Comparison of Digital and Conventional Impressions Based on the 3D Fit of Crowns.

Abstract

To evaluate intraoral scanners, scannable impression materials, and conventional methods for impression-taking with regard to precision and accuracy. Ten impressions per technique were initially taken from a cobalt-chromium (Co-Cr) master model (chamfer preparation for the maxillary right first molar) for fabricating Co-Cr crown copings. The test specimens, their respective metal master model, and the plaster casts from the conventional impressions were then digitized with the light-optical Atos Triple Scanner. The fit of the dental crown copings was measured in two and three dimensions using computer-aided design software. Global differences between the methods were determined using Kruskal-Wallis test, and pairwise comparisons were performed with Mann-Whitney U test. The significance level was set at .05. The 2D analysis showed that the average absolute marginal distance of the crown copings was 0.026 mm when fabricated with the digital impression method and 0.038 mm when fabricated with the conventional method (P = .028). However, the 3D analysis revealed that the conventional group had a smaller marginal gap (0.028 mm) compared to the digital group (0.06 mm; P = .015). This study showed that, in the field of single-crown prosthetics, digital impressions and the use of scannable impression material could serve as alternatives to conventional methods in the future.