dimensional scanner
dental CAD/CAM
digital dentistry
digital implant impression
extraoral scanner
full-arch rehabilitation
url https://www.mdpi.com/2076-3417/13/15/8769
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AT mariamargaridasampaiofernandes accuracyofextraoraldigitalimpressionswithmultiunitimplants
AT duartemarques accuracyofextraoraldigitalimpressionswithmultiunitimplants
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