"Effect of different span lengths with different total occlusal converg" by Omar Elsergany
 

Document Type

Article

Publication Date

Spring 3-24-2023

Abstract

Purpose: The aim was to assess the effect of span lengths and total occlusal

convergence (TOC) on the accuracy of intraoral scanners .

Materials and methods: Two typodont acrylic teeth models were prepared to receive

fixed dental prostheses with three different span lengths. Span 1: between maxillary

canines; span 2: between maxillary second premolars; and span 3: between maxillary

In recent years, the employment of digital techniques in

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(CAD–CAM). Obtaining a digital scan using an intrao-

ral scanner (IOS) is the first step of this digital workflow.

This technique, when compared to traditional impression

techniques, has shown exceptional accuracy for short-span

Depending on the optical method employed to capture the

data, IOS can be divided into different categories. Active

triangulation, confocal microscopy, optical coherence tomog-

raphy, and active wavefront sampling are the most often

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Examples encompass computer-aided design and computer-aided manufacturing

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dentistry has evolved remarkably.

second molars. In the first model, prepared teeth had a TOC of 12◦, whereas, in the ◦

second model, teeth had a TOC of 20 . Each model was scanned 10 times using 4 different intraoral scanners (Omnicam, Primescan, Trios 4, and Medit i500). The STL files from the scans were compared to the reference models (trueness) and within each test group (precision) using a 3D comparison software. Data were then statistically analyzed.

Results: Regarding trueness, no significant differences were found among Primescan (32.58 ± 13.08), Trios 4 (32.33 ± 12.19), and Medit i500 (32.26 ± 9.57). However, all showed significantly better trueness than Omnicam (35.70 ± 8.35) (p < 0.001). The highest values were found in scans between the second molars (47.42 ± 3.94), fol- lowed by scans between second premolars (28.42 ± 3.78), and the highest trueness was found in scans between the canines (23.80 ± 3.85). For TOC, 12◦ had a significantly higher value than 20◦ (p < 0.001). Regarding precision, the highest values were found with Omnicam (29.84 ± 3.89), followed by Medit i500 (28.04 ± 2.94), then Trios 4 (25.64 ± 3.11), and Primescan (24.69 ± 5.25). The highest values and least precision were found in scans between the second molars (28.97 ± 5.27) and scans between second premolars (27.59 ± 3.97), whereas the highest precision was found in scans between the canines (24.60 ± 2.04). For TOC, 12◦ had significantly higher values than 20◦ (p < 0.001).

Conclusions: Intraoral scans are directly affected by scanner type, TOC, and scan spans. All tested scanners showed clinically acceptable results even for long-span restorations.

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