Comparison of digital scanning and conventional impression taking for implant-supported prostheses

Abstract

The effect of discrepancies between digital scans and conventional impressions on the clinical performance of a permanent restoration has not been fully understood.Thirty patients received conventional impressions and digital scans of a single implant restoration. Two crowns were made for the same implant using both methods. The time taken for each procedure was recorded. After analyzing the accuracy and effectiveness of both crowns, the best one was placed. A questionnaire was conducted to assess the preferences and comfort when using crowns made by one method or another.The total time for the traditional impression technique was 15 minutes, while the time for the digital scanning technique was significantly less – 10 minutes.The preparation time, including the disinfection of the silicone impressions, their transportation to the laboratory, the casting of the impressions, the hardening of the plaster, as well as the preparation of the model by the technician, was 4 hours for conventional impressions.The timing for sending the STL file and modeling the structure was less than 2 hours for the digital scan method. The production time of crowns takes 3 hours for both conventional impressions and digital ones.Of all crowns selected for placement, 46.7% were made from conventional impressions and 53.3% from digital scans. Participants preferred the digital scanning technique (89%) over the traditional impression-taking technique (11%).The data from this study suggest that digital scanning and CAD/CAM technology may be more effective and better accepted by study par-ticipants for a single implant restoration than conventional impressions and plaster casts.