Vojdani Mahroo, Torabi Kianoosh, Ansarifard Elham
Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Dent Res J (Isfahan). 2015 Jul-Aug;12(4):315-22. doi: 10.4103/1735-3327.161429.
A precise impression is mandatory to obtain passive fit in implant-supported prostheses. The aim of this study was to compare the accuracy of three impression materials in both parallel and nonparallel implant positions.
In this experimental study, two partial dentate maxillary acrylic models with four implant analogues in canines and lateral incisors areas were used. One model was simulating the parallel condition and the other nonparallel one, in which implants were tilted 30° bucally and 20° in either mesial or distal directions. Thirty stone casts were made from each model using polyether (Impregum), additional silicone (Monopren) and vinyl siloxanether (Identium), with open tray technique. The distortion values in three-dimensions (X, Y and Z-axis) were measured by coordinate measuring machine. Two-way analysis of variance (ANOVA), one-way ANOVA and Tukey tests were used for data analysis (α = 0.05).
Under parallel condition, all the materials showed comparable, accurate casts (P = 0.74). In the presence of angulated implants, while Monopren showed more accurate results compared to Impregum (P = 0.01), Identium yielded almost similar results to those produced by Impregum (P = 0.27) and Monopren (P = 0.26).
Within the limitations of this study, in parallel conditions, the type of impression material cannot affect the accuracy of the implant impressions; however, in nonparallel conditions, polyvinyl siloxane is shown to be a better choice, followed by vinyl siloxanether and polyether respectively.
为了使种植体支持的修复体获得被动就位,精确的印模是必不可少的。本研究的目的是比较三种印模材料在种植体平行和不平行位置的准确性。
在本实验研究中,使用了两个上颌部分牙列丙烯酸树脂模型,在尖牙和侧切牙区域有四个种植体代型。一个模型模拟平行情况,另一个模拟不平行情况,其中种植体向颊侧倾斜30°,向近中或远中方向倾斜20°。使用聚醚(Impregum)、加成型硅橡胶(Monopren)和乙烯基硅氧烷醚(Identium),采用开放托盘技术从每个模型制作30个石膏模型。通过坐标测量机测量三维(X、Y和Z轴)的变形值。采用双向方差分析(ANOVA)、单向ANOVA和Tukey检验进行数据分析(α = 0.05)。
在平行条件下,所有材料都显示出相当准确的模型(P = 0.74)。在存在成角度种植体的情况下,与Impregum相比,Monopren显示出更准确的结果(P = 0.01),Identium产生的结果与Impregum(P = 0.27)和Monopren(P = 0.26)产生的结果几乎相似。
在本研究的局限性内,在平行条件下,印模材料的类型不会影响种植体印模的准确性;然而,在不平行条件下,聚硅氧烷被证明是更好的选择,其次分别是乙烯基硅氧烷醚和聚醚。