The purpose of this study was to compare of marginal fitness of zirconia copings according to impression techniques and zirconia blocks. For the conventional impression, two types of rubber impression materials were used and digital impression was made by using an intraoral scanner. Zirconia copings were manufactured from three types of blocks. With each of ten zirconia copings was determined by surface roughness and marginal fitness. For surface roughness, LUXEN Smile($2.3{\pm}0.9{\mu}m$) block was superior. And the lowest mean values and standard deviations of marginal gap for the HL specimens were $26.5{\pm}2.1{\mu}m$ for buccal, $27.2{\pm}2.1{\mu}m$ for lingual, and that of the HJ specimens $29.6{\pm}4.0{\mu}m$ for mesial, $29.0{\pm}3.0{\mu}m$ for distal. One-way ANOVA showed statistically significant difference between groups for marginal fitness(p<0.05). From the above results, the impression techniques and zirconia blocks had influence on marginal fit of the zirconia copings. Also the marginal fitness of all groups showed clinically acceptable range.
Purpose: The purpose of this in vitro study compared to evaluation of repeatability of scanning abutment tooth stone model and impression applied CAD/CAM ISO standard in dentistry. Methods: To evaluate repeatability of scanning abutment tooth stone model, were repeatedly scanned to obtain 11 data via 3D stereolithography (STL) files. 10 data (STL files) were compared with the first 3D data (STL file), and the error sizes were measured by using 3D superimposing software(n=10). Also, the repeatability of scanning abutment tooth impression was evaluated with the same procedure. Independent t test was performed to evaluate the repeatability of scanning abutment tooth stone model versus impression through root mean square(RMS) and standard deviation(SD)(${\alpha}=0.05$). Results: $RMS{\pm}SD$ with regard to repeatability were $14.7{\pm}2.5{\mu}m$, $17.1{\pm}4.0{\mu}m$, respectively, with scanning abutment tooth stone model and impression(p=0.129). Conclusion: This study results showed a little different repeatability of scanning abutment tooth stone model and impression applied CAD/CAM ISO standard in dentistry, will suggest futures good studies and clinical advantages.
Purpose: We investigated the marginal fit between abutment and metal copings according to impression technique, wax block types, and metal types. Methods: We selected the traditional impression method of using rubber impression materials and the digital impression method of using oral scanners, three types of wax blocks, and two types of metal, both of which were domestically and commercially available, were selected to produce metal copings, and the marginal fit was determined through the use of silicon replication. Results: The measurements of axial wall fit revealed that the IYV specimens had the best fit, with a mean gap of 24.11±5.95 ㎛, followed by CEV, CHV, CSS, CSV, CES, CHS, and IYS specimens (mean: 33.44±8.41 ㎛). The differences were not statistically significant. The marginal gap measurements showed that the CEV specimen had the smallest gap, 17.25±4.13 ㎛, followed by the CSV, CHV, CSS, CES, CHS, IYV, and IYS specimen (mean: 43.47±15.63 ㎛). The differences were statistically significant. Conclusion: The axial wall fit of the metal coping (VeraBond2V; Aalba Dent, Inc., Fairfield, CA, USA) produced by the lost wax technique with the traditional impression method was excellent. The marginal fit of the metal coping (VeraBond 2V) produced by wax milling with the use of an oral scanner was also excellent. The marginal fit of the metal coping was within the clinically acceptable limits in all groups.
Mandible with severe alveolar bone atrophy poses a significant challenge in terms of reproducing clinically acceptable anatomy for a removable prosthesis. To overcome this potential complication, altered cast impression technique is often recommended to capture accurate and functional gingiva tissues. It becomes possible to get proper anchors functional impression by placing 2 implants crowns which were impossible in previous implant overdenture impression technique. In this case, an 80-year old female patient with severe mandibular ridge atrophy was treated with an implant-assisted removable partial denture with two implant crowns on the canine area. An altered cast impression was taken with an individual tray on a metal framework of removable partial denture on both posterior edentulous areas. The patient was satisfied with the final prosthesis after failure of 2 previous prostheses. Clinician had a difficult time to manage disabled patient and patient were suffered with ill-fitting denture due to inaccurate impression in conventional overdenture condition. The oral rehabilitation was completed with placing 2 implants as proper anchor.
Pereira, Ana Larisse Carneiro;Medeiros, Vitoria Ramos;Campos, Maria de Fatima Trindade Pinto;Medeiros, Annie Karoline Bezerra de;Yilmaz, Burak;Carreiro, Adriana da Fonte Porto
The Journal of Advanced Prosthodontics
/
v.14
no.4
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pp.212-222
/
2022
PURPOSE. To evaluate and compare the effect of impression type (conventional vs digital) and the number of implants on the time from the impressions to the generation of working casts of mandibular implant-supported fixed completearch frameworks, as well as on patient satisfaction. MATERIALS AND METHODS. 17 participants, 3 or 4 implants, received 2 types of digital impression methods (DI) and conventional (CI). In DI, two techniques were performed: scanning with the scan bodies (SC) and scanning with a device attached to the scan bodies (SD) (BR 10 2019 026265 6). In CI, the making of a solid index (SI) and open-tray impression (OT) were used. The outcomes were used to evaluate the time and the participant satisfaction with conventional and digital impressions. The time was evaluated through the timing of the time obtained in the workflow in the conventional and digital impression. The effect of the number of implants on time was also assessed. Satisfaction was assessed through a questionnaire based on seven. The Wilcoxon test used to identify the statistical difference between the groups in terms of time. The Mann-Whitney test was used to analyze the relationship between the time and the number of implants. Fisher's test was used to assess the patient satisfaction (P<.05). RESULTS. The time with DI was shorter than with CI (DI, $\tilde{x}=02:58$; CI, $\tilde{x}=31:48$) (P<.0001). The arches rehabilitated with 3 implants required shorter digital impression time (3: $\tilde{x}=05:36$; 4: $\tilde{x}=09:16$) (P<.0001). Regarding satisfaction, the DI was more comfortable and pain-free than the CI (P<.005). CONCLUSION. Digital impressions required shorter chair time and had higher patient acceptance than conventional impressions.
So Hyun Park;Jinhyun Choi;Byungdo Park;Jeongho Kim;Heesoo Lim;Dae-Hyun Kim
Journal of Medicine and Life Science
/
v.20
no.2
/
pp.83-88
/
2023
Metal artifacts cause inaccuracies in target delineation, radiation treatment planning, and delivery when computed tomography images of a radiotherapy patient implanted with a high-density material in the body are acquired. In this study, we investigated the possibility of obtaining improved images in clinical trials through metal artifact reduction using silicon impression materials without the need for a specific metal artifact reduction algorithm. A silicon impression material exhibiting a constant Hounsfield unit (HU) value according to the mixing ratio of the catalysts and bases was selected. The material did not exhibit any change in weight or shape over time. For both the instances of inserting the metal material and applying the silicon impression material, the HU value and dose were compared with homogeneous cases filled with water-equivalent materials. When the silicon impression material was applied to the region where the high-density material was located, the HU value was within 5% and the dose was within 3% compared with those of the homogeneous cases. In this study, the silicon impression materials reduced metal artifacts. However, because the composition, shape, size, and location of high-density materials differ, further studies are required to consider these factors in clinical applications.
PURPOSE. The aim of this stuldy was to compare the clinical marginal fit of CAD-CAM inlays obtained from intraoral digital impression or addition silicone impression techniques. MATERIALS AND METHODS. The study included 31 inlays for prosthodontics purposes of 31 patients: 15 based on intraoral digital impressions (DI group); and 16 based on a conventional impression technique (CI group). Inlays included occlusal and a non-occlusal surface. Inlays were milled in ceramic. The inlay-teeth interface was replicated by placing each inlay in its corresponding uncemented clinical preparation and taking interface impressions with silicone material from occlusal and free surfaces. Interface analysis was made using white light confocal microscopy (WLCM) (scanning area: 694 × 510 ㎛2) from the impression samples. The gap size and the inlay overextension were measured from the microscopy topographies. For analytical purposes (i.e., 95-%-confidence intervals calculations and P-value calculations), the procedure REGRESS in SUDAAN was used to account for clustering (i.e., multiple measurements). For p-value calculation, the log transformation of the dependent variables was used to normalize the distributions. RESULTS. Marginal fit values for occlusal and free surfaces were affected by the type of impression. There were no differences between surfaces (occlusal vs. free). Gap obtained for DI group was 164 ± 84 ㎛ and that for CI group was 209 ± 104 ㎛, and there were statistical differences between them (p = .041). Mean overextension values were 60 ± 59 ㎛ for DI group and 67 ± 73 ㎛ for CI group, and there were no differences between then (p = .553). CONCLUSION. Digital impression achieved inlays with higher clinical marginal fit and performed better than the conventional silicone materials.
Purpose: The objective of this study was to evaluate and compare the accuracy of impression body taking by the closed and the open tray impression technique with 3 types of impression tray. Individual tray, metal stock tray and polycarbonate tray were used. Materials and methods: Nine closed tray impressions were taken by individual tray, metal stock tray and polycarbonate stock tray, respectively with polyether impression material. 9 open tray impressions were also acquired by same manner. Precision analysis on the master models was performed by attaching the reference frameworks with alternate single screws and measuring the vertical fit discrepancy of respective analogues in working cast with a stereo microscope. Data were analyzed by 1 way ANOVA and independent t-test. Results: The average fit accuracy of impression bodies was calculated. With the closed tray impression technique, there were significant statistical differences in vertical fit discrepancy according to the types of tray. The individual tray group showed the lowest value and the polycarbonate stock tray group represented the highest. With the open tray impression technique, there was no significant difference in vertical fit discrepancy. Significant statistical difference in vertical fit discrepancy was found between the open and the closed impression technique with the polycarbonate stock tray. Conclusion: From the results above, more precise impressions could be acquired by the rigid individual tray compared with the polycarbonate stock tray. It was hard to get consistent accuracy impressions by the closed tray impression technique with polycarbonate stock trays.
Park, Yong-Suck;Kim, Yu-Lee;Oh, Sang-Cheon;Lee, In-Seop;Dong, Jin-Keun
The Journal of Korean Academy of Prosthodontics
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v.46
no.2
/
pp.185-192
/
2008
Purpose: This study was designed to investigate the fitness of adjustable dental impression trays on the Caucasian and African American. Material and methods: The size and shape of these trays were designed from the results of the dental arch size of Korean adults. Tray samples were made by CAD-CAM working. Sixty Caucasian (male:30, female:30) and sixty African American (male:30, female:30) were selected for taking irreversible hydrocolloid impression using these trays. The author measured the width and length of impression material on the several measuring points. Results: 1. Uniform impression material width was achieved by controling the width of the tray using stops and beveled guides. 2. In the maxillary tray on the Caucasian, the impression material thickness was measured to be rather great showing thickness of the midpalatal part 13.0 mm. 3. In the maxillary tray on the African American, the impression material thickness was measured to be rather great showing thickness of the midpalatal part 12.0 mm, posterior palatal part 11.0 mm and the labial frenum width was 11.0 mm. 4. In the maxillary tray on the African American, the impression material width of posterior border (0.8 mm) was measured to be small. 5. In the mandibular tray on the Caucasian, the impression material width was measured (2.7-6.7 mm) and posterior border width (2.1 mm) was measured small. The impression material length was measured (2.8-6.7 mm). 6. In the mandibular tray on the African American, the impression material width was measured to be rather great showing width of the labial frenum 9.2 mm and the width of posterior border was measured too small (0.3 mm). Conclusion: This adjustable dental tray shows good accuracy to Korean because it was designed by the analysis of the dental arch size of Korean adult model. With this result, it can be applied to Caucasian and African American, we can take more easy and accurate dental impressions.
Journal of Dental Rehabilitation and Applied Science
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v.36
no.1
/
pp.29-40
/
2020
Purpose: The purpose of this study was to compare the accuracy of impression taking method using the encoded healing abutment, scan body and pick-up impression coping with different implant angulations. Materials and Methods: Master model was fabricated by 3D printer and three implants were placed into the model with 0°, 10° and 20° mesial angulation. The abutments were secured to each implants and master model was scanned to make a reference model. Group P model was fabricated using pick-up impression copings and model was scanned after securing the abutments. Encoded healing abutment (Group E) and scan body (Group S) were secured on the master model and digital impression was taken using intraoral scanner 15 times each. Each STL files of test groups were superimposed with reference model using best fit alignment and root mean square (RMS) value was analyzed. Results: The RMS values were lowest in Group P, followed by Group S and Group E. Group P showed significant difference with Group S and E (P < 0.05) while there was no significant difference between Group S and E. Correlation between implant angulation and RMS value was significant in Group E (P < 0.05). Conclusion: The pick-up impression coping method showed higher accuracy and there was no significant difference in accuracy between the healing abutment and the scan body. The clinical use of the encoded healing abutment is possible, but it should be used with caution in the case of angulated implant.
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