Effect of novel prefabricated auxiliary devices attaching to scan bodies on the accuracy of intraoral scanning of complete-arch with multiple implants: An in-vitro study

Hio Kuan Wu; Jing Wang; Guanhui Chen; Xiaoqiong Huang; Feilong Deng; Yiming Li

doi:10.1016/j.jdent.2023.104702

Effect of novel prefabricated auxiliary devices attaching to scan bodies on the accuracy of intraoral scanning of complete-arch with multiple implants: An in-vitro study

J Dent. 2023 Nov:138:104702. doi: 10.1016/j.jdent.2023.104702. Epub 2023 Sep 14.

Authors

Hio Kuan Wu¹, Jing Wang², Guanhui Chen³, Xiaoqiong Huang¹, Feilong Deng¹, Yiming Li⁴

Affiliations

¹ Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, PR China.
² YangHe Dental Clinic, Guangzhou 510055, PR China.
³ Department of Stomatology, the Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, 518107, PR China.
⁴ Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, PR China. Electronic address: liym228@mail.sysu.edu.cn.

PMID: 37714453
DOI: 10.1016/j.jdent.2023.104702

Abstract

Objectives: To examine the effect of novel prefabricated auxiliary devices with different geometric features called Scan Body Clasp (SBC) at different levels on the accuracy of intraoral scanning of complete-arch with multiple implants.

Methods: An edentulous maxilla 4-implant model and SBCs with different geometric features (flat or curved) were fabricated by a 3D printer (AccuFab-C1s, 3DShining, Hangzhou, China). Test scans were performed using an intraoral scanner (Aoralscan 3, 3DShining, Hangzhou, China) software version 1.0.0.3104 under different scenarios: group A (CO), without any SBCs; group B&C (LC&HC), with curved SBCs adjacent to and away from the mucosa; group D&E (LF&HF), with flat SBCs adjacent to and away from the mucosa. 20 scans were done for each group (CO, LC, HC, LF and HF). Reference Scans were obtained by digitizing the model in group A using a dental laboratory scanner (D2000, 3Shape, Copenhagen, Denmark). The related files were imported into inspection software for trueness and precision assessment. Statistical analysis was performed with One-way ANOVA, Independent-Sample T test for trueness values. Kruskal-Wallis test and Mann-Whitney test were used to assess the precision values. The level of significance was set at α=0.05.

Results: Groups with SBCs demonstrated trueness enhancement, among which LF revealed the best trueness. Significant differences were also found between LF and HC (p < .01), LF and HF (p < .001), LC and HF (p < .01). LF and HF showed precision enhancement. The best precision was LF, which was found to be more precise than LC (p < .001) and HC (p < .001). HF was more precise than LC (p < .001) and HC (p < .001).

Conclusions: Attaching the scan bodies with SBCs at different levels significantly influenced the scanning accuracy. The SBCs near the mucosa result in superior trueness, while the flat morphology benefits the precision.

Clinical significance: The results demonstrated the feasibility of the SBCs in enhancing intraoral complete-arch implant scanning accuracy. Among the configurations tested in the present study, low-level and flat surfaces of the artificial landmarks may be the potential pivotal elements to optimizing long-span scanning accuracy.

Keywords: Accuracy; Dental implant; Digital impression; Edentulous; Intraoral scanner; Scan body.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Computer-Aided Design
Dental Impression Technique
Humans
Imaging, Three-Dimensional*
Models, Dental
Mouth, Edentulous*