• The Journal of Advanced Prosthodontics
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• v.11 no.5
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• pp.262-270
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• 2019

PURPOSE. The purpose of this in vitro study was to evaluate the marginal misfits of three-unit frameworks fabricated with conventional and digital impressions techniques. MATERIALS AND METHODS. Thirty brass canine and second premolar abutment preparations were fabricated by using a computer numerical control machine and were randomly divided into 3 groups (n=10) as follows: conventional impression group (Group Ci), Cerec Omnicam (Group Cdi), and 3shape TRIOS-3 (Group Tdi) digital impression groups. The laser-sintered metal frameworks were designed and fabricated with conventional and digital impressions. The marginal adaptation was assessed with a stereomicroscope at ${\times}30$ magnification. The data were analyzed with 1-way analysis of variances (ANOVAs) and the independent simple t tests. RESULTS. A statistically significant difference was found between the frameworks fabricated by conventional methods and those fabricated by digital impression methods. Multiple comparison results revealed that the frameworks in Group Ci (average, $98.8{\pm}16.43{\mu}m$; canine, $93.59{\pm}16.82{\mu}m$; premolar, $104.10{\pm}15.02{\mu}m$) had larger marginal misfit values than those in Group Cdi (average, $63.78{\pm}14.05{\mu}m$; canine, $62.73{\pm}13.71{\mu}m$; premolar, $64.84{\pm}15.06{\mu}m$) and Group Tdi (average, $65.14{\pm}18.05{\mu}m$; canine, $70.64{\pm}19.02{\mu}m$; premolar, $59.64{\pm}16.10{\mu}m$) (P=.000 for average; P=.001 for canine; P<.001 for premolar). No statistical difference was found between the marginal misfits of canine and premolar abutment teeth within the same groups (P>.05). CONCLUSION. The three-unit frameworks fabricated with digital impression techniques showed better marginal fit compared to conventional impression techniques. All marginal misfit values were clinically acceptable.

• Journal of Technologic Dentistry
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• v.42 no.1
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• pp.17-25
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• 2020

Purpose: The purpose of this study was to evaluate and compare the accuracy of definitive casts that are fabricated from digital intraoral impression and conventional impression technique. Methods: A master model(ANNA-4, Frasaco GmbH, Tettnang, Germany) with the prepared upper full arch tooth was used. Conventional impression and then stone model(n=10) were produced from this master model, and on the other hands, digital impressions were made with the CS-3600 intraoral scanner(n=10). Six linear measurements were recorded between landmarks, directly on each of the stone models on two occasions by a single examiner. Measurements were made with a digital caliper to the nearest 0.01mm from manual models and with the software(Delcam PowerSHAPE) from the virtual models. The t-student test for paired samples and intraclass correlation coefficient(ICC) were used for statistical analysis. Results: The measurement of two methods showed good reliability. The ICC of the two models were 0.88~0.91(stone model) and 0.94~0.99(digital model). The mean differences to master model for stone model and digital model were 0.10~0.14mm, and 0.14~0.20mm, respectively. Conclusion: The definitive casts obtained with digital intraoral technique model had significantly larger dimensions as compared to those of the stone model. However, the differences to the master model detected appear to provide enough accuracy and reliability for clinical application.

• Journal of dental hygiene science
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• v.14 no.1
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• pp.15-21
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• 2014

The purpose of this study in vitro investigation was to evaluate the dimensional stability of dental digital models made by impression scanning method. Twenty working models were produced. Twenty impressions were made from study models. The dimensional stability of models of two groups (stone and digital models) was examined using six landmark distances. Stone models were measured through digital vernier calipers. Digital models were measured by the computer program. Statistical analyses were performed with Wilcoxon rank sum test (${\alpha}=0.05$). The mean of six landmark distances were significantly larger in the stone models than in the digital models (p<0.05) but digital models showed clinically acceptable accuracy.

• 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 Advanced Prosthodontics
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• v.14 no.4
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• pp.212-222
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• 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.

• 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.

• Journal of Korean Dental Science
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• v.15 no.1
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• pp.92-99
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• 2022

This case report describes the immediate loading of narrow diameter implants in the mandibular incisor area using full-digital flow. The 3-dimensional position of the implants was planned using digital software, and the corresponding surgical template was fabricated. The implants were inserted immediately after extraction and on the same day, the interim abutment and bridge were placed. At 8 weeks after surgery, the stability of the implants was measured and a digital impression was made using a scan body. Customized titanium abutments and a cement-type full zirconia bridge were delivered. At 36 weeks' follow-up, no clinical or radiographic complications were detected, and the patient was satisfied with the results.

• Journal of Korean Dental Science
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• v.15 no.2
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• pp.132-140
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• 2022

Purpose: Dental diagnostic records derived from study models are a popular method of obtaining reliable and vital information. Conventional plaster models are the most common method, however, they are being gradually replaced by digital impressions as technology advances. Moreover, three-dimensional dental models are becoming increasingly common in dental offices, and various methods are available for obtaining them. This study aimed to evaluate the accuracy of the measurement of dental digital models by comparing them with conventional plaster and to determine their clinical validity. Materials and Methods: The study was conducted on 16 patients' maxillary and mandibular dental models. Tooth size (TS), intercanine width (ICW), intermolar width (IMW), and Bolton analysis were taken by using a digital caliper on a plaster model obtained from each patient, while intraoral scans were manually measured using two digital analysis software. A one-way analysis of variance test was used to compare the dental measurements of the three methods. Result: No significant differences were reported between the TS, the ICW and IMW, and the Bolton analysis through the conventional and two digital groups. Conclusion: Measurements of TS, arch width, and Bolton analysis produced from digital models have shown acceptable clinical validity. No significant differences were observed between the three dental measurement techniques.

• Journal of dental hygiene science
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• v.12 no.6
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• pp.617-623
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• 2012

This study was performed to measure the accuracy of different gypsum materials by a white light dental scanner. A master model with the prepared lower full arch tooth was used. The type IV and scannable stone were used for 20 stone casts (10 casts each) duplicated a master model of mandible. The distance between the reference points were measured and analyzed by the Delcam $Copycad^{(R)}$ (Delcam Plc, UK) 3D graphic software. The t-student test for paired samples were used for statistical analysis. The mean differences to master model for type IV stone and scannable stone model were 0.29~0.56 mm, and 0.17~0.35 mm, respectively. There were statistical differences in dimensional accuracy for full arch impression between the master model and type IV/scannable stone (p<0.05). Two different gypsum materials showed clinically acceptable accuracies of full arch digital impression produced by them. Besides, in both gypsum materials, the differences to the master model detected appear to provide enough accuracy for clinical application.

• 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.