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      Comparison of digital and conventional impression techniques: evaluation of patients’ perception, treatment comfort, effectiveness and clinical outcomes

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          Abstract

          Background

          The purpose of this study was to compare two impression techniques from the perspective of patient preferences and treatment comfort.

          Methods

          Twenty-four (12 male, 12 female) subjects who had no previous experience with either conventional or digital impression participated in this study. Conventional impressions of maxillary and mandibular dental arches were taken with a polyether impression material (Impregum, 3 M ESPE), and bite registrations were made with polysiloxane bite registration material (Futar D, Kettenbach). Two weeks later, digital impressions and bite scans were performed using an intra-oral scanner (CEREC Omnicam, Sirona). Immediately after the impressions were made, the subjects’ attitudes, preferences and perceptions towards impression techniques were evaluated using a standardized questionnaire. The perceived source of stress was evaluated using the State-Trait Anxiety Scale. Processing steps of the impression techniques (tray selection, working time etc.) were recorded in seconds. Statistical analyses were performed with the Wilcoxon Rank test, and p < 0.05 was considered significant.

          Results

          There were significant differences among the groups (p < 0.05) in terms of total working time and processing steps. Patients stated that digital impressions were more comfortable than conventional techniques.

          Conclusions

          Digital impressions resulted in a more time-efficient technique than conventional impressions. Patients preferred the digital impression technique rather than conventional techniques.

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          Most cited references31

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          The glossary of prosthodontic terms.

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            Accuracy of digital models obtained by direct and indirect data capturing.

            With direct and indirect digitalisation, two access points to CAD/CAM-generated restorations are available. The aim of this study was to compare the accuracy of the single steps of both approaches by comparing construction datasets using a new methodology. Twelve test datasets were generated in vitro (1) with the Lava Chairside Oral Scanner (COS) (2) by digitizing polyether impressions (IMP) and (3) by scanning the referring gypsum cast by the Lava Scan ST laboratory scanner (ST) at a time. Using an inspection software, these datasets were superimposed by a best fit algorithm with the reference dataset (REF), gained from industrial computed tomography, and divergences were analysed. On the basis of average positive and negative deviations between test- and REF datasets, it could be shown that direct digitalisation accomplished the most accurate results (COS, 17 μm/-13 μm; SD ± 19 μm), followed by digitized polyether impression (IMP, 23 μm/-22 μm; SD ± 31 μm) and indirect digitalisation (ST, 36 μm/-35 μm; SD ± 52 μm). The mean absolute values of Euclidean distances showed the least values for COS (15 μm; SD ± 6 μm), followed by IMP (23 μm; SD ± 9 μm) and ST (36 μm; SD ± 7 μm). The mean negative and mean absolute values of all groups were significantly different. Comparing the mean positive values of the groups, IMP and COS (p = 0.082) showed no significant difference, whereas ST and COS, and ST and IMP exhibited statistically significant differences. Within the limitations of this in vitro study, the direct digitalisation with Lava C.O.S. showed statistically significantly higher accuracy compared to the conventional procedure of impression taking and indirect digitalisation. Within the limitations of this study, the method of direct digitalisation seems to have the potential to improve the accuracy of impressions for four-unit FDPs.
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              The accuracy of implant impressions: a systematic review.

              Various implant impression techniques, such as the splint, pick-up, and transfer techniques, have been introduced, and some techniques may be more accurate than others. Also, clinically, some factors, including the angulation or depth of implants, may affect the accuracy of the implant impressions. The purposes of this review were to: (1) investigate the accuracy of published implant impression techniques, and (2) examine the clinical factors affecting implant impression accuracy. An electronic search was performed in June 2008 of MEDLINE, EMBASE, and Cochrane Library databases with the key words implant, implants, impression, and impressions. To be included, the study had to investigate the accuracy of implant impressions and be published in an English peer-reviewed journal. In addition, a hand search was performed to enrich the results for the time period from January 1980 to May 2008. After executing the search strategies, 41 articles were selected to be included in the review process. All of the selected articles were in vitro studies. Of the 17 studies that compared the accuracy between the splint and nonsplint techniques, 7 advocated the splint technique, 3 advocated the nonsplint technique, and 7 reported no difference. Fourteen studies compared the accuracy of pick-up and transfer impression techniques, and 5 showed more accurate impression with the pick-up techniques, 2 with the transfer technique, and 7 showed no difference. The number of implants affected the comparison of the pick-up and splint techniques. Eleven studies compared the accuracy of polyether and vinyl polysiloxane (VPS), and 10 of 11 reported no difference between the 2 materials. Four studies examined the effect of implant angulation on the accuracy of impressions. Two studies reported higher accuracy with straight implants, while the other 2 reported there was no angulation effect. The review of abutment level or implant level internal connection implants indicated that more studies reported greater accuracy with the splint technique than with the nonsplint technique. For situations in which there were 3 or fewer implants, most studies showed no difference between the pick-up and transfer techniques, whereas for 4 or more implants, more studies showed higher accuracy with the pick-up technique. Polyether and VPS were the recommended materials for the implant impressions.
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                Author and article information

                Journal
                BMC Oral Health
                BMC Oral Health
                BMC Oral Health
                BioMed Central
                1472-6831
                2014
                30 January 2014
                : 14
                : 10
                Affiliations
                [1 ]Department of Prosthodontics, School of Dentistry, Istanbul Medipol University, Istanbul, Turkey
                Article
                1472-6831-14-10
                10.1186/1472-6831-14-10
                3913616
                24479892
                03cf7109-b415-44cd-9ccc-f43360b6be4b
                Copyright © 2014 Yuzbasioglu et al.; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 25 September 2013
                : 29 January 2014
                Categories
                Research Article

                Dentistry
                digital impression,clinical efficiency,patient comfort,patient preference
                Dentistry
                digital impression, clinical efficiency, patient comfort, patient preference

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