Linear Deviation Research Articles

Approximate water vertical infiltration extremum path in unsaturated soils

According to the principle of stationary action, water vertically infiltrates unsaturated soils along an infiltration-duration extremum path with linear deviation. The solution of the Euler–Lagrange equation with appropriate boundary conditions yields a linear relationship between the moisture diffusion function and the ratio of the spatial location to the wetting front distance. By integrating the law of mass conservation at the boundary, the temporal evolution of the wetting front is implicitly derived. A linear term is introduced to compensate for the deviation in calculating the position of the wetting front owing to the Taylor series approximation. Based on the representation of the diffusion function in relation to the boundary diffusivity, the spatial location and the position of the wetting front, a direct way to determine hydraulic conductivity is presented. Unlike existing methods, the proposed approach involves fewer hypotheses and is more theoretically robust. Moreover, the material parameters in the proposed approach have a clear physical meaning and can be explicitly determined. Using the Brooks–Corey hydraulic function, the evolution and distribution characteristics of the water content are explicitly determined, while the advancing wetting front is implicitly represented. The results of the proposed solution for different types of soil are in agreement with these numerical and analytical solutions.

Accuracy of complete-arch digital implant impression with intraoral optical scanning and stereophotogrammetry: An in vivo prospective comparative study.

To assess accuracy of intraoral optical scanning (IOS) and stereophotogrammetry (SPG), complete-arch digital implant impressions in vivo. Consecutive patients needing implant-supported screw-retained zirconia complete-arch fixed-dental prostheses (ISZ-FDP) were recruited. For each patient, three impressions were taken: IOS, SPG (tests), and open-tray plaster (reference). Linear (ΔX, ΔY, and ΔZ), three-dimensional (ΔEUC), and angular deviations (ΔANGLE) were evaluated and stratified according to scanning technology for each implant. Potential effects of impression device (IOS and SPG), arch (maxilla and mandible), and implant number (4 and 6) were evaluated through multivariable analysis. Significance level was set at .05. A total of 11 complete arches (5 maxillae, 6 mandibles) in 11 patients were rehabilitated with ISZ-FDPs supported by 4 (n = 8) and 6 implants (n = 3). A total of 50 implants and 100 implant positions were captured by two investigated devices and compared to respective reference (mean ΔEUC IOS 137.2, SPG 87.6 μm; mean ΔANGLE 0.79, 0.38°). Differences between measurements (SPG-IOS) were computed for each implant, with negative values indicating better SPG accuracy. Significant mean ΔEUC difference of -49.60 μm (p = .0143; SD 138.15) and mean ΔANGLE difference of -0.40° (p < .0001; SD 0.65) were observed in favor of SPG. Multivariable analysis showed significant effect on ΔEUC (p = .0162) and ΔANGLE (p = .0001) only for impression devices, with SPG performing better. SPG experienced significantly higher linear and angular accuracy. No effect of type of arch or implant number was detected. Higher extreme deviations were experienced for IOS. SPG can be feasible for complete-arch digital impressions with caution, and rigid prototype try-in is recommended before screw-retained prosthesis manufacturing.

Effect of Fabrication Technology on the Accuracy of Surgical Guides for Dental-Implant Surgery.

The accuracy of surgical guides is a relevant factor in both surgical safety and prosthetic implications. The impact of widespread fabrication technologies (milling and 3D printing) was investigated. Surgical guides manufactured by means of two specific milling and 3D-printing systems were digitized and compared in a 3D analysis with the digital file of the designed guides. The surface mean 3D distance (at the surface where the teeth and mucosa made contact) and the axial and linear deviations of the sleeves' housings were measured by means of a metrological software program. Univariate and multivariate statistical analyses were used to investigate the effects of the fabrication technology, type of support, and arch type on the surgical guides' accuracy. The median deviations of the intaglio surface in contact with the mucosa were significantly (p < 0.001) lower for the milled surgical guides (0.05 mm) than for the 3D-printed guides (-0.07 mm), in comparison with the reference STL file. The generalized estimated equation models showed that the axial deviations of the sleeves' housings (a median of 0.82 degrees for the milling, and 1.37 degrees for the 3D printing) were significantly affected by the fabrication technology (p = 0.011) (the milling exhibited better results), the type of support (p < 0.001), and the combined effect of the fabrication technology and the sleeve-to-crest angle (p = 0.003). The linear deviation (medians of 0.12 mm for the milling and 0.21 mm for the 3D printing) of their center points was significantly affected by the type of support (p = 0.001), with the milling performing slightly better than the 3D printing. The magnitude of the difference might account for a limited clinical significance.

Accuracy and patient-centered results of static and dynamic computer-assisted implant surgery in edentulous jaws: a retrospective cohort study.

This study aimed to compare implant positioning accuracy and patient-centered results between static and dynamic computer-assisted implant surgery (s-CAIS and d-CAIS) in edentulous jaws. The current study retrospectively evaluated a total of 110 implants placed in 22 fully edentulous patients via s-CAIS or d-CAIS (n = 11). The accuracy of implant positioning was assessed by measuring the implant's angular deviation and deviation at the platform and apex from the preoperative design postoperatively. Patient-centered results, including preoperative and intraoperative patient-reported experiences and postoperative patient-reported outcomes, were extracted from the medical records. The nested t test and chi-square test were used to compare accuracy and patient-centered results between s-CAIS and d-CAIS postoperatively. The implants in the s-CAIS group showed significantly smaller angular deviation (2.32 ± 1.23°) than those in the d-CAIS group (3.87 ± 2.75°). In contrast, the platform and apical deviation were significantly larger in s-CAIS (1.56 ± 1.19mm and 1.70 ± 1.09mm, respectively) than d-CAIS (1.02 ± 0.45mm and 1.00 ± 0.51mm, respectively). Furthermore, the implants in the s-CAIS group deviated significantly (p < 0.001) more toward the coronal direction than those in the d-CAIS group. Notably, all patients in the s-CAIS group reported an obvious foreign body sensation during surgery, representing a significant difference from the d-CAIS group. Compared to s-CAIS, d-CAIS is a reliable technique for the placement of multiple implants in fully edentulous patients with less linear deviation and less foreign body sensation. The retrospective study was registered on the Chinese Clinical Trial Registry on August 8th, 2022, with registration number No. ChiCTR2200062484. Despite the increasing use of computer- assisted implant surgery in fully edentulous patients, clinical evidence comparing implant positioning accuracy and patient-centered results between static and dynamic CAIS systems is scarce. Our study demonstrated that compared to s-CAIS, d-CAIS is a reliable technique for the placement of multiple implants in fully edentulous patients with less linear deviation.

Zinc Oxide Nanomaterial‐Based Dispersive Solid Phase Extraction for the Trace Determination of Gold in Flash Gold Plating Solution Samples using Flame Atomic Absorption Spectrophotometry

AbstractThe noble metal Au is extensively used in jewelry, industry, and medicine. In order to mitigate the low sensitivity of the flame module atomic absorption spectrometer (FAAS) to determine the gold, zinc oxide (ZnO) nanomaterial were synthesized and used to pretreatment of the sample and preconcentrate gold ions in dispersive solid phase extraction (DSPE) process. Enrichment factor of the extraction method was enhanced by performing buffer solution type/volume, nanomaterial amount, mixing type/period, and desorption solvent concentration/volume optimizations. Calibration plot displayed good linearity and percent relative standard deviation recorded for the lowest concentration of the plot was adequately low (&lt;7.0 %). Dynamic dynamic range for the proposed method was calculated between 30–400 μg/L. Regression coefficient (R2) of proposed method was found to be 0.9956. With an enrichment factor of 44.5‐folds, method recorded a detection limit (LOD) of 7.4 μg L−1 and quantification limit (LOQ) of 24.8 μg L−1. Flash gold plating bath solution was used to certify the quantification accuracy/applicability in complex matrix of the method. The obtained results (1.86±0.08 g L−1) were compatible with the results of the reference method (ICP‐OES) (1.87±0.08 g L−1). This is the first study for the extraction/preconcentration of gold using ZnO nanomaterial.

Chairside virtual patient protocol. Part 3: In vitro accuracy of a digital facebow

ObjectivesThe present study aimed to investigate the trueness and precision of an intraoral transfer element (IOTE) designed for matching intraoral and facial scans. MethodsA mannequin head with a maxillary model in position was used. Cone beam computed tomography (CBCT) was used to construct the master model (MM). A digital impression of the maxillary arch was taken using an intraoral scanner, and the IOTE was used to record the maxillary arch position. Twenty facial scans with and twenty without the IOTE in place were performed with a handheld device (Ipad Pro, Apple) using a dedicated software. Digital mounting was performed to build a scan model (SM). Using software for data processing, the three-dimensional deviation between the MM and SM at the central left incisor (#9#), and the left and right first molars (#3#, #14#) was calculated as trueness and linear deviation precision. . Angular deviation was also calculated at the occlusal plane. ResultsThe linear deviation trueness at #9#, #3# and #14# was 0.3 ± 0.12 mm, 1.07 ± 0.28 mm, and 0.18 ± 0.34 mm, respectively, whereas the precision was 1.17 ± 0.4 mm, 0.43 ± 0.12 mm, and 0.64 ± 0.28 mm, respectively. Trueness of the angular deviation at the occlusal plane was 2.17 ± 0.46°, whereas the angular deviation precision was 0.64 ± 0.28°. ConclusionsBased on in vitro findings the proposed IOTE design is accurate and suitable for clinical use. Clinical SignificanceDirect virtual mounting is a reliable technique in vitro; however, in vivo tests are required.

Nonlinear Functional-Differential Equation of Neutral Type with Linear Deviation of the Argument

Nonlinear Functional-Differential Equation of Neutral Type with Linear Deviation of the Argument

Enhancing intraoral scanner accuracy using scan aid for multiple implants in the edentulous arch: An in vivo study.

Intraoral scans of multiple implants in the edentulous arch are challenged by the absence of a distinct surface morphology between scan bodies. A scan aid was applied in such situation and evaluated for intraoral scanning accuracy in vivo. 87 implants in 22 patients were scanned with scan aid (SA) and without scan aid (NO) using two different intraoral scanners (CS3600 [CS] and TRIOS3 [TR]). Master casts were digitized by a laboratory scanner. Virtual models were superimposed using an inspection software and Linear deviation and precision were measured. Statistical analysis was performed using linear mixed models (α = .05). Total mean linear deviation within the CS group was 189 μm without scan aid and 135 μm when using the scan aid. The TR group's total mean deviation was 165 μm with and without a scan aid. Significant improvement with scan aid was observed for the CS group (p = .001), and no difference was found in the TR group. 96% of scan bodies were successfully scanned in the TR-SA group compared to 86% for the TR-NO group, 83% for the CS-SA, and 70% for the CS-NO group, respectively. The evaluated scan aid improved linear deviation compared to unsplinted scans for the CS group but not for the TR group. These differences could originate from different scanning technologies used, active triangulation (CS) and confocal microscopy (TR). The scan aid improved the ability to recognize scan bodies successfully with both systems, which could have a favorable clinical impact overall.

Assessment of guide fitting using an intra-oral scanner: An in vitro study

ObjectivesThe aim of this study was to evaluate the capacity of an intra-oral scanner (IOS) to assess the position of an endodontic guide in vitro. MethodsFourteen extracted human teeth were placed into a maxillary model and scanned using computed tomography and a reference laboratory scanner. An ideal endodontic guide was then created and modified by adding defects of different thicknesses to simulate incorrect positions: 50 μm, 150 μm, 400 μm, and 1000 μm. For each thickness, guides were printed three times and each guide was scanned by three experimented operators using a Trios 4 IOS (3Shape, Copenhagen, Denmark). The 36 scans were compared using a best-fit alignment to the master model without defect to define the accuracy of the method and the positioning error. ResultsThe IOS presented a mean trueness of 1.28 μm (SD= 12.70) and a mean precision of 11.52 μm (SD= 62.17). Considering all sizes of defect, the mean measured position of the endodontic guide was highly correlated (R>0.99) with the expected position. Compared to the ideal guide, there was a mean linear deviation of 46.11 μm (SD= 23.21) and a mean angular deviation of 5.9° (SD= 1.2); this deviation was not influenced by the operator. ConclusionThe present study found that an IOS had good performance to detect a positioning error of the endodontic guide in vitro. Clinical SignificanceThis new application of IOS has a promising potential in clinical practice to assist practitioners during the fitting of guides.

EPA Consensus Project Paper: Accuracy of Photogrammetry Devices, Intraoral Scanners, and Conventional Techniques for the Full-Arch Implant Impressions: A Systematic Review.

The objective of this systematic review was to evaluate and compare the accuracy of digital impression techniques and conventional methods for full-arch implant impressions. An electronic literature search in the databases Medline (Pubmed), Web of Science, and Embase was performed to identify in vitro and in vivo publications (between 2016 and 2022) directly comparing digital and conventional abutment-level impression techniques. All selected articles passed through the data extraction procedure according to defined parameters in inclusion and exclusion criteria. Measurements on linear, angular and/or surface deviations were performed in all selected articles. Nine studies met the inclusion criteria and were selected for this systematic review. 3 articles were clinical studies and 6 studies were in vitro. Accuracy difference mean values of the trueness up to 162+/-77μm between digital and conventional techniques were reported in the clinical studies and up to 43μm in laboratory studies. Methodological heterogeneity was observed in both, in vivo and in vitro studies. Intraoral scanning and photogrammetric method showed comparable accuracy for registering implant positions in the full-arch edentulous cases. A tolerable implant prosthesis misfit threshold and objective misfit assessment criteria (for linear and angular deviations) should be verified in clinical studies.

Performances of novel custom 3D-printed cutting guide in canine caudal maxillectomy: a cadaveric study.

Caudal maxillectomies are challenging procedures for most veterinary surgeons. Custom guides may allow the procedure to become more accessible. A cadaveric study was performed to evaluate the accuracy and efficiency of stereolithography guided (3D-printed) caudal maxillectomy. Mean absolute linear deviation from planned to performed cuts and mean procedure duration were compared pairwise between three study groups, with 10 canine cadaver head sides per group: 3D-printed guided caudal maxillectomy performed by an experienced surgeon (ESG) and a novice surgery resident (NSG), and freehand procedure performed by an experienced surgeon (ESF). Accuracy was systematically higher for ESG versus ESF, and statistically significant for 4 of 5 osteotomies (p < 0.05). There was no statistical difference in accuracy between ESG and NSG. The highest absolute mean linear deviation for ESG was <2 mm and >5 mm for ESF. Procedure duration was statistically significantly longer for ESG than ESF (p < 0.001), and for NSG than ESG (p < 0.001). Surgical accuracy of canine caudal maxillectomy was improved with the use of our novel custom cutting guide, despite a longer duration procedure. Improved accuracy obtained with the use of the custom cutting guide could prove beneficial in achieving complete oncologic margins. The time increase might be acceptable if hemorrhage can be adequately controlled in vivo. Further development in custom guides may improve the overall efficacy of the procedure.

Increasing hotspots density for high-sensitivity SERS detection by assembling array of Ag nanocubes

Trace analysis has great promise in the fields of disease diagnosis and environment protection. Surface-enhanced Raman scattering (SERS) has wide range of utilization due to its reliable fingerprint detection. However, the sensitivity of SERS still needs to be enhanced. Raman scattering of target molecules around hotspots, the area with extremely strong electromagnetic field, can be highly amplified. Therefore, to increase the density of hotspots is one of the major approaches for enhancing the detection sensitivity of target molecules. In this paper, an ordered array of Ag nanocubes was assembled on a thiol modified silicon substrate as a SERS substrate, which provided high-density hotspots. The detection sensitivity is demonstrated by the limit of detection, which is down to 10-6nM with Rhodamine 6G as probe molecule. The wide linear range (10-7-10-13M) and low relative standard deviation (<6.48%) indicate the good reproducibility of the substrate. Furthermore, the substrate can be used for the detection of dye molecules in lake water. This method provides an approach for increasing hotspots of SERS substrate, which could be a promising method to achieve good reproducibility and high sensitivity.

Mesomorphic Investigation of Binary Mixtures of Liquid Crystal Molecules with Different Mesogenic Architectonics

Different binary phase diagrams, made from two differently substituted three-rings azo/ester and azomethine/ester compounds of the same terminal alkoxy side chain of six carbons, as opposed to the other terminal polar substituent, which can either donate electrons or withdraw electrons including H. The thermal behavior of the prepared derivatives was investigated by differential scanning calorimetry and phases identified by polarized optical microscope. The first group of the binary mixtures was made from laterally F-substituted azo/ester derivatives and their laterally neat analogues. The second group of binary mixtures was made from laterally methoxy-substituted azomethine/ester derivatives and their laterally neat analogues. The final type of investigated phase diagrams was made from the laterally substituted azo and azomethine components bearing different lateral polar groups and different mesogenic moieties. Results were reviewed using phase diagrams that were produced and it was found that different mesomorphic characteristics were seen to depend on the mesogenic component as well as lateral and terminal polar groups. In all cases, these mixtures have been determined to have low melting-temperature eutectic compositions, while linear or negative deviation of nematic or smectic isotropic composition temperature dependence was observed.

Computer-assisted bone augmentation, implant planning and placement: An in vitro investigation.

To assess in vitro the workflow for alveolar ridge augmentation with customised 3D printed block grafts and simultaneous computer-assisted implant planning and placement. Twenty resin mandible models with an edentulous area and horizontal ridge defect in the region 34-36 were scanned with cone beam computed tomography (CBCT). A block graft for horizontal ridge augmentation in the region 34-36 and an implant in the position 35 were digitally planned. Twenty block grafts were 3D printed out of resin and one template for guided implant placement were stereolithographically produced. The resin block grafts were positioned onto the ridge defects and stabilised with two fixation screws each. Subsequently, one implant was inserted in the position 35 through the corresponding template for guided implant placement. Optical scans of the study models together with the fixated block graft were performed prior to and after implant placement. The scans taken after block grafting were superimposed with the virtual block grafting plan through a best-fit algorithm, and the linear deviation between the planned and the achieved block positions was calculated. The precision of the block fixation was obtained by superimposing the 20 scans taken after grafting and calculating the deviation between the corresponding resin blocks. The superimposition between the scans taken after and prior to implant placement was performed to measure a possible displacement in the block position induced by guided implant placement. The (98-2%)/2 percentile value was determined as a parameter for surface deviation. The mean deviation in the position of the block graft compared to the virtual plan amounted to 0.79 ± 0.13 mm. The mean deviation between the positions of the 20 block grafts measured 0.47 ± 0.2 mm, indicating a clinically acceptable precision. Guided implant placement induced a mean shift of 0.16 ± 0.06 mm in the position of the block graft. Within the limitations of this in vitro study, it can be concluded that customised block grafts fabricated through CBCT, computer-assisted design and 3D printing allow alveolar ridge augmentation with clinically acceptable predictability and reproducibility. Computer-assisted implant planning and placement can be performed simultaneously with computer-assisted block grafting leading to clinically non-relevant dislocation of block grafts.

Digital implant placement accuracy: a clinical study on a fully-guided flapless single-unit immediate-loading protocol

AimsThe primary aim of the present study was to measure the discrepancy between the virtual and the actual position of the single-unit implants placed via a digitally-designed fully-guided surgical template using a flapless surgical technique. Prefabricated provisional restorations and periodontal factors were evaluated after the immediate loading of implants and 3 months after the surgery, respectively.Materials and methodsFourteen implants in nine patients were virtually planned after importing intraoral scans and cone-beam computed tomography (CBCT) records into 3D planning software. Accordingly, fully-guided surgical templates, customized abutments, and provisional restorations were designed and fabricated. The implant position after the surgery was compared with its virtual counterpart in terms of angular and apical linear deviations. Implants were immediately loaded after the surgery, and the occlusal level of the delivered provisional restorations was compared with their designed positions. Early implant failure, bleeding on probing, and peri-implant pockets were documented on the 3-month follow-up.ResultsA mean angular deviation of 5.07 ± 2.06° and a mean apical linear deviation of 1.74 ± 0.63 mm resulted. Two out of 14 implants failed within the first 3 months of the surgery, and the occlusal level difference was calculated for nine prefabricated provisional restorations.ConclusionsDIONAVI protocol has been evaluated regarding its accuracy, and an estimation of the expected deviation is presented to the clinicians using this protocol. However, before widespread use, immediate-loading protocols and provisional restorations must be studied further.Trial registrationIRCT, IRCT20211208053334N1. Registered 6 August 2022.

Research on a Precision Calibration Model of a Flexible Strain Sensor Based on a Variable Section Cantilever Beam.

The flexible strain sensor's measuring range is usually over 5000 με, while the conventional variable section cantilever calibration model has a measuring range within 1000 με. In order to satisfy the calibration requirements of flexible strain sensors, a new measurement model was proposed to solve the inaccurate calculation problem of the theoretical strain value when the linear model of a variable section cantilever beam was applied to a large range. The nonlinear relationship between deflection and strain was established. The finite element analysis of a variable section cantilever beam with ANSYS shows that the linear model's relative deviation is as high as 6% at 5000 με, while the relative deviation of the nonlinear model is only 0.2%. The relative expansion uncertainty of the flexible resistance strain sensor is 0.365% (k = 2). Simulation and experimental results show that this method solves the imprecision of the theoretical model effectively and realizes the accurate calibration of a large range of strain sensors. The research results enrich the measurement models and calibration models for flexible strain sensors and contribute to the development of strain metering.

PVA electrospun fibers coated with PPy nanoparticles for wearable strain sensors.

Current conductive polymers win wide applications in smart strain/stress sensors, bioinspired actuators, and wearable electronics. This paper investigates a novel strain sensor by using conductive polypyrrole (PPy) nanoparticles coated polyvinyl alcohol (PVA) fibers as matrix. The flexible, water-resistant PVA fibers are initially prepared by combined electrospinning and annealing techniques, and then are coated with PPy nanoparticles through in situ polymerization. The resultant PPy@PVA fibers exhibit stable, favorable electrical conductivities due to the uniform point-to-point connections among PPy nanoparticles, e.g. after three-time' polymerizations, the PPy@PVA3 fiber film presents a sheet resistance of ∼840 Ω/sq and a bulk conductivity of ∼32.1 mS/cm. Cyclic sensing tests reveal that, PPy@PVA sensors show linear relationships between the relative resistance variations and the applied strains, e.g. the linear deviation of PPy@PVA3 is only 0.9 % within 33 % strain. After long-term stretching/releasing cycles, the PPy@PVA sensor exhibits stable, durable, and reversible sensing behaviors, no evident "drift" is observed over 1,000 cycles (5,000 seconds). This article is protected by copyright. All rights reserved.

The application of a fully digital approach in the treatment of skeletal class III malocclusion: a preliminary study

BackgroundSkeletal malocclusion patients have facial malformations and occlusal dysfunctions that require orthodontic-orthognathic joint treatment, while the combination treatment takes time and requires close communication between surgeons and orthodontists. Thus, improving the efficiency and effectiveness of the combination treatment is necessary, and it is still a challenge. Now, digital technology provides us with an excellent alternative. Despite the widespread use of digital technology in orthognathic surgery simulation and clear aligner orthodontic therapy, it has not been fully integrated into the combined orthognathic and orthodontic treatment process, and the components remain independent.MethodsA fully digital approach to seamlessly integrating various parts of the combined treatment through digital technology was investigated in this study in order to achieve an efficient transition. Five patients with skeletal Class III malocclusion were enrolled, and all made fully digital treatment plans at the beginning of actual implementation, which included the design of pre-surgical orthodontic, orthognathic surgery, and post-surgical orthodontic. Then, every aspect of the clinical operation was carried out in accordance with the fully digital routine. After the entire treatment process was completed, the skeleton and dentition discrepancy between virtual planning and the actual result was evaluated.ResultsAll participants completed the fully digital treatment process, and no complication was observed. The linear deviation of the skeletal anatomy was less than 1 mm, and the angular deviation was less than 1 degree. Except in one case in the lower dentition, the deviation of the virtual dental design from the real alignment was less than 2 mm. Furthermore, with one exception of maxillary anterior-posterior dimension, the linear deviations of the skeleton were not statistically significant. Therefore, the simulation accuracy of the fully digital approach was clinically acceptable.ConclusionsThe digital treatment approach is clinically feasible and has achieved satisfactory results. The discrepancy between virtual design of the entire digital process and actual post-treatment situation was acceptable in clinic. A fully digital approach was proved effective in the treatment of skeletal Class III malocclusion, with which the efficient transition of treatment procedures was realized.

Influence of the implant scan body modifications on trueness of digital impressions

Background/purposeEffects of implant angulation on digital impression accuracy remain controversial. The purpose of this study was to assess the relationship between the alteration of implant scan bodies and the trueness of digital impressions. Materials and methodsA maxillary typodont without the right premolars and first molar was scanned with a laboratory scanner and saved as a standard triangular language (STL) file. A model from the STL file was fabricated with a 3-dimensional printer. Two implants were placed into the first premolar and first molar sites of the model, followed by the insertion of two scan bodies onto the implants. These scan bodies were divided into four test groups, based on the surface modifications. A digital impression of each typodont was made with three different intraoral scanners. An abutment was digitally seated on each implant. 120 STL files (30 for each group) of the typodont with two implants and two corresponding abutments were used for statistical analysis. ResultsA total of 240 values (two implants for each typodont) were obtained after each sample (4 groups) was scanned 10 times by utilizing three intraoral scanners. The overall linear and angular discrepancies were analyzed. Group 1 showed the lowest linear discrepancy of 14.9 ± 5.4 μm while Group 4 reported the highest linear discrepancy of 137.5 ± 41.7 μm, yielding a statistical significance (P < 0.05). ConclusionIt has been concluded that the more adjustments made to the scan bodies, the greater the linear and angular deviations occur, compromising the trueness of the digital implant impression.

Accuracy of 3D printed scan bodies for dental implants using two additive manufacturing systems: An in vitro study.

This study compared the accuracy of implant scan bodies printed using stereolithography (SLA) and digital light processing (DLP) technologies to the control (manufacturer's scan body) Scan bodies were printed using SLA (n = 10) and DLP (n = 10) methods. Ten manufacturer's scan bodies were used as control. The scan body was placed onto a simulated 3D printed cast with a single implant placed. An implant fixture mount was used as standard. The implant positions were scanned using a laboratory scanner with the fixture mounts, manufacturer's scan bodies, and the printed scan bodies. The scans of each scan body was then superimposed onto the referenced fixture mount. The 3D angulation and linear deviations were measured. The angulation and linear deviations were 1.24±0.22° and 0.20±0.05 mm; 2.63±0.82° and 0.34±0.11 mm; 1.79±0.19° and 0.32±0.03 mm; for the control, SLA, and DLP, respectively. There were statistical differences (ANOVA) among the three groups in the angular (p<0.01) or linear deviations (p<0.01). Box plotting, 95% confidence interval and F-test suggested the higher variations of precision in the SLA group compared to DLP and control groups. Scan bodies printed in-office have lower accuracy compared to the manufacturer's scan bodies. The current technology for 3D printing of implant scan bodies needs trueness and precision improvements.