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Accuracy of a proposed implant impression technique using abutments and metal framework

Identifieur interne : 002F36 ( Pmc/Curation ); précédent : 002F35; suivant : 002F37

Accuracy of a proposed implant impression technique using abutments and metal framework

Auteurs : Hyeok-Jae Lee [Corée du Sud] ; Young-Jun Lim [Corée du Sud] ; Chang-Whe Kim [Corée du Sud] ; Jung-Han Choi [Corée du Sud] ; Myung-Joo Kim [Corée du Sud]

Source :

RBID : PMC:2984514

Abstract

PURPOSE

This study compared the accuracy of an abutment-framework (A-F) taken with open tray impression technique combining cementon crown abutments, a metal framework and resin cement to closed tray and resin-splinted open tray impression techniques for the 3-implant definitive casts. The effect of angulation on the accuracy of these 3 techniques was also evaluated.

MATERIAL AND METHODS

Three definitive casts, each with 3 linearly positioned implant analogs at relative angulations 0, 30, and 40 degrees, were fabricated with passively fitted corresponding reference frameworks. Ten impressions were made and poured, using each of the 3 techniques on each of the 3 definitive casts. To record the vertical gap between reference frameworks and analogs in duplicate casts, a light microscope with image processing was used. Data were analyzed by two-way analysis of variance and the Tukey test.

RESULTS

The open tray techniques showed significantly smaller vertical gaps compare to closed tray technique (P < .05). The closed tray and the resin-splinted open tray technique showed significantly different vertical gaps according to the angulation of implant (P < .05), but the A-F impression technique did not (P > .05).

CONCLUSION

The accuracy of the A-F impression technique was superior to that of conventional techniques, and was not affected by the angulation of the implants.


Url:
DOI: 10.4047/jap.2010.2.1.25
PubMed: 21165184
PubMed Central: 2984514

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PMC:2984514

Le document en format XML

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<journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
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<journal-title>The Journal of Advanced Prosthodontics</journal-title>
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<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
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<article-title>Accuracy of a proposed implant impression technique using abutments and metal framework</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Hyeok-Jae</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lim</surname>
<given-names>Young-Jun</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Chang-Whe</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Choi</surname>
<given-names>Jung-Han</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kim</surname>
<given-names>Myung-Joo</given-names>
</name>
<degrees>BS</degrees>
<degrees>DDS</degrees>
<degrees>MS</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Prosthodontics, College of Dentistry, Seoul National University, Seoul, South Korea.</aff>
<aff id="A2">
<label>2</label>
Department of Prosthodontics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.</aff>
<author-notes>
<corresp>Corresponding author: Myung-Joo Kim. Department of Prosthodontics and Dental Research Institute, College of Dentistry, Seoul National University, 28-1 Yeongun-dong, Chongno-gu, Seoul, 110-749, South Korea. Tel, +82 2 2072 0815:
<email>silk1@snu.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>3</month>
<year>2010</year>
</pub-date>
<volume>2</volume>
<issue>1</issue>
<fpage>25</fpage>
<lpage>31</lpage>
<history>
<date date-type="received">
<day>26</day>
<month>2</month>
<year>2010</year>
</date>
<date date-type="rev-recd">
<day>09</day>
<month>3</month>
<year>2010</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>3</month>
<year>2010</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2010 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2010</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>PURPOSE</title>
<p>This study compared the accuracy of an abutment-framework (A-F) taken with open tray impression technique combining cementon crown abutments, a metal framework and resin cement to closed tray and resin-splinted open tray impression techniques for the 3-implant definitive casts. The effect of angulation on the accuracy of these 3 techniques was also evaluated.</p>
</sec>
<sec>
<title>MATERIAL AND METHODS</title>
<p>Three definitive casts, each with 3 linearly positioned implant analogs at relative angulations 0, 30, and 40 degrees, were fabricated with passively fitted corresponding reference frameworks. Ten impressions were made and poured, using each of the 3 techniques on each of the 3 definitive casts. To record the vertical gap between reference frameworks and analogs in duplicate casts, a light microscope with image processing was used. Data were analyzed by two-way analysis of variance and the Tukey test.</p>
</sec>
<sec>
<title>RESULTS</title>
<p>The open tray techniques showed significantly smaller vertical gaps compare to closed tray technique (
<italic>P</italic>
< .05). The closed tray and the resin-splinted open tray technique showed significantly different vertical gaps according to the angulation of implant (
<italic>P</italic>
< .05), but the A-F impression technique did not (
<italic>P</italic>
> .05).</p>
</sec>
<sec>
<title>CONCLUSION</title>
<p>The accuracy of the A-F impression technique was superior to that of conventional techniques, and was not affected by the angulation of the implants.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Implant</kwd>
<kwd>Abutment</kwd>
<kwd>Metal framework</kwd>
<kwd>Vertical gap</kwd>
<kwd>Angulation</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" position="float">
<label>Fig. 1</label>
<caption>
<p>Reference frameworks were waxed and cast on preliminary casts. Top: 0 degree, middle: 30 degrees, bottom: 40 degrees.</p>
</caption>
<graphic xlink:href="jap-2-25-g001"></graphic>
</fig>
<fig id="F2" position="float">
<label>Fig. 2</label>
<caption>
<p>Definitive casts with guide pins connected to show the angulation of the implant analogs. Top: parallel, middle: 30 degrees, bottom: 40 degrees.</p>
</caption>
<graphic xlink:href="jap-2-25-g002"></graphic>
</fig>
<fig id="F3" position="float">
<label>Fig. 3</label>
<caption>
<p>Impression procedures performed on the definitive cast and the soft tissue cast. A: Closed tray impression copings on the 0 degree definitive cast, B: Resin splint of open tray impression copings was sectioned on the 30 degrees definitive cast, C: A-F impression. Soft tissue cast and abutments were connected to the 30 degrees definitive cast, D: A-F impression. Assembly of abutments and metal framework on the 40 degrees definitive cast.</p>
</caption>
<graphic xlink:href="jap-2-25-g003"></graphic>
</fig>
<fig id="F4" position="float">
<label>Fig. 4</label>
<caption>
<p>Image of the vertical gap between the UCLA abutment of the reference framework and the implant analog of the experimental definitive cast.</p>
</caption>
<graphic xlink:href="jap-2-25-g004"></graphic>
</fig>
<fig id="F5" position="float">
<label>Fig. 5</label>
<caption>
<p>Schematic drawings of the position and direction of measurement for statistical analysis. The arrows represent the screw tightening position and the round arrows represent measurement positions. A: Screw tightening of center analog and measurement of outer analogs, B: Screw tightening of left analog and measurement of right analog; screw tightening of right analog and measurement of left analog.</p>
</caption>
<graphic xlink:href="jap-2-25-g005"></graphic>
</fig>
<table-wrap id="T1" position="float">
<label>Table I</label>
<caption>
<p>Vertical gap (µm) with center analog screw tightening and outer analogs measurement</p>
</caption>
<graphic xlink:href="jap-2-25-i001"></graphic>
</table-wrap>
<table-wrap id="T2" position="float">
<label>Table II</label>
<caption>
<p>Analysis of variance comparing of techniques and angulation with center analog screw tightening and outer analogs measurement</p>
</caption>
<graphic xlink:href="jap-2-25-i002"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant at .05 level of significance.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" position="float">
<label>Table III</label>
<caption>
<p>Tukey test of vertical gaps with center analog screw tightening and outer analogs measurement</p>
</caption>
<graphic xlink:href="jap-2-25-i003"></graphic>
</table-wrap>
<table-wrap id="T4" position="float">
<label>Table IV</label>
<caption>
<p>Vertical gap (µm) with tightening of one outer analog, and measurement of the other outer analog</p>
</caption>
<graphic xlink:href="jap-2-25-i004"></graphic>
</table-wrap>
<table-wrap id="T5" position="float">
<label>Table V</label>
<caption>
<p>Analysis of variance comparing of techniques and angulation with tightening of one outer analog and measurement of the other outer analog</p>
</caption>
<graphic xlink:href="jap-2-25-i005"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant at .05 level of significance.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T6" position="float">
<label>Table VI</label>
<caption>
<p>Tukey test of vertical gaps with tightening of one outer analog and measurement of the other outer analog</p>
</caption>
<graphic xlink:href="jap-2-25-i006"></graphic>
</table-wrap>
</floats-group>
</pmc>
</record>

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