• The Journal of Advanced Prosthodontics
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• v.15 no.6
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• pp.315-332
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• 2023

PURPOSE. This study aimed to investigate whether the accuracy of intraoral scanners is influenced by different scanning strategies in an in vitro setting, through a systematic review and meta-analysis. MATERIALS AND METHODS. This review was conducted in accordance with the PRISMA 2020 standard. The following PICOS approach was used: population, tooth impressions; intervention, the use of intraoral scanners with scanning strategies different from the manufacturer's instructions; control, the use of intraoral scanners following the manufacturers' requirements; outcome, accuracy of intraoral scanners; type of studies, in vitro. A comprehensive literature search was conducted across various databases including Embase, SciELO, PubMed, Scopus, and Web of Science. The inclusion criteria were based on in vitro studies that reported the accuracy of digital impressions using intraoral scanners. Analysis was performed using Review Manager software (version 5.3.5; Cochrane Collaboration, Copenhagen, Denmark). Global comparisons were made using a standardized mean difference based on random-effect models, with a significance level of α = 0.05. RESULTS. The meta-analysis included 15 articles. Digital impression accuracy significantly improved under dry conditions (P < 0.001). Moreover, trueness and precision were enhanced when artificial landmarks were used (P ≤ 0.02) and when an S-shaped pattern was followed (P ≤ 0.01). However, the type of light used did not have a significant impact on the accuracy of the digital intraoral scanners (P ≥ 0.16). CONCLUSION. The accuracy of digital intraoral scanners can be enhanced by employing scanning processes using artificial landmarks and digital impressions under dry conditions.

• The Journal of Korean Academy of Prosthodontics
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• v.33 no.3
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• pp.539-549
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• 1995

The purpose of this study was to determine the accuracy of 3 implant impression methods by using strain gauge. The models used for this study were partially edentulous mandibular acrylic resin casts Model A, with two abutment analogs in #46,47 extraction site, represented two implant parallel to to the adjacent natural tooth. Model B represent an anterior implant parallel to the adjacene natural tooth and a posterior implant exhibiting a 15-degree lingual inclination. Master framework were fabricated on the master model, and 3 strain gauges were attached to a master framwork to determine the passivity of fit of the framework to sample casts made by the three impression techniques. The master framework was attached to each sample cast with gold screws, which were tightened with the torque driver to ensure a consistent toque application of 10 Ncm. Universal Digital Measuring System UCAM-5BT was used for strain measuring. Impression techniques studid were : 1. unsplinted tapered impression coping, polyvinyl siloxane, stock tray 2. unsplinted squared impression coping, polyether, custom tray 3. squared impression coping splinted with Duralay resin, polyether, custom tray Through analysis on data from this study, the following conclusions were obtained. 1. There were no statistically significant differences between the mean strain recorded from the sample casts made with the tree impression. But only strain values of model A(parallel group) Y-axis was signifcantly differed between Technique 1 and 3(P<0.05). 2. There was no statistically significant difference between model A(parallel group) and model B(15-degree divergent group).

• Journal of Technologic Dentistry
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• v.35 no.1
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• pp.37-42
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• 2013

Purpose: The purpose of this study was to evaluate the repeatability of dental white light scanner. Methods: The impression(Zerosil, Dreve, Germany) were digitized in white light scanner(Identica, Medit, Korea) to create 3-dimensional surface-models. The distribution of the discrepancies between the number of points in the corresponding CRM models and the point clouds in the others were measured by a matching-software(PowerInspect 2012, Delcam Plc, UK). The discriptive statistics were used for statistical analysis(SPSS 20.0). Results: The measurement of repeatablity showed very good reliability. The mean(SD) discrepancy value on the white light scanner digital models was 8.7(0.67) ${\mu}m$, based on SD and absolute mean values. Conclusion: These in vitro studies showed that repeatability of dental white light scanner is high reliability. These results can be confirmed in further clinical studies.

• Journal of Dental Rehabilitation and Applied Science
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• v.33 no.4
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• pp.299-306
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• 2017

In this case report, immediate loading of an implant-supported single-tooth prosthesis through complete digital workflow. A patient presented for restoration of missing a single tooth in the mandibular first molar. The digital impression was made with intraoral scanner and implant was placed using surgical guide pre-fabricated with pre-operative computed tomography (CT) and scan data. After 1 week later, prefabricated customized abutment and provisional restoration were connected for immediate loading. After 8 weeks later, abutment level impression was taken by intraoral scanner. At 3 months later from implant installation, monolithic zirconia crown were fabricated. This clinical report presents satisfying result in accuracy and patient satisfaction. A completely modeless digital procedure met expectations regarding precision, esthetics, and functionality.

• The Journal of Korean Academy of Prosthodontics
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• v.56 no.3
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• pp.258-268
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• 2018

Purpose: This study systematically examines literatures on the suitability of prostheses and accuracy of obtained impressions to see if digital impressions using intraoral scanners can replace traditional impressions. Materials and methods: A MEDLINE/PubMed search and manual search was performed for studies written in English about accuracy of digital impression published in dental journals from August 1, 1997, to July 31, 2017. Depending on criteria, the data for the selected articles were independently organized into standardized spreadsheets by 2 reviewers. Results: Among the total 35 studies met the inclusion criteria, there were 26 studies comparing the suitability of prostheses, and 9 studies comparing the accuracy of impressions through scan data without prostheses. Most studies used prostheses to compare the accuracy of impression techniques. Conclusion: This review suggests that making single crown or mesio-distally short prostheses with digital impressions is clinically reliable in natural teeth. However, there is still a limit to making mesio-distally long prostheses with digital impressions from the lack of related studies. Digital impression cannot fully replace traditional impressions in implant prostheses yet.

• Journal of Dental Rehabilitation and Applied Science
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• v.36 no.1
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• pp.29-40
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• 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.

• The Journal of the Korea Contents Association
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• v.18 no.12
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• pp.639-645
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• 2018

The objective of this research was to compare the precision of scanning the digital abutment impression and gypsum model according to 3-dimensional superimposing different skills. There were made with the abutment impression and gypsum model of a maxillary 1st premolar, blue light scanner scanned to obtain the stereolithography (STL) file. After the same process was performed 10 more times without moving them on the scanner table about the abutment impression and gypsum model, respectively (n=11, per types). By superimposing the date of scanning the abutment impression and gypsum model used with no control and best-fit-alignment skills, 10 color-difference maps and root mean square (RMS) data were obtained. The independent t-test was performed to compare RMS data between the each other groups (${\alpha}=0.05$). In the scanning abutment impressions, $RMS{\pm}SD$ of no control, best-fit-alignment showed $6.86{\pm}0.94$, $5.04{\pm}0.24$. in the scanning gypsum model, $4.98{\pm}1.16$, $3.39{\pm}0.07$, all groups showed a significant difference (P<0.001). Trough the this study's result, not only best-fit-alignment but no control is used with digital dental computer-aided design/computer-aided manufacturing (CAD/CAM) research and clinical part.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.4
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• pp.432-438
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• 2019

Accurate impression taking for the success of implant prosthesis is a very important process. Methods of taking implant impression include the conventional method using impression coping and impression material, and the digital method using an intraoral scanner and scanbody. However, the impression coping or the scanbody must install after remove healing abutment. Because of this, the dentist must repeat the process of removing and installing the healing abutment, the impression coping or the scanbody several times. In addition, the impression coping or the scanbody rises higher than the occlusal surface, so the patient has the inconvenience of constantly maintaining the open state. Recently, a scannable healing abutment, which can be scanned by a intraoral scanner directly, without the need to remove the healing abutment by applying a scannable part of the scanbody to the healing abutment, was introduced. We present a case of single posterior implant prosthesis using a scannable healing abutment.

• Journal of dental hygiene science
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• v.14 no.2
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• pp.94-100
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• 2014

The purpose of this study was to evaluate the accuracy of digitized elastomeric impression materials of crown abutment, using non-contact white light scanner and virtual three-dimensional superimpositional analysis. The stone models and impressions were digitized white light scanner to create three-dimensional surface models. Stone models were used as CAD reference model (CRM). The resulting point clouds (ASC file) from digitization of impressions using converting software. Discrepancies between the points in the point clouds and CRM were measured by superimpositional software. Mean and standard deviation of values of discrepancies were analyzed by one-way ANOVA and multiple comparison (${\alpha}=0.05$). The mean discrepancy between the impressions for the extra-light body (XLB), light body (LB), and heavy body (HB) group were $5.10{\pm}1.45{\mu}m$, $6.30{\pm}1.87{\mu}m$, $9.80{\pm}1.52{\mu}m$, respectively. The different impression materials affected the digitization of impressions significantly (p<0.05). As a result, digitization of elastomeric impression materials on dental scanner was influenced by material sort.

• The Journal of Korean Academy of Prosthodontics
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• v.42 no.1
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• pp.21-29
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• 2004

Statement of problem : Because dental impression can be a cross-infection source, disinfection, such as immersion disinfection is nessecary. However, the disinfection process may change the volume of the impression cast. Purpose : The purpose of this study is to find out the effects on dimensional change of different storage times and methods, of agar-alginate impression when immersed in a 5% idophor disinfectant. Material and Methods : An agar-alginate impression was made from a mandible model and then was disinfected and stored according the experimental conditions and a stone model was produced. Measurements were taken between reference points on the original mandible model and they were compared to measurements taken between reference points on the stone model. The study was divided into 4 groups. In group 1, the impression was stored in a 100% humidor for 30 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 12 hours and 24 hours and stone models were made at each time. In group 2, the impression was immersed in 5% idophor disinfectant and then stored in a 100% humidor for the same length of times as group 1, and stone models were made at each time. In group 3, the impression was stored in extend-A-pourR, a special storage solution for 30 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 12 hours, 24 hours 3 days, and 7 days and stone models were made at each time. In group 4, the impression was immersed in 5% idophor disinfectant and then stored in stored in extend-A-pourR, a special storage solution for the same length of times as group 3, and stone models were made at each time. 5 impressions and stone models were made at each time to make a total of 180. The Student-t test (P < .05) was used to do a statistical analysis of the measurements of the mandible model and stone models. The repeated-measure 2-way analysis of variance (P < .05) was used to do a statistical analysis of the difference in the 4 groups. Results : The percent liner dimensional change was from $0.25{\pm}0.03%$ (group 1, 30 minutes) to $0.34{\pm}0.06%$ (group 4, 7 days). No significant change was noticed between the 4 groups. Conclusion : According to the above study, in both methods, least dimensional change was recorded when the storage times were short and in both methods, immersion in 5% idophor disinfectant did not effect dimensional change in the agar-alginate impression.