Can transfer type and implant angulation affect impression accuracy? A 3D in vitro evaluation

Odontology. 2021 Oct;109(4):884-894. doi: 10.1007/s10266-021-00619-y. Epub 2021 Jun 1.


Impression accuracy is fundamental to achieve a passive fit between implants and the superstructure. Three transfer types were tested to evaluate the differences in impression accuracy and their efficiency in case of different implant angles. A master model with four implant analogues placed at 0°, 15° and 35° was used. 27 impressions were taken with three different types of impression coping: closed tray technique coping (CT), open tray technique coping (COT) and telescopic open tray coping (TOT). The impressions were poured. Analogues were matched with scan bodies to be scanned and exported in STL. An implant bar was designed from each STL and another one from the master model. A comparison between these bars was obtained. Linear and angular measurements for every type of coping were calculated for different angulations. The collected data were analyzed with ANOVA test (95% of confidence). Student's t test showed a significative discrepancy (p ≤ 0.001) on linear and angular measurements on Δx, Δy, Δz with different transfer types as well as diverse implant positioning angles (p ≤ 0.001). Within the limitations of this study, it can be concluded that the coping type and the implants divergence may be significant parameters influencing the impression accuracy.

Keywords: Dental implants; Implant angulation; Implant impression technique; Impression accuracy; Impression coping.

MeSH terms

  • Dental Implants*
  • Dental Impression Materials
  • Dental Impression Technique*
  • Dental Prosthesis, Implant-Supported
  • Humans
  • Models, Dental


  • Dental Implants
  • Dental Impression Materials