Effect of an auxiliary device on scanning accuracy for multiple implants: an in vitro comparative study

Abstract Objectives To determine the influence of a consumable auxiliary device, the O-I buckle, on the accuracy of intraoral scanning among complete arches. Methods A standard mandibular model with six implants was used as the master model and was scanned by a precise dental laboratory scanner to e...

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Main Authors: Mingyue Lyu, Dingyi Xu, Yizhou Li, Shiwen Zhang, Heling Zhao, Quan Yuan
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Head & Face Medicine
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Online Access:https://doi.org/10.1186/s13005-025-00511-y
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author Mingyue Lyu
Dingyi Xu
Yizhou Li
Shiwen Zhang
Heling Zhao
Quan Yuan
author_facet Mingyue Lyu
Dingyi Xu
Yizhou Li
Shiwen Zhang
Heling Zhao
Quan Yuan
author_sort Mingyue Lyu
collection DOAJ
description Abstract Objectives To determine the influence of a consumable auxiliary device, the O-I buckle, on the accuracy of intraoral scanning among complete arches. Methods A standard mandibular model with six implants was used as the master model and was scanned by a precise dental laboratory scanner to establish a reference. Three impression techniques were compared: the conventional splinted open-tray impression (CI group), the digital intraoral scanning technique (IOS group), and IOS with the auxiliary device (OI group). For OI group, six prefabricated O-I buckles were attached for each intraoral scan body (ISB) and the definite models were scanned 10 times. The STL datasets were imported into a 3D inspection software to obtain the trueness and precision values for three scanning ranges (BCDE, BCDEF, and ABCDEF). The trueness was the absolute value of the root mean square (RMS) between the reference and test models, while precision referred to the value of the test group subtracted from each other. The data were statistically analyzed using two-way ANOVA and post hoc multiple comparison tests. Results The impression method (p <.001) and scanning range (p <.001) significantly influenced the trueness and precision of implant impressions for complete edentulous arches. The IOS with O-I buckle showed higher trueness compared to the IOS group for all implant configurations with most being significantly different (p =.758, = 0.04, and = < 0.001 for BCDE, BCDEF, and ABCDEF, respectively) and significantly higher precision was seen in group ABCDEF (p <.001). For four and five implants (group BCDE and BCDEF), there was no significant difference comparing IOS with O-I buckle and CI (p >.05). As the range expanded, the trueness and precision of IOS and OI decreased (p <.05), whereas the accuracy of CI remained stable. Conclusions The auxiliary O-I buckle fixed to the ISBs significantly improved the multiple-implant intraoral scanning accuracy for digital impressions in complete arches; With CI as a reference, the accuracy of IOS with OI buckles were comparable for four and five implants. Clinical relevance The digitization accuracy of intraoral scanning for complete edentulous arches can be improved through IOS with OI buckles. This may lead to improved passive fit of the restoration, improving patient outcomes in a convenient and cheap way.
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publishDate 2025-04-01
publisher BMC
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series Head & Face Medicine
spelling doaj-art-a9c3366a20bd4cc4b2280eff9a3a64292025-08-20T03:52:24ZengBMCHead & Face Medicine1746-160X2025-04-012111910.1186/s13005-025-00511-yEffect of an auxiliary device on scanning accuracy for multiple implants: an in vitro comparative studyMingyue Lyu0Dingyi Xu1Yizhou Li2Shiwen Zhang3Heling Zhao4Quan Yuan5State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan UniversityAbstract Objectives To determine the influence of a consumable auxiliary device, the O-I buckle, on the accuracy of intraoral scanning among complete arches. Methods A standard mandibular model with six implants was used as the master model and was scanned by a precise dental laboratory scanner to establish a reference. Three impression techniques were compared: the conventional splinted open-tray impression (CI group), the digital intraoral scanning technique (IOS group), and IOS with the auxiliary device (OI group). For OI group, six prefabricated O-I buckles were attached for each intraoral scan body (ISB) and the definite models were scanned 10 times. The STL datasets were imported into a 3D inspection software to obtain the trueness and precision values for three scanning ranges (BCDE, BCDEF, and ABCDEF). The trueness was the absolute value of the root mean square (RMS) between the reference and test models, while precision referred to the value of the test group subtracted from each other. The data were statistically analyzed using two-way ANOVA and post hoc multiple comparison tests. Results The impression method (p <.001) and scanning range (p <.001) significantly influenced the trueness and precision of implant impressions for complete edentulous arches. The IOS with O-I buckle showed higher trueness compared to the IOS group for all implant configurations with most being significantly different (p =.758, = 0.04, and = < 0.001 for BCDE, BCDEF, and ABCDEF, respectively) and significantly higher precision was seen in group ABCDEF (p <.001). For four and five implants (group BCDE and BCDEF), there was no significant difference comparing IOS with O-I buckle and CI (p >.05). As the range expanded, the trueness and precision of IOS and OI decreased (p <.05), whereas the accuracy of CI remained stable. Conclusions The auxiliary O-I buckle fixed to the ISBs significantly improved the multiple-implant intraoral scanning accuracy for digital impressions in complete arches; With CI as a reference, the accuracy of IOS with OI buckles were comparable for four and five implants. Clinical relevance The digitization accuracy of intraoral scanning for complete edentulous arches can be improved through IOS with OI buckles. This may lead to improved passive fit of the restoration, improving patient outcomes in a convenient and cheap way.https://doi.org/10.1186/s13005-025-00511-yImpression accuracyIntraoral scanO-I buckleComplete edentulous arches
spellingShingle Mingyue Lyu
Dingyi Xu
Yizhou Li
Shiwen Zhang
Heling Zhao
Quan Yuan
Effect of an auxiliary device on scanning accuracy for multiple implants: an in vitro comparative study
Head & Face Medicine
Impression accuracy
Intraoral scan
O-I buckle
Complete edentulous arches
title Effect of an auxiliary device on scanning accuracy for multiple implants: an in vitro comparative study
title_full Effect of an auxiliary device on scanning accuracy for multiple implants: an in vitro comparative study
title_fullStr Effect of an auxiliary device on scanning accuracy for multiple implants: an in vitro comparative study
title_full_unstemmed Effect of an auxiliary device on scanning accuracy for multiple implants: an in vitro comparative study
title_short Effect of an auxiliary device on scanning accuracy for multiple implants: an in vitro comparative study
title_sort effect of an auxiliary device on scanning accuracy for multiple implants an in vitro comparative study
topic Impression accuracy
Intraoral scan
O-I buckle
Complete edentulous arches
url https://doi.org/10.1186/s13005-025-00511-y
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AT shiwenzhang effectofanauxiliarydeviceonscanningaccuracyformultipleimplantsaninvitrocomparativestudy
AT helingzhao effectofanauxiliarydeviceonscanningaccuracyformultipleimplantsaninvitrocomparativestudy
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