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  • Title: Accuracy of 3 different impression techniques for internal connection angulated implants.
    Author: Tsagkalidis G, Tortopidis D, Mpikos P, Kaisarlis G, Koidis P.
    Journal: J Prosthet Dent; 2015 Oct; 114(4):517-23. PubMed ID: 26213265.
    Abstract:
    STATEMENT OF PROBLEM: Making implant impressions with different angulations requires a more precise and time-consuming impression technique. PURPOSE: The purpose of this in vitro study was to compare the accuracy of nonsplinted, splinted, and snap-fit impression techniques of internal connection implants with different angulations. MATERIAL AND METHODS: An experimental device was used to allow a clinical simulation of impression making by means of open and closed tray techniques. Three different impression techniques (nonsplinted, acrylic-resin splinted, and indirect snap-fit) for 6 internal-connected implants at different angulations (0, 15, 25 degrees) were examined using polyether. Impression accuracy was evaluated by measuring the differences in 3-dimensional (3D) position deviations between the implant body/impression coping before the impression procedure and the coping/laboratory analog positioned within the impression, using a coordinate measuring machine. Data were analyzed by 2-way ANOVA. Means were compared with the least significant difference criterion at P<.05. RESULTS: Results showed that at 25 degrees of implant angulation, the highest accuracy was obtained with the splinted technique (mean ±SE: 0.39 ±0.05 mm) and the lowest with the snap-fit technique (0.85 ±0.09 mm); at 15 degrees of angulation, there were no significant differences among splinted (0.22 ±0.04 mm) and nonsplinted technique (0.15 ±0.02 mm) and the lowest accuracy obtained with the snap-fit technique (0.95 ±0.15 mm); and no significant differences were found between nonsplinted and splinted technique at 0 degrees of implant placement. CONCLUSIONS: Splinted impression technique exhibited a higher accuracy than the other techniques studied when increased implant angulations at 25 degrees were involved.
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