Comparison of Accuracy of Direct Implant Impression Technique using Different Splinting Materials

Abstract

ABSTRACT Introduction The accuracy of an impression remains critical factor in achieving passive fit of an implant framework. The accuracy of the master cast would depend on the type of impression material, the implant impression technique and accuracy of die material. The different impression techniques advocated in the literature for implant impressions include direct (open tray) and indirect (closed tray) techniques. Direct technique use square impression copings that are picked up in the impressions which were used in this study. Objective To evaluate the accuracy of direct impression made with resin splinted and bis-GMA splinted open-tray impression coping. Thus to compare the accuracy of impressions obtained using different splinting materials. Materials and Methods A wax mandibular reference model was fabricated and four implants were placed in the mandibular anterior region using surveyor and acrylized with clear heat cure acrylic resin using injection molding technique. Spaced primary cast was fabricated with a uniform thickness of space about 2 mm. Ten custom trays were fabricated using the light curable resin sheets. Medium body polyether impression material was used. Pentamix was used to get a uniform mix. These trays were randomly divided among the two groups, with five trays in each group. Impression techniques were divided into two groups namely: Group A - direct impression technique with open tray impression copings splinted with autopolymerizing acrylic resin (GC pattern resin), group B - direct impression technique with open tray impression copings splinted with Protemp TM4 (bis- GMA) syringable temporisation material. Thus, final impressions were made. Total of 10 master casts were fabricated. Evaluation of casts using Dynascope-Vision engineering, Tesa Microhite 2D and coordinate measuring machine were used. Results Statistical comparisons were made using ANOVA test and post-hoc test. Same amount of deviation values obtained with resin splinted and bis-GMA splinted impression copings. The difference in the values might be because of the variation in the rigidity of the materials used. Conclusion Both the splinting material exhibit similar accuracy in impression, so bis-GMA can be used, which is easy to handle, less time consuming, less technique sensitive, rigid and readily available material in clinics, instead of resin splinted material which is technique sensitive, more time consuming and cumbersome. How to cite this article Selvaraj S, Mohan J, Simon P, Dorairaj J. Comparison of Accuracy of Direct Implant Impression Technique using Different Splinting Materials. Int J Prosthodont Restor Dent 2014;4(3):82-89.