Department of Implantology, Velappanchavadi, Chennai-600077, India.
Saveetha Dental College and Hospitals, Department of Implantology, Velappanchavadi, Chennai-600077, India.
J Long Term Eff Med Implants. 2020;30(3):179-186. doi: 10.1615/JLongTermEffMedImplants.2020036008.
The aim of this study was to evaluate the accuracy/dimensional stability of High-rigid vinyl polysiloxane, polyvinyl siloxane, and polyether impression materials in full arch implant-supported prosthesis. Custom acrylic trays were made on a stone replica of the reference die. Two groups were present in this study: splinting and nonsplinting. A total of 30 samples of 15 for each group were made. Impressions were made and poured with type IV dental stone to obtain experimental casts and were evaluated for dimensional stability and accuracy by measuring with a coordinate measuring machine (CMM) in three dimensions (X, Y, and Z), and a verification jig was fabricated to check the accuracy both clinically and radiographically. Differences in measurements were analyzed using independent t-tests, analysis of variance, and chi-square tests. In terms of dimensional stability, the lowest mean deviation was found in casts made from open tray splinting and nonsplinting and within the impression materials (p > 0.05). But, significant differences (p > 0.05) were obtained with splinting over nonsplinting in terms of accurate fit of the verification jig. This study concludes that polyether material showed less deviation from the reference model, followed by High-rigid VPS and PVS. As results were statistically not significant, all the three impression materials can be used for making full-arch implant-supported prostheses. Splinting obtained more accurate casts over nonsplinting.
本研究旨在评估高刚性乙烯基聚硅氧烷、聚硅氧烷和聚醚印模材料在全弓种植体支持义齿中的准确性/尺寸稳定性。在参考模型的石质复制品上制作定制丙烯酸托盘。本研究包括两组:夹板和无夹板。每组共制作 30 个样本,共 15 个样本。用 IV 型牙科石膏进行印模并浇铸以获得实验模型,并使用三坐标测量机(CMM)在三个维度(X、Y 和 Z)上进行尺寸稳定性和准确性评估,同时制作验证夹具以检查临床和放射学上的准确性。使用独立 t 检验、方差分析和卡方检验分析测量值的差异。在尺寸稳定性方面,开放式托盘夹板和无夹板以及印模材料中发现的平均偏差最小(p > 0.05)。但是,在验证夹具的精确拟合方面,夹板与无夹板之间存在显著差异(p > 0.05)。本研究得出结论,聚醚材料与参考模型的偏差最小,其次是高刚性 VPS 和 PVS。由于结果在统计学上没有显著差异,因此所有三种印模材料都可用于制作全弓种植体支持义齿。夹板获得的印模比无夹板更准确。