PMID- 30769768 OWN - NLM STAT- MEDLINE DCOM- 20190624 LR - 20200309 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 16 IP - 4 DP - 2019 Feb 14 TI - Influence of Intra-Oral Scanner (I.O.S.) on The Marginal Accuracy of CAD/CAM Single Crowns. LID - 10.3390/ijerph16040544 [doi] LID - 544 AB - The aim of this in vitro study was to compare the quality of digital workflows generated by different scanners (Intra-oral digital scanners (I.O.S.s)) focusing on marginal fit analysis. A customized chrome-cobalt (Cr-Co) implant abutment simulating a maxillary right first molar was fixed in hemi-maxillary stone model and scanned by eight different I.O.S.s: Omnicam((R)) (Denstply Sirona, Verona, Italy) CS3500((R)), CS3600((R)), (Carestream Dental, Atlanta, GA, USA), True Definition Scanner((R)) (3M, St. Paul, MN, USA), DWIO((R)) (Dental Wings, Montreal, Quebec, Canada), PlanScan((R)) (Planmeca Oy, Helsinki, Finland), 3D PROGRESS Plus((R)) (MHT, Verona, Italy), TRIOS 3((R)) (3Shape, Copenhagen, Denmark). Nine scans were performed by each tested I.O.S. and 72 copings were designed using a dental computer-assisted-design/computer-assisted-manufacturing (CAD/CAM) software (exocad GmbH, Darmstadt, Germany). According to CAD data, zirconium dioxide (ZrO(2)) copings were digitally milled (Roland DWX-50, Irvine, CA, USA). Scanning electron microscope (SEM) direct vision allowed for marginal gap measurements in eight points for each specimen. Descriptive analysis was performed using mean, standard deviation, and median, while the Kruskal(-)Wallis test was performed to determine whether the marginal discrepancies were significantly different between each group (significance level p < 0.05). The overall mean marginal gap value and standard deviation were 53.45 +/- 30.52 mum. The minimum mean value (40.04 +/- 18.90 mum) was recorded by PlanScan((R)), then 3D PROGRESS Plus((R)) (40.20 +/- 21.91 mum), True Definition Scanner((R)) (40.82 +/- 26.19 mum), CS3500((R)) (54.82 +/- 28.86 mum) CS3600((R)) (59,67 +/- 28.72 mum), Omnicam((R)) (61.57 +/- 38.59 mum), DWIO((R)) (62.49 +/- 31.54 mum), while the maximum mean value (67.95 +/- 30.41 mum) was recorded by TRIOS 3((R)). The Kruskal(-)Wallis tests revealed a statistically significant difference (p-value < 0.5) in the mean marginal gaps between copings produced by 3D PROGRESS Plus((R)), PlanScan, True Definition Scanner, and the other evaluated I.O.S.s. The use of an I.O.S. for digital impressions may be a viable alternative to analog techniques. Although in this in vitro study PlanScan((R)), 3D PROGRESS Plus((R)) and True Definition Scanner((R)) may have showed the best performances, all I.O.S.s tested could provide clinically encouraging results especially in terms of marginal accuracy, since mean marginal gap values were all within the clinically acceptable threshold of 120 mum. FAU - Ferrini, Francesco AU - Ferrini F AD - Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, 20123 Milan, Italy. ferrini.f@gmail.com. FAU - Sannino, Gianpaolo AU - Sannino G AD - Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, 20123 Milan, Italy. gianpaolosannino@gmail.com. FAU - Chiola, Carlo AU - Chiola C AD - Dental School, Vita Salute University, 20123 Milan, Italy. cchiola@me.com. FAU - Cappare, Paolo AU - Cappare P AD - Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, 20123 Milan, Italy. paolocappare@gmail.com. FAU - Gastaldi, Giorgio AU - Gastaldi G AD - Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, 20123 Milan, Italy. gastaldi.giorgio@hsr.it. AD - San Rocco Clinical Institute, 25050 Brescia, Italy. gastaldi.giorgio@hsr.it. FAU - Gherlone, Enrico Felice AU - Gherlone EF AD - Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, 20123 Milan, Italy. gherlone.enrico@hsr.it. LA - eng PT - Comparative Study PT - Journal Article DEP - 20190214 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Canada MH - *Computer-Aided Design MH - Crowns/*standards MH - Denmark MH - Dental Impression Technique/*standards MH - Dental Marginal Adaptation/*standards MH - Dental Prosthesis Design/*standards MH - Female MH - Finland MH - Germany MH - Humans MH - Italy MH - Male MH - Middle Aged MH - Quebec MH - Tooth/*diagnostic imaging PMC - PMC6406818 OTO - NOTNLM OT - CAD/CAM OT - SEM OT - digital impression OT - marginal accuracy OT - scanner COIS- The authors declare no conflict of interest. EDAT- 2019/02/17 06:00 MHDA- 2019/06/25 06:00 PMCR- 2019/02/01 CRDT- 2019/02/17 06:00 PHST- 2019/01/31 00:00 [received] PHST- 2019/02/08 00:00 [revised] PHST- 2019/02/11 00:00 [accepted] PHST- 2019/02/17 06:00 [entrez] PHST- 2019/02/17 06:00 [pubmed] PHST- 2019/06/25 06:00 [medline] PHST- 2019/02/01 00:00 [pmc-release] AID - ijerph16040544 [pii] AID - ijerph-16-00544 [pii] AID - 10.3390/ijerph16040544 [doi] PST - epublish SO - Int J Environ Res Public Health. 2019 Feb 14;16(4):544. doi: 10.3390/ijerph16040544.