Enhancing Implant Prosthodontics: In Vitro Accuracy of Coded Healing Abutments on the Edentulous Lower Jaw

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2025-05-09 DOI:10.1111/cid.70036

Boldizsár Vánkos, Dénes Palaszkó, Kata Kelemen, Anna Németh, Judit Schmalzl, Dániel Márk Zentai, Elek Dinya, Péter Hermann, Barbara Kispélyi

{"title":"Enhancing Implant Prosthodontics: In Vitro Accuracy of Coded Healing Abutments on the Edentulous Lower Jaw","authors":"Boldizsár Vánkos, Dénes Palaszkó, Kata Kelemen, Anna Németh, Judit Schmalzl, Dániel Márk Zentai, Elek Dinya, Péter Hermann, Barbara Kispélyi","doi":"10.1111/cid.70036","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study aimed to investigate the accuracy of conventional and digital impression-making and cast-fabrication using coded healing abutments on an edentulous mandibular model under in vitro conditions.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>Our study investigated the accuracy of the On1 Concept (Nobel Biocare; Kloten, Switzerland) coded healing abutment system using conventional and digital workflows. The Conical Connection (CC) system (Nobel Biocare; Kloten, Switzerland) was used as the control group in both workflows. 10–10 open-tray impressions and intraoral scans were made from the reference model with each system. Models built from intraoral scans were additively fabricated, and open-tray impressions were poured with type-4 dental stone. The prepared models were digitized using a desktop scanner with an accuracy of 4 μm (E4, 3Shape; Copenhagen, Denmark) and superimposed on the reference scan. Four linear distances and root mean square (RMS) deviations were measured using metrology software.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Five dimensions were measured using signed and absolute deviations, resulting in nine outcomes. RMS and diagonal deviations provided the most insight into overall model deviations. Mean RMS deviations were: 58.30 (14.95) μm for CC_conv, 47.66 (13.04) μm for On1_conv, 204.97 (37.40) μm for CC_dig, and 136.64 (13.49) μm for On1_dig. Significant differences were found between On1_conv vs. CC_dig, On1_conv vs. On1_dig, and CC_conv vs. CC_dig. Mean linear deviations between the molar positions were: 24.49 (58.20) μm for CC_conv, 87.46 (106.70) μm for On1_conv, −104.76 (125.83) μm for CC_dig, and 140.64 (190.56) μm for On1_dig. Significant differences were observed between On1_conv vs. CC_dig and CC_dig vs. On1_dig.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Based on the RMS deviations, the conventional method is significantly more accurate at both implant and platform levels in the case of an in vitro edentulous lower jaw model. The RMS deviations of the implant analogs are smaller on the platform level with both conventional and digital methods.</p>\n </section>\n </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 3","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.70036","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Implant Dentistry and Related Research","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cid.70036","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

This study aimed to investigate the accuracy of conventional and digital impression-making and cast-fabrication using coded healing abutments on an edentulous mandibular model under in vitro conditions.

Materials and Methods

Our study investigated the accuracy of the On1 Concept (Nobel Biocare; Kloten, Switzerland) coded healing abutment system using conventional and digital workflows. The Conical Connection (CC) system (Nobel Biocare; Kloten, Switzerland) was used as the control group in both workflows. 10–10 open-tray impressions and intraoral scans were made from the reference model with each system. Models built from intraoral scans were additively fabricated, and open-tray impressions were poured with type-4 dental stone. The prepared models were digitized using a desktop scanner with an accuracy of 4 μm (E4, 3Shape; Copenhagen, Denmark) and superimposed on the reference scan. Four linear distances and root mean square (RMS) deviations were measured using metrology software.

Results

Five dimensions were measured using signed and absolute deviations, resulting in nine outcomes. RMS and diagonal deviations provided the most insight into overall model deviations. Mean RMS deviations were: 58.30 (14.95) μm for CC_conv, 47.66 (13.04) μm for On1_conv, 204.97 (37.40) μm for CC_dig, and 136.64 (13.49) μm for On1_dig. Significant differences were found between On1_conv vs. CC_dig, On1_conv vs. On1_dig, and CC_conv vs. CC_dig. Mean linear deviations between the molar positions were: 24.49 (58.20) μm for CC_conv, 87.46 (106.70) μm for On1_conv, −104.76 (125.83) μm for CC_dig, and 140.64 (190.56) μm for On1_dig. Significant differences were observed between On1_conv vs. CC_dig and CC_dig vs. On1_dig.

Conclusions

Based on the RMS deviations, the conventional method is significantly more accurate at both implant and platform levels in the case of an in vitro edentulous lower jaw model. The RMS deviations of the implant analogs are smaller on the platform level with both conventional and digital methods.

Abstract Image

查看原文本刊更多论文

提高种植修复：无牙下颌编码愈合基台的体外准确性

目的探讨在体外条件下，利用编码愈合基台在无牙颌模型上进行常规印模和数字铸造的准确性。材料与方法本研究考察了On1 Concept (Nobel Biocare；Kloten，瑞士)使用传统和数字工作流程的编码愈合基台系统。锥形连接（CC）系统(Nobel Biocare；Kloten，瑞士)作为两个工作流程中的对照组。使用每种系统从参考模型进行10-10次开盘印模和口内扫描。通过口腔内扫描建立模型，然后用4型牙石浇筑开盘印模。利用台式扫描仪对所制备的模型进行数字化处理，精度为4 μm (E4, 3Shape；哥本哈根，丹麦)，并叠加在参考扫描。采用计量软件测量四种线性距离和均方根（RMS）偏差。结果采用符号偏差和绝对偏差测量5个维度，得到9个结果。均方根和对角线偏差提供了对整体模型偏差的最深入的了解。CC_conv、On1_conv、CC_dig和On1_dig的平均RMS偏差分别为58.30 (14.95)μm、47.66 (13.04)μm、204.97 (37.40)μm和136.64 (13.49)μm。On1_conv与CC_dig、On1_conv与On1_dig、CC_conv与CC_dig之间存在显著差异。CC_conv的平均线性偏差为24.49 (58.20)μm， On1_conv的平均线性偏差为87.46 (106.70)μm， CC_dig的平均线性偏差为- 104.76 (125.83)μm， On1_dig的平均线性偏差为140.64 (190.56)μm。On1_conv与CC_dig、CC_dig与On1_dig之间存在显著差异。结论基于RMS偏差，常规方法在种植体水平和平台水平上对体外无牙下颌模型均具有更高的准确性。采用传统方法和数字方法，植入物模拟物的均方根偏差在平台水平上都较小。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.