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Wan Q, Limpuangthip N, Hlaing NHMM, Hahn S, Lee JH, Lee SJ. Enhancing scanning accuracy of digital implant scans: A systematic review on application methods of scan bodies. J Prosthet Dent 2024:S0022-3913(24)00426-8. [PMID: 38972802 DOI: 10.1016/j.prosdent.2024.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2024] [Revised: 06/11/2024] [Accepted: 06/12/2024] [Indexed: 07/09/2024]
Abstract
STATEMENT OF PROBLEM Scan bodies play a crucial role in the accuracy of digital implant scans by serving as implant-positioning transfer devices. Previous literature has demonstrated the effects of scan body characteristics on the accuracy of digital implant scans. However, the optimal application methods of scan bodies to enhance scanning accuracy remain unclear. PURPOSE The purpose of this systematic review was to determine the optimal application methods of scan bodies to enhance the accuracy of digital implant scans. MATERIAL AND METHODS An electronic search was conducted by using the PubMed (MEDLINE), Web of Science, Cochrane Library, and Embase databases from November 2018 to 2023. Relevant references from the included studies were further screened manually for eligibility. Following the population, intervention, comparison, and outcome (PICO) criteria, a research question focused on identifying the optimal application method for effectively using scan bodies to enhance scanning accuracy was developed. Specific inclusion criteria involved in vitro and in vivo studies. The Checklist for Reporting In Vitro Studies (CRIS) guidelines were followed and the assessment of the risk of bias in the included studies was conducted. RESULTS Sixteen articles that met the eligibility criteria were included in this systematic review. Two studies investigated the effect of scan body bevel orientation on the accuracy of digital implant scans, and 3 examined the impact of tightening torque on scan bodies. Among the studies focusing on completely edentulous arches, 5 recommended the use of auxiliary geometric devices on the dental arch to enhance scanning accuracy. However, 2 studies reported no improvements in accuracy after splinting scan bodies with thread. CONCLUSIONS Different techniques for applying scan bodies, such as configuring bevel orientation, adjusting tightening torque, and attaching auxiliary geometric devices, influence the accuracy of digital implant scans. For scanning completely edentulous arches, attaching auxiliary devices to scan bodies to cover the edentulous ridge effectively enhances scanning accuracy.
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Affiliation(s)
- Qiucen Wan
- Graduate student, Department of Prosthodontics, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Nareudee Limpuangthip
- Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Nan Hsu Myat Mon Hlaing
- Graduate student, Department of Prosthodontics, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Seoyoun Hahn
- Graduate student, Department of Restorative Dentistry, Graduate Prosthodontics, School of Dentistry, University of Washington, Seattle, Wash
| | - Jae-Hyun Lee
- Program Director and Assistant Professor, Department of Prosthodontics and Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea.
| | - Sang J Lee
- Associate Professor, Advanced Graduate Prosthodontics, Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Mass
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Lawand G, Ismail Y, Revilla-León M, Tohme H. Effect of implant scan body geometric modifications on the trueness and scanning time of complete arch intraoral implant digital scans: An in vitro study. J Prosthet Dent 2024; 131:1189-1197. [PMID: 35864021 DOI: 10.1016/j.prosdent.2022.06.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/07/2022] [Accepted: 06/08/2022] [Indexed: 11/22/2022]
Abstract
STATEMENT OF PROBLEM The effect of the surface geometry of implant scan bodies (ISBs) on the accuracy and scanning time of complete arch implant digital scans remains uncertain. PURPOSE The purpose of this in vitro study was to evaluate whether geometric modifications on implant scan bodies (nonmodified, subtractively modified, and additively modified ISBs) affect the trueness and scanning time of complete arch intraoral implant digital scans. MATERIAL AND METHODS A completely edentulous maxillary cast with 2 anterior parallel and two 17-degree posteriorly tilted implant abutment analogs was prepared. A digitized reference was created from this cast with polyetheretherketone (PEEK) (CARES Mono Scanbody for screw-retained abutment) ISBs by using a desktop scanner (E3). Three different groups were created: nonmodified (NM group), subtractively modified (SM group), and additively modified (AM group). For the NM group, no modifications were made to the ISBs. For the SM group, 4 round-shaped grooves were created on the buccal, lingual, mesial, and distal sides. For the AM group, PEEK beads were printed and cemented on the same areas of the ISB of the SM group. Fifteen consecutive scans were captured with an intraoral scanner (TRIOS 3) for each group, and the scanning time was recorded. By using a metrology software program, scans of each group were superimposed on the reference file to determine the 3D surface, linear, and angular position discrepancies of each ISB. Repeated-measures analyses of variance followed by univariate analysis and Bonferroni multiple comparison tests were performed to analyze the data (α=.05). To compare the mean time among groups, 1-way analysis of variance was performed followed by the Tukey post hoc tests. RESULTS Significant 3D surface, linear, and angular position discrepancies were found when measuring trueness among the NM, SM, and AM groups (P<.001). Discrepancies in 3D surface deviation were highest for the AM group (0.266 ±0.030 mm), and the lowest mean angular deviation values were for the SM group (0.993 ±0.062 degrees). However, the mean scanning time was not significantly different among the groups tested (P=.237). CONCLUSIONS For complete arch intraoral implant digital scans, subtractive modifications on ISBs enhanced scanning trueness, while additive modifications on ISBs decreased scanning trueness. However, implant scan body geometric modifications did not affect scanning time.
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Affiliation(s)
- Ghida Lawand
- Resident, Department of Prosthodontics and Esthetic Dentistry, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon.
| | - Yara Ismail
- Resident, Department of Prosthodontics and Esthetic Dentistry, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Marta Revilla-León
- Affiliate Assistant Professor, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Wash; Director of Research and Digital Dentistry, Kois Center, Seattle, Wash; Adjunct Professor, Department of Prosthodontics, Tufts University, Boston, Mass
| | - Hani Tohme
- Founder and Head of Digital Dentistry Unit, Postgraduate Program Director, Department of Removable Prosthodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
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Revilla-León M, Gómez-Polo M, Drone M, Barmak AB, Guinot-Barona C, Att W, Kois JC, Alonso Pérez-Barquero J. Impact of scanning distance on the accuracy of a photogrammetry system. J Dent 2024; 142:104854. [PMID: 38246309 DOI: 10.1016/j.jdent.2024.104854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Revised: 12/26/2023] [Accepted: 01/18/2024] [Indexed: 01/23/2024] Open
Abstract
PURPOSE To measure the impact of the scanning distance on the accuracy of complete-arch implant scans acquired by using a photogrammetry (PG) system. MATERIAL AND METHODS An edentulous cast with 6 implant abutment analogs was obtained. A brand new implant scan body was positioned on each implant abutment and digitized using an extraoral scanner (T710; Medit) and the reference file was obtained. Three groups were created based on the scanning distance used to acquire complete-arch implant scans by using a PG (PIC System; PIC Dental): 20 (20 group), 30 (30 group), and 35 cm (35 group). An optical marker (PIC Transfer, HC MUA Metal; PIC Dental) was placed on each implant abutment and a total of thirty scans per group were acquired. Euclidean linear and angular measurements were obtained on the reference file was obtained and used to compare the discrepancies with the same measurements obtained on each experimental scan. One-way ANOVA and Tukey tests were used to analyze trueness. The Levene test was used to analyze the precision values (α = 0.05). RESULTS Significant linear (P < .001) and angular trueness (P < .001) discrepancies were found among the groups. For linear trueness, Tukey test showed that the 20 and 30 groups (P < .001) and 30 and 35 groups were different (P < .001). For angular trueness, the Tukey test revealed that 20 and 30 groups (P = .003), 20 and 35 (P < .001), and 30 and 35 groups were different (P < .001) The Levene test showed no significant linear precision (P = .197) and angular discrepancies (P = .229) among the groups. CONCLUSIONS The scanning distance influenced the trueness of complete-arch implant scans obtained with the PG method tested. The maximum linear trueness mean discrepancy among the groups tested was 10 µm and the maximum angular trueness mean discrepancy among the groups tested was 0.02 .
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Affiliation(s)
- Marta Revilla-León
- Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, Faculty & Director of Research and Digital Dentistry, Kois Center, University of Washington, Seattle, WA, United States; Graduate Prosthodontics, Department of Prosthodontics, School of Dental Medicine, Tufts University, Boston, MA, United States
| | - Miguel Gómez-Polo
- Department of Conservative Dentistry and Prosthodontics, School of Dentistry, Complutense University of Madrid, Pza. Ramón y Cajal s/n., Madrid 28033, Spain.
| | | | - Abdul B Barmak
- Clinical Research and Biostatistics, Eastman Institute of Oral Health, University of Rochester Medical Center, Rochester, NY, United States
| | - Clara Guinot-Barona
- Department of Dental Orthodontics, Faculty of Medicine and Health Sciences, Universidad Católica de Valencia, Valencia, Spain
| | - Wael Att
- Founder and Director, The Face Dental Group, Boston, MA, United States; Department of Prosthodontics, University Hospital of Freiburg, Germany
| | - John C Kois
- Founder and Director Kois Center, Affiliate Professor, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, and Private Practice, Seattle, WA, United States
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Revilla-León M, Lanis A, Yilmaz B, Kois JC, Gallucci GO. Intraoral digital implant scans: Parameters to improve accuracy. J Prosthodont 2023; 32:150-164. [PMID: 37586762 DOI: 10.1111/jopr.13749] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 07/06/2023] [Indexed: 08/18/2023] Open
Abstract
PURPOSE To report the means to maximize the predictability and accuracy of intraoral digital implant scans through the evaluation of operator and patient-related factors. MATERIALS AND METHODS A search of published articles related to factors that can decrease the scanning accuracy of intraoral digital implant scans was completed in four data sources:MEDLINE, EMBASE, EBSCO, and Web of Science. All studies related to variables that can influence the accuracy of intraoral digital implant scans obtained by using intraoral scanners (IOSs) were considered. These variables included ambient lighting, scanning pattern, implant scan body (ISB) design, techniques for splinting ISBs, arch location, implant position, and inter-implant distance. RESULTS Among operator-related factors, ambient lighting conditions, scanning pattern, and ISB design (material, geometry, and retention design) can impact the accuracy of intraoral digital implant scans. The optimal ISB for maximizing IOS accuracy is unclear; however, polymer ISB can wear with multiple reuse and sterilization methods. Among patient-related factors, additional variables should be considered, namely arch (maxillary vs. mandibular arch), implant position in the arch, inter-implant distance, implant depth, and angulation. CONCLUSIONS Ambient lighting conditions should be established based on the IOS selected to optimize the accuracy of intraoral digital implant scans. The optimal scanning pattern may vary based on the IOS, clinical situation, and the number of implants. The optimal ISB design may vary depending on the IOS used. Metallic implant scan bodies are preferred over polymer ISB designs to minimize wear due to multiple use and sterilization distortion. Among patient-related factors, additional variables should be considered namely the arch scanned, implant position in the arch, inter-implant distance, implant depth, and angulation. The impact of these factors may vary depending on the IOS selected.
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Affiliation(s)
- Marta Revilla-León
- Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Washington, USA
- Kois Center, Seattle, Washington, USA
- Department of Prosthodontics, School of Dental Medicine, Tufts University, Boston, Massachusetts, USA
| | - Alejandro Lanis
- Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Massachusetts, USA
| | - Burak Yilmaz
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland
- Division of Restorative and Prosthetic Dentistry, The Ohio State University, Columbus, Ohio, USA
| | - John C Kois
- Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Washington, USA
- Kois Center, Seattle, Washington, USA
- Private Practice, Seattle, Washington, USA
| | - German O Gallucci
- Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Massachusetts, USA
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Pachiou A, Zervou E, Tsirogiannis P, Sykaras N, Tortopidis D, Kourtis S. Characteristics of intraoral scan bodies and their influence on impression accuracy: A systematic review. J ESTHET RESTOR DENT 2023; 35:1205-1217. [PMID: 37381677 DOI: 10.1111/jerd.13074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Revised: 06/07/2023] [Accepted: 06/08/2023] [Indexed: 06/30/2023]
Abstract
OBJECTIVE The aim of this systematic review was to evaluate the influence of the characteristics of intraoral scan bodies (ISBs) on the accuracy of intraoral scanning. MATERIALS AND METHODS An electronic search was conducted through PubMed (MEDLINE), Scopus and Cochrane Library, up to March 2023. The literature search intended to retrieve all relevant clinical and in vitro studies about the effect that the various properties of ISBs may have on the accuracy (trueness and precision) of intraoral scanning. Only publications in English language were selected with animal studies, case reports, case series, technique presentation articles and expert opinions being excluded. RESULTS A total of 28 studies met the inclusion criteria and were included in this systematic review. They were published between 2019 and 2023 and were all in vitro studies. Among the parameters described, the scan body material, position, geometry, height, diameter, and fixation torque were evaluated. The most common materials used for ISBs were polyetheretherketone (PEEK) and titanium alloys. The diameter and position of ISBs seemed to affect the trueness of implant impressions. Subgingival implant position and decreased ISB height affected negatively the trueness of scanning. Geometrical characteristics of ISBs also affect the implant impression accuracy, especially the bevel location and the types of designing modifications. CONCLUSIONS The characteristics of the currently used ISBs vary widely and the available scientific evidence is not yet conclusive about the optimal design of ISB. The implant impression accuracy achieved by any of the studied parameters is encouraging. Clinical studies are however necessary for more concrete conclusions. CLINICAL SIGNIFICANCE ISBs play a vital role in the digital workflow and influence significantly the accuracy and fit of implant restorations. More clinical trials are needed in order to conclude to the optimal characteristics of ISBs which would further enhance the success of the restorations.
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Affiliation(s)
- Aspasia Pachiou
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Evangelia Zervou
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Panagiotis Tsirogiannis
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Nikitas Sykaras
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitrios Tortopidis
- Department of Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Stefanos Kourtis
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
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Diker E, Terzioglu H, Gouveia DNM, Donmez MB, Seidt J, Yilmaz B. Effect of material type, torque value, and sterilization on linear displacements of a scan body: An in vitro study. Clin Implant Dent Relat Res 2023; 25:419-425. [PMID: 36762614 DOI: 10.1111/cid.13187] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Revised: 12/21/2022] [Accepted: 01/23/2023] [Indexed: 02/11/2023]
Abstract
BACKGROUND There is limited knowledge on the effect of scan body (SB) material type, torque value, and sterilization on linear displacements of implant SBs. PURPOSE To evaluate the effect of material type, torque value, and sterilization on linear displacements of SBs during screw tightening by using digital image correlation (DIC) analysis. MATERIALS AND METHODS One polyetheretherketone (PEEK, Zfx Intraoral Scan Body) and one titanium SB (Ti, MPS Zimmer Scanbody R1410) were tightened with 5 Ncm torque on two implants (Zimmer TSV ⌀4.7 mm) by using a digital torque limiting device. SBs' initial spatial positions relative to the implants were recorded by using 3D DIC technique. Measurements were repeated after initially increasing torque value to 10 Ncm and then to 15 Ncm, and these steps were repeated for a total of 10 PEEK and 10 Ti SBs on both implants (n = 20). All SBs were then sterilized 25 times by using an autoclave (STATIM 5000 S G4) according to manufacturer's recommendations and all measurements were repeated. Linear displacements on three axes were calculated for each SB with increasing torque values (from 5 to 10 Ncm and from 10 to 15 Ncm) before and after sterilization. SB displacements within each torque value-sterilization pair were compared by using Mann-Whitney U test, whereas Wilcoxon signed-rank test was used to compare SB displacements within each material-torque value pair between conditions and within each material-sterilization pair between torque values (α = 0.05). RESULTS On x-axis, PEEK SBs had higher displacements than Ti SBs (p < 0.001), whereas sterilization (p ≤ 0.028) and 15 Ncm torque application (p ≤ 0.006) led to higher displacements of PEEK SBs. On y-axis, PEEK SBs had higher displacements than Ti SBs with 15 Ncm torque application (p ≤ 0.033). A total of 15 Ncm torque-applied PEEK SBs and 10 Ncm torque-applied Ti SBs had higher displacements after sterilization (p ≤ 0.028). Application of 15 Ncm torque led to higher displacements regardless of the material (p ≤ 0.002). On z-axis, PEEK SBs had higher displacements (p ≤ 0.015), except for 10 Ncm torque-applied sterilized SBs (p = 0.102). With 10 Ncm torque application, sterilization decreased the displacement values of PEEK SBs (p = 0.044). Greater displacements were observed with 10 Ncm torque-applied Ti SBs before sterilization and 15 Ncm torque-applied PEEK SBs after sterilization (p ≤ 0.033). CONCLUSIONS Axial displacement of SBs was affected by material type, torque value, and sterilization. Ti SBs mostly had lower displacements than PEEK SBs. Application of 15 Ncm torque to tested PEEK SBs should be refrained from and a calibrated tightening tool may enable the application of 10 Ncm or lower torque values for lower displacements. Sterilization generally increased PEEK SB displacements.
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Affiliation(s)
- Emre Diker
- Private Practice, Med Dis Dental Clinic, Ankara, Turkey.,Department of Prosthodontics, Faculty of Dentistry, Ankara University, Ankara, Turkey
| | - Hakan Terzioglu
- Department of Prosthodontics, Faculty of Dentistry, Ankara University, Ankara, Turkey
| | - Diogo N M Gouveia
- Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, Ohio, USA
| | - Mustafa Borga Donmez
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.,Department of Prosthodontics, Faculty of Dentistry, Istinye University, İstanbul, Turkey
| | - Jeremy Seidt
- Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, Ohio, USA.,Department of Mechanical & Aerospace Engineering, The Ohio State University College of Engineering, Columbus, Ohio, USA
| | - Burak Yilmaz
- Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, Ohio, USA.,Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.,Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland
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Gracis S, Appiani A, Noè G. Digital workflow in implant prosthodontics: The critical aspects for reliable accuracy. J ESTHET RESTOR DENT 2023; 35:250-261. [PMID: 36606714 DOI: 10.1111/jerd.13004] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 12/13/2022] [Accepted: 12/14/2022] [Indexed: 01/07/2023]
Abstract
INTRODUCTION This paper is a comprehensive treaty about the variables that influence the transfer of the position of an implant to the laboratory when using a digital workflow. OBJECTIVE The aim is to provide operators and manufacturers with a guide on how to improve certain aspects of the digital workflow specific to the fabrication of implant-supported restorations. OVERVIEW It addresses intraoral scanning issues and CAD software issues. In the former, the variables that play a part in the quality of the scan file are investigated: the implant scan body, the IOS and the operator. For the latter, instead, the focus is on those aspects that still today may create inaccuracies in the workflow and in the final product being fabricated: the identification of the specific implant placed in the patient and the generation of a virtual model with the representation of that implant platform correctly positioned in the three dimensions of space. Suggestions and recommendations are given to improve the control on the quality of the digital workflow's output. CONCLUSION In a digital workflow for the fabrication of an implant-supported restoration, the selection and use of the implant scan body, the use of an effective scan strategy and the appropriateness of the best fit function in the CAD software, that is, the procedure of superimposing the library of geometric shapes of the ISB linked to the implant with the shape acquired intraorally, are variables that can influence the positional precision of the FDP. CLINICAL SIGNIFICANCE Fully understanding the importance of the information enclosed in the ISBs themselves can be crucial in the digital workflow. A proper ISB's selection, a correct scan of the ISB's shape and an accurate CAD superimposition of the ISB's library can lead the clinician to reduce the variables that affect the final result in daily practice.
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Kao TY, Hsieh MC, Hsu CP, Liao CC, Chang CL. Accuracy of digital impressions for three-unit and four-unit implant supported fixed dental prostheses using a novel device. J Dent Sci 2022; 18:702-708. [PMID: 37021250 PMCID: PMC10068367 DOI: 10.1016/j.jds.2022.10.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 10/13/2022] [Indexed: 11/06/2022] Open
Abstract
Background/ purpose Accuracy of digital implant impressions was considered questionable due to the lack of anatomical reference points between implants and the similarities in scan body morphology, which lead to the purpose of this research is to propose a simple and convenient technique to improve the accuracy of scanning. Materials and methods Four implant analogues (teeth: 15, 17, 24, and 27) were inserted into a stone model of a partially edentulous maxilla; two implants were inserted on each side, creating a three-unit span and a four-unit span. The model was scanned using a 3Shape E4 dental laboratory scanner for reference and a TRIOS 3 intraoral scanner for testing. Each side was scanned 10 times, both with and without the novel device attached to the scan bodies. The trueness and precision of interimplant distances (linear deviations), and interimplant angulations (angle deviations) between the scan bodies were determined using software. A Mann-Whitney U test was used to determine statistical differences between subgroups. Results Significant differences were discovered in the trueness of angular deviations (-0.20° ± 0.15° vs. -0.01° ± 0.11º) and precision of linear deviations (11.14 ± 6.35 vs. 3.10 ± 2.14 μm) for the four-unit groups. Conclusion The novel device significantly improved scanning accuracy for a four-unit groups (approximately 22.93 mm) compared to three-unit groups.
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Affiliation(s)
- Tzu-Yung Kao
- Department of Prosthodontics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
| | - Min-Chieh Hsieh
- Department of Prosthodontics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
| | - Chi-Pin Hsu
- High Speed 3D Printing Research Center, National Taiwan University of Science and Technology, Taipei, Taiwan
| | | | - Chih-Ling Chang
- Department of Prosthodontics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
- School of Dentistry, National Yang-Ming Chiao Tung University, Taipei, Taiwan
- Corresponding author. Department of Prosthodontics, Shin Kong Wu Ho-Su Memorial Hospital, B1F., No. 95, Wen Chang Road, Shih Lin District, Taipei, 11101, Taiwan.
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Suphangul S, Rokaya D, Kanchanasobhana C, Rungsiyakull P, Chaijareenont P. PEEK Biomaterial in Long-Term Provisional Implant Restorations: A Review. J Funct Biomater 2022; 13:jfb13020033. [PMID: 35466215 PMCID: PMC9036277 DOI: 10.3390/jfb13020033] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 03/17/2022] [Accepted: 03/21/2022] [Indexed: 02/06/2023] Open
Abstract
Polyetheretherketone (PEEK) has become a useful polymeric biomaterial due to its superior properties and has been increasingly used in dentistry, especially in prosthetic dentistry and dental implantology. Promising applications of PEEK in dentistry are dental implants, temporary abutment, implant-supported provisional crowns, fixed prosthesis, removable denture framework, and finger prosthesis. PEEK as a long-term provisional implant restoration has not been studied much. Hence, this review article aims to review PEEK as a long-term provisional implant restoration for applications focusing on implant dentistry. Articles published in English on PEEK biomaterial for long-term provisional implant restoration were searched in Google Scholar, ScienceDirect, PubMed/MEDLINE, and Scopus. Then, relevant articles were selected and included in this literature review. PEEK presents suitable properties for various implant components in implant dentistry, including temporary and long-term provisional restorations. The modifications of PEEK result in wider applications in clinical dentistry. The PEEK reinforced by 30-50% carbon fibers can be a suitable material for the various implant components in dentistry.
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Affiliation(s)
- Suphachai Suphangul
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (S.S.); (C.K.); (P.R.)
| | - Dinesh Rokaya
- Department of Clinical Dentistry, Walailak University International College of Dentistry, Walailak University, Bangkok 10400, Thailand;
| | - Chatruethai Kanchanasobhana
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (S.S.); (C.K.); (P.R.)
| | - Pimduen Rungsiyakull
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (S.S.); (C.K.); (P.R.)
| | - Pisaisit Chaijareenont
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (S.S.); (C.K.); (P.R.)
- Correspondence: ; Tel.: +66-(0)53-944-438
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Arcuri L, Lio F, Campana V, Mazzetti V, Federici FR, Nardi A, Galli M. Influence of Implant Scanbody Wear on the Accuracy of Digital Impression for Complete-Arch: A Randomized In Vitro Trial. MATERIALS 2022; 15:ma15030927. [PMID: 35160873 PMCID: PMC8838002 DOI: 10.3390/ma15030927] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 01/21/2022] [Accepted: 01/22/2022] [Indexed: 12/04/2022]
Abstract
The aim of this study was to evaluate the influence of implant scanbody (ISB) wear on the accuracy of digital impression for complete-arch. A polymethylmethacrylate (PMMA) edentulous mandibular model with four internal hexagonal interlocking conical connections was scanned with an extraoral optical scanner to achieve a reference file. Four cylindrical polyetheretherketone (PEEK) ISBs were scanned 30 times with IOS, and the test files were aligned to the reference file with a best-fit algorithm. For each analog linear (ΔX, ΔY and ΔZ-axis) and angular deviations (ΔANGLE) were assessed. Euclidean distance (ΔEUC) was calculated from the linear deviation, reporting a mean of 82 µm (SD 61) ranging from 8 to 347 µm. ΔANGLE error mean was 0.33° (SD 0.20), ranging from 0.02 to 0.92°. From a multivariate analysis, when ΔEUC was considered as a response variable, a significant influence of ISB wear by scan number in interaction to position for implant 3.6 was identified (p < 0.0001); when ΔANGLE was considered as a response variable, a significant effect of position 3.6 was recorded ((p < 0.0001). The obtained results showed that the ISB wear negatively influenced the accuracy of IOS, suggesting that ISB base wear could be detrimental for the seating of ISBs on angulated implants.
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Affiliation(s)
- Lorenzo Arcuri
- Materials for Health, Environment and Energy, University of Rome Tor Vergata, 00133 Rome, Italy; (L.A.); (V.M.)
| | - Fabrizio Lio
- Materials for Health, Environment and Energy, University of Rome Tor Vergata, 00133 Rome, Italy; (L.A.); (V.M.)
- Correspondence:
| | | | - Vincenzo Mazzetti
- Materials for Health, Environment and Energy, University of Rome Tor Vergata, 00133 Rome, Italy; (L.A.); (V.M.)
| | - Francesca Romana Federici
- Innovative Technologies in Skeletal, Skin and Oro-Cranio-Facial Diseases, Sapienza University of Rome, 00185 Rome, Italy;
| | - Alessandra Nardi
- Department of Mathematics, University of Rome Tor Vergata, 00133 Rome, Italy;
| | - Massimo Galli
- Department of Dental and Maxillofacial Sciences, Sapienza University of Rome, 00185 Rome, Italy;
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11
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Karthhik R, Raj B, Karthikeyan BV. Role of scan body material and shape on the accuracy of complete arch implant digitalization. JOURNAL OF ORAL RESEARCH AND REVIEW 2022. [DOI: 10.4103/jorr.jorr_63_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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12
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Accuracy of the Intra- and Extra-Oral Scanning Technique for Transferring the Intaglio Surface of a Pontic of Provisional Restorations to Definitive Restorations. MATERIALS 2021; 14:ma14216489. [PMID: 34772015 PMCID: PMC8585418 DOI: 10.3390/ma14216489] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 10/21/2021] [Accepted: 10/25/2021] [Indexed: 11/17/2022]
Abstract
When taking the final impression for a three-unit fixed partial denture (FPD), the intaglio surface of the pontic of provisional restoration cannot be transferred accurately to that of definitive restoration. The intra- and extra-oral scanning (IEOS) technique, a method for accurately reproducing the submucosal morphology of the superstructure of an implant, has been reported using an intraoral scanner. In the present study, we evaluated the difference between the conventional impression method using impression material and the IEOS technique in reproducing the morphology of the surface of the pontic of a definitive FPD. There was a significant difference in the trueness of the intaglio surface morphology of the pontic between the conventional method and the IEOS technique; however, no significant difference in precision was observed. As a result, the intaglio surface of the pontic of the three-unit FPD could be transferred to definitive restorations more accurately with the IEOS technique than with the conventional method. These results suggest that the IEOS technique can duplicate the intaglio surface of the pontic more reproducibly to the definitive restorations compared with the conventional method.
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