The influence of digital fabrication options on the accuracy of dental implant-based single units and complete-arch frameworks

Int J Oral Maxillofac Implants. 2014 Nov-Dec;29(6):1281-8. doi: 10.11607/jomi.3577. Epub 2014 Sep 26.

Abstract

Purpose: To compare the accuracy and reproducibility of digital versus conventional dental impressions and fabrication techniques for single units and full-arch implant frameworks.

Materials and methods: A total of 24 samples, divided into four groups, were created using conventional and digital implant impression/fabrication techniques: group 1 (conventional single implant), group 2 (digital single implant), group 3 (conventional complete arch), and group 4 (digital complete arch). All impressions were made at the abutment level. Marginal fit measurements were made using an optical microscope at two points (buccal and lingual) for each sample. Statistical analysis was performed using F and t tests (α = .05).

Results: For single implants, the conventional impression/fabrication pathway resulted in a mean marginal discrepancy of 24.1 μm compared to 61.43 μm for the digital impression/fabrication pathway. For full-arch frameworks, the conventional impression/fabrication pathway resulted in a mean marginal discrepancy of 135.1 μm compared to 63.14 μm for the digital technique.

Conclusion: The conventional pathway resulted in a smaller marginal discrepancy for single-implant frameworks. In contrast, the digital pathway resulted in a smaller marginal discrepancy for full-arch implant frameworks.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Computer-Aided Design*
  • Dental Abutments
  • Dental Alloys / chemistry
  • Dental Casting Technique / instrumentation
  • Dental Implants*
  • Dental Implants, Single-Tooth
  • Dental Impression Technique / instrumentation
  • Dental Marginal Adaptation
  • Dental Prosthesis Design*
  • Dental Prosthesis, Implant-Supported*
  • Humans
  • Jaw, Edentulous / rehabilitation
  • Jaw, Edentulous, Partially / rehabilitation
  • Palladium / chemistry
  • Reproducibility of Results
  • Silver / chemistry
  • Surface Properties

Substances

  • Dental Alloys
  • Dental Implants
  • Silver
  • Palladium