Accuracy of definitive casts using 4 implant-level impression techniques in a scenario of multi-implant system with different implant angulations and subgingival alignment levels.

Abstract:

PURPOSE:To evaluate the effect of various implant-level impression techniques on the accuracy of definitive casts for a multiple internal connection implant system with different implant angulations and subgingival depths. MATERIAL AND METHODS:Six tapered Screw-Vent implants were placed in a reference model with different angles (0, 15, and 30 degrees) and subgingival positions (0, 1, and 3 mm). Twenty medium-consistency polyether impressions of this model were made with 4 techniques (n = 5 per group): (1) indirect technique, (2) unsplinted direct technique, (3) acrylic resin-splinted direct technique, and (4) metal-splinted direct technique. Impressions were poured with type IV dental stone. The interimplant distances were measured for casts using a coordinate measuring machine and the deviations compared with the reference model were calculated. Data were analyzed using intraclass correlation coefficient, ANOVA and Bonferroni test (α = 0.05). RESULTS:Four impression procedures showed significant differences (P = 0.0001). Only group 4 casts showed no significant differences in comparison with the reference model (P = 0.666) (ANOVA repeated measures). CONCLUSIONS:The impression procedure affected the accuracy of definitive casts. The metal-splinted direct technique produced the most accurate casts, followed by acrylic resin-splinted direct, indirect, and unsplinted direct techniques.

journal_name

Implant Dent

journal_title

Implant dentistry

authors

Martínez-Rus F,García C,Santamaría A,Özcan M,Pradíes G

doi

10.1097/ID.0b013e3182920dc5

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

268-76

issue

3

eissn

1056-6163

issn

1538-2982

journal_volume

22

pub_type

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