Calibrated intraoral scan protocol (CISP) for full-arch implant impressions: An in vitro comparison to conventional impression, intraoral scan, and intraoral scan with scan-aid

doi:10.1111/cid.13338

★ Alto impactoQ1Impact Factor · 3.598

AutoresJunying Li, Zhaozhao Chen, Paolo Nava, Shengtao Yang, Javier Calatrava, Hom-Lay Wang

Por qué importa

Se evalúa la precisión de un nuevo protocolo de escaneo intraoral calibrado (CISP) para impresiones de arco completo en edentulismo total implantosoportado, comparándolo con el escaneo intraoral convencional, con asistencia de escaneo y la técnica convencional de cubeta abierta. La investigación, realizada in vitro sobre un modelo maxilar edéntulo con seis implantes, analiza la exactitud y precisión mediante la alineación de escaneos con un modelo de referencia. Los resultados sugieren que el CISP, alineado por todos los cuerpos de escaneo, muestra una exactitud y precisión comparables a la técnica convencional, superando significativamente al escaneo intraoral estándar. Además, en la simulación de la prueba de ajuste pasivo de Sheffield, el CISP reduce la desviación lineal, demostrando una notable mejora en la precisión respecto a las otras técnicas. Esto indica su potencial para optimizar el ajuste de prótesis múltiples implantosoportadas.

Abstract original

Objective: To assess a newly developed intraoral scan protocol in enhancing the accuracy of complete-arch implant impressions. Materials and Methods: Four impression approaches were applied to the same maxillary edentulous model with 6 implants: (1) intraoral scan (IOS), (2) intraoral scan with scan aid (IOS-SA), (3) calibrated intraoral scan protocol (CISP), and (4) conventional splinted open-tray impression (CONV). Each approach was repeated 10 times, and a direct scan of the model with a desktop scanner was used as a reference model. The alignment of scans and the reference model was conducted by two methods: (a) aligning all scan bodies to evaluate the overall fit, and (b) aligning the first and second scan bodies to simulate the Sheffield fit test for passive fitting of multiple implant-supported prostheses. Linear deviations from the reference model (trueness) and within each group (precision) were analyzed using Python scripts. Results: When aligned by all scan bodies, the CISP group exhibited comparable mean trueness (38.33 μm) and precision (45.97 μm) to the CONV group (44.30 and 47.92 μm respectively), both of which significantly outperformed the IOS group (86.82 and 83.17 μm respectively). Furthermore, in the virtual Sheffield fit test, the CISP group achieved the highest levels of mean trueness at the end span (121.7 μm), making a linear deviation reduction of 36.7%, 60%, and 41.4% when compared to the CONV, the IOS, and the IOS-SA groups, respectively. Moreover, the CISP group (104.3 μm) displayed a remarkable 65, 182, and 86 μm advantage in precision over the CONV, IOS, and IOS-SA groups, respectively. Conclusion: CISP demonstrated comparable accuracy to the gold standard, the conventional splinted open-tray impression. Furthermore, it excelled in the virtual passive fitting test.

Leer texto completo ↗DOI · 10.1111/cid.13338

Autor Doctor&Cols

Javier Calatrava Serrano de Haro
Cirugía Oral e Implantología

Cómo citar

Li J, Chen Z, Nava P, Yang S, Calatrava J, Wang H. Calibrated intraoral scan protocol (CISP) for full-arch implant impressions: An in vitro comparison to conventional impression, intraoral scan, and intraoral scan with scan-aid. Clinical Implant Dentistry and Related Research. 2024. doi:10.1111/cid.13338