Statement Of Problem: Data on the accuracy of printed casts from complete-arch digital implant scans are lacking.

Purpose: The purpose of this in vitro study was to compare the 3D accuracy of printed casts from a complete-arch digital implant intraoral scan with stone casts from conventional impressions.

Material And Methods: An edentulous mandibular cast with 4 multiunit abutments with adequate anteroposterior spread was used as the master cast. Digital scans (n=25) were made by using a white light intraoral scanner (IOS). The generated standard tessellation language (STL) data sets were imported into a computer-assisted design (CAD) software program to generate complete-arch implant casts through 3D printing technology. The 25 printed casts and the mandibular master cast were further digitized by using a laboratory reference scanner (Activity 880; Smart Optics). These STL data sets were superimposed on the digitized master cast in a metrology software program (Geomagic Control X) for virtual analysis. The root mean square (RMS) error and the average offset were measured.

Results: When compared with the master cast, the printed casts had a mean ±standard deviation RMS error of 59 ±16 μm (95% CI: 53, 66). The maximum RMS error reached 98 μm. The average offsets were all negative, with a significant difference compared with zero (P<.001).

Conclusions: The implant 3D deviations of the printed casts from complete-arch digital scans had statistically significant differences compared with those of the master cast but may still be within the acceptable range for clinical application.

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Source
http://dx.doi.org/10.1016/j.prosdent.2019.10.029DOI Listing

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