Comparison of the accuracy of Biomet 3i Encode Robocast Technology and conventional implant impression techniques.

PURPOSE To compare the accuracy of implant master casts fabricated using Robocast Technology (Biomet 3i) with that of master casts fabricated using traditional transfer (closed-tray) and pick-up (open-tray) techniques. MATERIALS AND METHODS A stereolithographic replica of a Kennedy Class I human mandible was fabricated for use as the master model. Implants were placed into both posterior quadrants (both second premolars and second molars) and set parallel (P) on one side and divergent (nonparallel, NP) on the opposite side. Impressions were made of the master model (patient replica model) with Encode Healing Abutments, open-tray, and closed-tray impression copings. Identical metallic spheres were placed onto each implant analog in the stone master casts, and the casts/spheres were scanned using a digital scanner. Measurements were made between the center points of the spheres and compared to the master model. Data were divided into P, NP, and individual sites, and the differences were analyzed statistically (α = .05). RESULTS Encode master casts were less accurate than the open-tray casts in NP sites. Encode master casts were less accurate than the open-tray and closed-tray casts in P sites. NP sites demonstrated less accuracy than P sites within the Encode group. Encode master casts were less accurate than the open- and closed-tray casts at the mandibular right second premolar site. The mandibular left second premolar was less accurate than the mandibular right second molar in the Encode group. CONCLUSIONS Within the limitations of this lab-based study and analysis, the Encode technique resulted in master casts that were less accurate than master casts made from traditional open- and closed-tray impression techniques. Further research is necessary before specific clinical judgments can be made.

[1]  W. Chee,et al.  Impression techniques for implant dentistry , 2006, British Dental Journal.

[2]  P J Becker,et al.  Evaluation of impression accuracy for osseointegrated implant supported superstructures. , 2000, The Journal of prosthetic dentistry.

[3]  Carl J Drago,et al.  Treatment of an edentulous patient with CAD/CAM technology: a clinical report. , 2007, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[4]  J. Brunski,et al.  Effects of fabrication, finishing, and polishing procedures on preload in prostheses using conventional "gold' and plastic cylinders. , 1996, The International journal of oral & maxillofacial implants.

[5]  H. G. Filho,et al.  Evaluation of Transfer Impressions for Osseointegrated Implants at Various Angulations , 2004, Implant dentistry.

[6]  R. Rudd,et al.  A review of 243 errors possible during the fabrication of a removable partial denture: part II. , 2001, The Journal of prosthetic dentistry.

[7]  G. Christensen Marginal fit of gold inlay castings. , 1966, The Journal of prosthetic dentistry.

[8]  D Assif,et al.  Accuracy of implant impression techniques. , 1996, The International journal of oral & maxillofacial implants.

[9]  K D Rudd,et al.  A review of 243 errors possible during the fabrication of a removable partial denture: part I. , 2001, The Journal of prosthetic dentistry.

[10]  S P Haug,et al.  Study of the physical properties of type IV gypsum, resin-containing, and epoxy die materials. , 2000, The Journal of prosthetic dentistry.

[11]  Anders Ortorp,et al.  The accuracy of an implant impression technique using digitally coded healing abutments. , 2012, Clinical implant dentistry and related research.

[12]  D Assif,et al.  Comparative accuracy of implant impression procedures. , 1992, The International journal of periodontics & restorative dentistry.

[13]  G. H. Johnson,et al.  The effect of tray selection, viscosity of impression material, and sequence of pour on the accuracy of dies made from dual-arch impressions. , 2003, The Journal of prosthetic dentistry.

[14]  Leslie Howe,et al.  Accuracy of open tray implant impressions: an in vitro comparison of stock versus custom trays. , 2003, The Journal of prosthetic dentistry.

[15]  Yoav Grossmann,et al.  A novel technique using a coded healing abutment for the fabrication of a CAD/CAM titanium abutment for an implant-supported restoration. , 2006, The Journal of prosthetic dentistry.

[16]  Changyong Feng,et al.  Effect of subgingival depth of implant placement on the dimensional accuracy of the implant impression: an in vitro study. , 2008, The Journal of prosthetic dentistry.

[17]  Kyu-Bok Lee,et al.  Marginal and internal fit of all-ceramic crowns fabricated with two different CAD/CAM systems. , 2008, Dental materials journal.

[18]  Arjan Vissink,et al.  The use of a coded healing abutment as an impression coping to design and mill an individualized anatomic abutment: a clinical report. , 2011, The Journal of prosthetic dentistry.

[19]  Torsten Jemt,et al.  Comparisons of precision of fit between cast and CNC-milled titanium implant frameworks for the edentulous mandible. , 2003, The International journal of prosthodontics.

[20]  D Assif,et al.  Accuracy of implant impression splinted techniques: effect of splinting material. , 1999, The International journal of oral & maxillofacial implants.

[21]  J I Nicholls,et al.  An evaluation of impression techniques for osseointegrated implants. , 1990, The Journal of prosthetic dentistry.

[22]  Luis C F Frasca,et al.  Evaluation of the accuracy of 3 transfer techniques for implant-supported prostheses with multiple abutments. , 2004, The International journal of oral & maxillofacial implants.

[23]  R. Rudd,et al.  A review of 243 errors possible during the fabrication of a removable partial denture: part III. , 2001, The Journal of prosthetic dentistry.

[24]  Igor J Pesun,et al.  Laser digitization of casts to determine the effect of tray selection and cast formation technique on accuracy. , 2002, The Journal of prosthetic dentistry.

[25]  A. Carr Comparison of impression techniques for a two-implant 15-degree divergent model. , 1992, The International journal of oral & maxillofacial implants.

[26]  P. Vigolo,et al.  Evaluation of the accuracy of three techniques used for multiple implant abutment impressions. , 2003, The Journal of prosthetic dentistry.

[27]  Chong-Hyun Han,et al.  Displacement of implant components from impressions to definitive casts. , 2006, The International journal of oral & maxillofacial implants.

[28]  P. Vigolo,et al.  An evaluation of impression techniques for multiple internal connection implant prostheses. , 2004, The Journal of prosthetic dentistry.

[29]  C. Ercoli,et al.  The accuracy of implant impressions: a systematic review. , 2008, The Journal of prosthetic dentistry.

[30]  Alvin G. Wee Comparison of impression materials for direct multi-implant impressions. , 2000, The Journal of prosthetic dentistry.

[31]  J. Lindhe,et al.  The mucosal barrier following abutment dis/reconnection. An experimental study in dogs. , 1997, Journal of clinical periodontology.

[32]  M G Barrett,et al.  The accuracy of six impression techniques for osseointegrated implants. , 1993, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[33]  M. Balkenhol,et al.  Influence of impression technique and material on the accuracy of multiple implant impressions. , 2008, The International journal of prosthodontics.

[34]  Rainer Koch,et al.  Randomized controlled clinical study on the accuracy of two-stage putty-and-wash impression materials. , 2009, The International journal of prosthodontics.

[35]  P L Millstein,et al.  A comparative analysis of the accuracy of implant transfer techniques. , 1993, The Journal of prosthetic dentistry.

[36]  A B Carr,et al.  Comparison of impression techniques for a five-implant mandibular model. , 1992, The International journal of oral & maxillofacial implants.

[37]  M. Walker,et al.  Implant cast accuracy as a function of impression techniques and impression material viscosity. , 2008, The International journal of oral & maxillofacial implants.

[38]  E. Rocha,et al.  Prosthetic Transfer Impression Accuracy Evaluation for Osseointegrated Implants , 2008, Implant dentistry.

[39]  E. Kazazoğlu,et al.  Comparison of the marginal fit of different coping materials and designs produced by computer aided manufacturing systems. , 2011, Dental materials journal.

[40]  Roberto Sorrentino,et al.  Effect of implant angulation, connection length, and impression material on the dimensional accuracy of implant impressions: an in vitro comparative study. , 2009, Clinical implant dentistry and related research.