Comparison of Direct Intraoral Scan and Traditional Impression for CAD/CAM Mandibular Overdenture Base: RCT on Peri-implant Marginal Bone Changes.

Ahmed R Seifeldeen, Marwa A Aboelez, Ashraf A Gebreel, Mohammed M Fouad
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Abstract

Aim: This study aimed to evaluate the impact of digital vs traditional impression techniques on peri-implant vertical bone resorption in the creation of mandibular overdenture bases supported by four implants using CAD/CAM technology.

Materials and methods: Twenty edentulous patients were placed in four mandibular implants and randomly divided into groups: (A) the control group (CIG) (n = 10); patients obtained CAD/CAM denture base using conventional impression technique and group (B) the study (DIG) group (n = 10); patients obtained CAD/CAM denture base using digital impression technique. Peri-implant vertical bone height was measured immediately (T0), 6 (T6), and 12 (T12) months after insertion. Peri-implant vertical bone loss (VBL) was calculated first 6 months (T1), the second 6 months (T2), and 1 year (T3) after insertion.

Results: For both groups, the survival rates of inserted implants were 100%. The amount of VBL in the first year in both groups was within normal ranges. In both groups, VBL significantly decreased over time. The control group recorded significantly higher VBL than (DIG) group at T2 (p = 0.006) and at T3 (p = 0.005).

Conclusion: Digital intraoral scanning technique may be considered a more beneficial registration method than traditional impression technique for the construction of CAD/CAM 4-implant-assisted overdenture base regarding the preservation of vertical bone levels.

Clinical significance: Both digital intraoral scanners and conventional impression techniques can be used for the construction of CAD/CAM-implant-assisted overdenture bases regarding the preservation of peri-implant vertical bone resorption. How to cite this article: Seifeldeen AR, Aboelez MA, Gebreel AA, et al. Comparison of Direct Intraoral Scan and Traditional Impression for CAD/CAM Mandibular Overdenture Base: RCT on Peri-implant Marginal Bone Changes. J Contemp Dent Pract 2024;25(6):527-534.

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下颌覆盖义齿基底 CAD/CAM 直接口内扫描与传统印模的比较:关于种植体周围边缘骨变化的 RCT。
目的:本研究旨在评估在使用CAD/CAM技术制作由四颗种植体支撑的下颌覆盖义齿基托时,数字化印模技术与传统印模技术对种植体周围垂直骨吸收的影响:将20名无牙颌患者植入4颗下颌种植体,随机分为两组:(A) 对照组(CIG)(n = 10),患者使用传统印模技术获得CAD/CAM义齿基托;(B) 研究组(DIG)(n = 10),患者使用数字印模技术获得CAD/CAM义齿基托。种植体周围垂直骨高度在种植体植入后立即(T0)、6 个月(T6)和 12 个月(T12)进行测量。计算种植体周围垂直骨质流失(VBL)的时间分别为植入后的前 6 个月(T1)、后 6 个月(T2)和 1 年(T3):两组植入种植体的存活率均为 100%。两组第一年的 VBL 量均在正常范围内。随着时间的推移,两组的 VBL 均明显下降。对照组在第二年(P = 0.006)和第三年(P = 0.005)的 VBL 明显高于(DIG)组:结论:在CAD/CAM四种植体辅助覆盖义齿基托的制作过程中,在保留垂直骨水平方面,数字口内扫描技术可能被认为是比传统印模技术更有利的注册方法:口内数字扫描仪和传统印模技术均可用于CAD/CAM种植体辅助覆盖义齿基托的制作,以保护种植体周围垂直骨吸收。本文引用方式Seifeldeen AR, Aboelez MA, Gebreel AA, et al:种植体周围边缘骨变化的 RCT 研究。J Contemp Dent Pract 2024;25(6):527-534.
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来源期刊
Journal of Contemporary Dental Practice
Journal of Contemporary Dental Practice Dentistry-Dentistry (all)
CiteScore
1.80
自引率
0.00%
发文量
174
期刊介绍: The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.
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