The Accuracy of Conventional Versus Digital Implant Impression Techniques

Not Applicable

• Conditions: Missing Teeth
• Interventions: Other: digital impression for normal abutment; Other: open tray impression; Other: closed tray impression

• Registration Number: NCT04908618
• Lead Sponsor: Mohamed Mahmoud Dohiem

Brief Summary

Intraoral oral scanning significantly improves scanning accuracy compared to digitized conventional impression techniques. The digitized closed tray impression technique showed significantly more accurate results than the digitized open-tray impression technique in partially edentulous patients.

Detailed Description

The study was a controlled clinical trial using cone-beam computed tomography (CBCT) imaging and flapless surgical technique to place implants. Cone-beam Computed Topography of the patients was taken by x-ray machine to create a DICOM file of the patient. Intraoral scanning to create STL Files of the patient arches. Each patient had undergone four impression techniques: Conventional impression I; Closed tray impression technique, Conventional impression II; Splinted Open tray impression technique, Digital impression I; intraoral scanning of readymade abutments and Digital impression II; intraoral scanning using scan bodies. To digitize the Conventional impressions I and II, the readymade abutment was screwed on the analogs of the resultant stone casts, followed by digital scanning. Using the scan body, the exact implant position was determined and the implants were added using a digital library. The custom abutment was fabricated on the implant replica with the same readymade abutment measurement. Using the inspection software, a custom abutment was superimposed on each readymade abutment in all the readymade abutment scanning data with the best-fit algorithm. Then the custom abutment was saved as a new STL file for comparison. The digital impression I was set as a reference in all the coming comparisons. The comparison was done from different data acquisition techniques by using inspection software between Digital impression I, Digital impression II; and finally, with the digitized STL of the Conventional impressions I and II.

Study Timeline

• Status Verified: 2021-05
• Study Start: 2021-05-20
• Primary Completion: 2021-05-21
• Study First Submitted: 2021-05-21
• Study Completion: 2021-05-22
• Study First Submitted QC: 2021-05-26
• Last Update Submitted: 2021-05-26
• Study First Posted: 2021-06-01
• Last Update Posted: 2021-06-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Male
• Target Recruitment: 8

Inclusion Criteria

• Partial edentulous patients

  • Sufficient bone volume to insert implants
  • Age ranging from 30-50.
  • Good oral hygiene.
  • Intact hard and soft tissues, including treated teeth decay and healed teeth extraction socket

Exclusion Criteria

• • Completely edentulous patients

  • Patients with Bruxism or clinching
  • need for bone augmentation,
  • uncompensated diabetes mellitus,
  • immunocompromised status, radio- and/or chemotherapy
  • previous treatment with oral and/or intravenous aminobisphosphonates.
  • Undergoing orthodontic treatment;
  • Patients with metal crowns and any other metal materials on teeth
  • Patients with soft tissue lesions and postoperative scars on the palate

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
digital impression with normal abutment for dental implant	open tray impression	digital impression using a ready-made abutment for dental implant
open tray conventional dental implant impression	open tray impression	Digitized open tray dental implant impression
digital impression with normal abutment for dental implant	digital impression for normal abutment	digital impression using a ready-made abutment for dental implant
digital impression with normal abutment for dental implant	closed tray impression	digital impression using a ready-made abutment for dental implant
digital impression with scan abutment for dental implant	closed tray impression	digital impression with scan body abutment for dental implant
closed tray impression for dental implant	open tray impression	Digitized closed tray dental implant impression
digital impression with scan abutment for dental implant	digital impression for normal abutment	digital impression with scan body abutment for dental implant
closed tray impression for dental implant	digital impression for normal abutment	Digitized closed tray dental implant impression
digital impression with scan abutment for dental implant	open tray impression	digital impression with scan body abutment for dental implant
open tray conventional dental implant impression	closed tray impression	Digitized open tray dental implant impression
open tray conventional dental implant impression	digital impression for normal abutment	Digitized open tray dental implant impression

Primary Outcome Measures

Name	Time	Method
total deviation between digital impression and conventional impression	1 day

Trial Locations

Locations (1)

Mohamed Mahmoud Dohiem; 🇪🇬 Cairo, Egypt