How the geometry of the scan body affects the accuracy of digital impressions in implant supported prosthesis. In vitro study

BACKGROUND: To determine and compare how three-dimensionally accurate scan bodies of different geometric shapes are placed over 6 implants (platform or crestal module). MATERIAL AND METHODS: A master plaster model was made with 6 INHEX STD implant analogs made by Mozo-Grau S.A and 4 scan body types were compared. Several groups were made: a control group using a DS101 85G20 contact scanner (Renishaw, Gavá, Spain) and 2 experimental groups using optical scanners: Cerec Omnicam (Sirona, Bensheim, Germany) and Trios 3 (3Shape, Copenhagen, Denmark). 3 parameters were measured on the implants: dis-tance between the axial axes, height difference and angulation difference. Two experienced op-erators scanned 10 times using each of the 2 scanners. The STL files were compared using the “Best-Fit” technique and the data was then extrapolated and processed statistically. RESULTS: The scan bodies PRMG (SB3) and TALL (SB4) lead to smaller errors in distance, projected height and angulation than ELOS (SB1) and MG (SB2). CONCLUSIONS: Despite the results obtained in PRMG (SB3) and TALL (SB4), the scanning errors may still be too large to achieve a good fit in large rehabilitations over implants. Any marginal discrepancy may lead to the failure of the rehabilitation or the implant due to the associated biomechanical problems. Key words:IOS, CAD/CAM, SCAN Bodies.