Partially Edentulous Mandible Clinical Trial
Official title:
Evaluation of the Accuracy of Full Digital Workflow for Guided Implant Surgery Using the R2 Gate Software - a Randomized Clinical Trial (RCT)
The primary aim of the present study is to compare the accuracy of a full digital workflow for dental implants insertion to a partially digital workflow, for a limited edentulous space (1 to 3 dental units), in the maxilla or mandible.
Improvements of dental digital technologies are nowadays enabling clinicians to take the
digital impressions of the dental arches, therefore avoiding the use of conventional
impression materials. Digital impression procedures are claimed to be an approach to improve
the accuracy of dental restorations by minimizing the error prone to conventional impression
and gypsum model casting, enabling a high degree of standardization. Patients often prefer
intraoral scan when compared to the traditional impression. Digital impression is also
recommended when patients have remaining teeth that are extremely mobile or misaligned, due
to the risk of exfoliation during the conventional impression procedure.
Despite its poor scientific and clinical evidence, the use of digital technologies into the
daily practice registers a rapidly growing.
The precision of digital impressions depends on two different parameters: the resolution of
the optical scanning system, and the precision of the matching algorithm which may
significantly influence the precision of full arch scans. In order to minimize the effect of
matching artifacts, only small parts of the dental arch in close vicinity of the teeth are
recommended to be scanned.
For prosthetic restoration purpose, several studies regarding the accuracy of digital vs
analogue impression have been performed, but none comparing the accuracy of digital vs
partially digital workflow for prosthetically driven guided dental implant insertion.
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