Journal List > J Korean Acad Prosthodont > v.53(2) > 1034816

Jeon, Lee, Kim, Hwang, Park, and Lee: Accuracy of the healing abutment and impression coping combined system on implant impression

Abstract

Purpose

The purpose of this study was to evaluate the 3 dimensional accuracy of impression taking on the newly developed healing abutment and impression coping combined system comparing conventional pick-up type impression.

Materials and methods

For 10 patients who had a single missing tooth on molar area, dental implants (SuperLine; Dentium, Seoul, Korea) were placed and healing abutment (MyHealing; Raphabio Co., Seoul, Korea) abutments were connected. After 3 months, transfer type impression with MyHealing and pick-up type impression with impression coping were performed twice in the same patients, and master models were fabricated. Customized prosthetic abutments (Myplant; Raphabio Co., Seoul, Korea) were milled and connected to the master casts. Through a dental scanner (Scanner S600; Zirkonzahn, South Tyrol, Italy), the master casts were converted into virtual casts. The length and angulation differences between casts were measured using 3 dimentional analysis program (Geomagic Qualify 12; Geomagic, Morrisville, NC, USA). Statistical significance was calculated using Kruskal Wallis test and Mann-Whitney U test (α =.05).

Results

The length differences between the two systems were 0.032 mm in sagittal plane, and 0.029 in coronal plane, and 0.023 mm in horizontal plane. The angulation differences were 0.755† in sagittal plane, and 1.275† in coronal plane, and 0.420† in horizontal plane.

Conclusion

The accuracy of newly developed healing abutment system is similar to that of conventional pick-up impression. The new system can reduces chair time by not using separate impression coping.

REFERENCES

1. Rangert B, Jemt T, Jö rneus L. Forces and moments on Brå nemark implants. Int J Oral Maxillofac Implants. 1989; 4:241–7.
2. Misch CE. Contemporary implant dentistry. 3rd ed.; Mosby. Elsevier;Canada. 2009. p. 68–84.
3. Sones AD. Complications with osseointegrated implants. J Prosthet Dent. 1989; 62:581–5.
crossref
4. Sellers GC. Direct assembly framework for osseointegrated implant prosthesis. J Prosthet Dent. 1989; 62:662–8.
crossref
5. Henry PJ. An alternative method for the production of accurate casts and occlusal records in osseointegrated implant rehabilitation. J Prosthet Dent. 1987; 58:694–7.
crossref
6. Tautin FS. Impression making for osseointegrated dentures. J Prosthet Dent. 1985; 54:250–1.
crossref
7. Carr AB. Comparison of impression techniques for a five-implant mandibular model. Int J Oral Maxillofac Implants. 1991; 6:448–55.
8. Humphries RM, Yaman P, Bloem TJ. The accuracy of implant master casts constructed from transfer impressions. Int J Oral Maxillofac Implants. 1990; 5:331–6.
9. Phillips KM, Nicholls JI, Ma T, Rubenstein J. The accuracy of three implant impression techniques: A three-dimensional analysis. Int J Oral Maxillofac Implants. 1994; 9:533–40.
10. Rodney J, Johansen R, Harris W. Dimensional accuracy of two implant impression copings. J Dent Res. 1991; 70:385.
11. Cabral LM, Guedes CG. Comparative analysis of 4 impression techniques for implants. Implant Dent. 2007; 16:187–94.
crossref
12. Daoudi MF, Setchell DJ, Searson LJ. An evaluation of three implant level impression techniques for single tooth implant. Eur J Prosthodont Restor Dent. 2004; 12:9–14.
13. Carr AB. Comparison of impression techniques for a two-implant 15-degree divergent model. Int J Oral Maxillofac Implants. 1992; 7:468–75.
14. Liou AD, Nicholls JI, Yuodelis RA, Brudvik JS. Accuracy of re-placing three tapered transfer impression copings in two elastomeric impression materials. Int J Prosthodont. 1993; 6:377–83.
15. Barrett MG, de Rijk WG, Burgess JO. The accuracy of six impression techniques for osseointegrated implants. J Prosthodont. 1993; 2:75–82.
crossref
16. Assuncao WG, Filho HG, Zaniquelli O. Evaluation of transfer impressions for osseointegrated implants at various angulations. Implant Dent. 2004; 13:358–66.
crossref
17. Del'Acqua MA, Arioli-Filho JN, Compagnoni MA, Mollo Fde A Jr. Accuracy of impression and pouring techniques for an implant-supported prosthesis. Int J Oral Maxillofac Implants. 2008; 23:226–36.
18. Carr AB. Comparison of impression techniques for a five-implant mandibular model. Int J Oral Maxillofac Implants. 1991; 6:448–55.

Fig. 1.
Newly developed healing abutment equipped with a impression cap on state.
jkap-53-105f1.tif
Fig. 2.
Transfer type impression using healing abutment.
jkap-53-105f2.tif
Fig. 3.
Impression coping on state.
jkap-53-105f3.tif
Fig. 4.
Pick-up type impression using conventional impression coping.
jkap-53-105f4.tif
Fig. 5.
Superimposed images of two scan images.
jkap-53-105f5.tif
Fig. 6.
Analysis of difference between the two virtual models (impression healing abutment used / impression coping used).
jkap-53-105f6.tif
Fig. 7.
Distance between the two abutments in superimposed view of each plane; x (sagittal plane), y (coronal plane), z (horizontal plane). ∗The mark represents significant difference. † The mark indicates outliers.
jkap-53-105f7.tif
Fig. 8.
Axis between the two abutments in superimposed view of each plane; x (sagittal plane), y (coronal plane), z (horizontal plane). ∗The mark represents significant difference.
jkap-53-105f8.tif
TOOLS
Similar articles