Enhancing intraoral scanner accuracy using scan aid for multiple implants in the edentulous arch: An in vivo study

Author:

Kernen Florian1ORCID,Brändle Dominik1,Wagendorf Oliver2ORCID,Recca Mario3ORCID,Mehrhof Jürgen4,Vach Kirstin5,Nahles Susanne3,Nelson Katja1,Flügge Tabea3

Affiliation:

1. Department of Oral and Maxillofacial Surgery, Translational Implantology, Medical Center – University of Freiburg, Faculty of Medicine University of Freiburg Freiburg Germany

2. Department of Oral and Maxillofacial Surgery, Corporate Member of Freie Universität Berlin, Humboldt‐Universität zu Berlin and Berlin Institute of Health Charité – Universitätsmedizin Berlin Berlin Germany

3. Department of Prosthetic Dentistry, Medical Center – University of Freiburg, Faculty of Medicine University of Freiburg Freiburg Germany

4. Mehrhof Implant Technologies GmbH Berlin Germany

5. Institute of Medical Biometry and Statistics, Medical Center – University of Freiburg, Faculty of Medicine University of Freiburg Freiburg Germany

Abstract

AbstractObjectivesIntraoral scans of multiple implants in the edentulous arch are challenged by the absence of a distinct surface morphology between scan bodies. A scan aid was applied in such situation and evaluated for intraoral scanning accuracy in vivo.Materials and Methods87 implants in 22 patients were scanned with scan aid (SA) and without scan aid (NO) using two different intraoral scanners (CS3600 [CS] and TRIOS3 [TR]). Master casts were digitized by a laboratory scanner. Virtual models were superimposed using an inspection software and Linear deviation and precision were measured. Statistical analysis was performed using linear mixed models (α = .05).ResultsTotal mean linear deviation within the CS group was 189 μm without scan aid and 135 μm when using the scan aid. The TR group's total mean deviation was 165 μm with and without a scan aid. Significant improvement with scan aid was observed for the CS group (p = .001), and no difference was found in the TR group. 96% of scan bodies were successfully scanned in the TR‐SA group compared to 86% for the TR‐NO group, 83% for the CS‐SA, and 70% for the CS‐NO group, respectively.ConclusionsThe evaluated scan aid improved linear deviation compared to unsplinted scans for the CS group but not for the TR group. These differences could originate from different scanning technologies used, active triangulation (CS) and confocal microscopy (TR). The scan aid improved the ability to recognize scan bodies successfully with both systems, which could have a favorable clinical impact overall.

Publisher

Wiley

Subject

Oral Surgery

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