Accuracy of optical interocclusal registration using an intraoral scanner.

Abstract

This study aimed to clarify the effect of occlusal force on appropriate optical interocclusal registration in clinical practice, considering periodontal ligament and jawbone deformation. Forty participants with natural, healthy dentition were enrolled (19 men and 21 women; mean age, 27.7 ± 2.0 years). A TRIOS3 intraoral scanner was used to scan the right lateral first premolar to the second molar areas of the upper and lower jaws. During scanning for interocclusal registration, participants were instructed to "bite normally," "bite lightly," and "bite strongly" to obtain data for the three occlusal patterns. The standard triangulated language (STL) data for each occlusion condition were superimposed using the appropriate software, following which the tooth displacement was calculated. The conventional method was also used to record the occlusal contact area for a silicone model using a dental contact analyzer. Tooth displacement was significantly lower for the strong-bite condition than for the weak-bite condition (0.018 mm vs. 0.028 mm, P<0.05). As the occlusal force increased, the occlusal contact area also increased, and significant differences were observed among the different occlusal conditions (P<0.05). Occlusal contact area changed depending on the bite force when using the silicone impression or optical intraoral scanning methods. Moreover, using optical impression methods in "strong bite force" may reduce the deviation and allow for stable interocclusal registration.