3D intraoral scanner

Studies comparing different 3D intraoral scanners to traditional

Intraoral scanner = Worse

3M scanner v. alginate impression. accuracy about same. chair time alginate much faster but operator did not have much experience 20 min v 7:30 min.  Pt preferred alginate 73% of time but usually because “faster” or “easier”.  Grunheid 2014

3M v VSE (arguably better than PE or PVS) in custom tray 3m lost but not by numbers I consider clinically significant and not in all categories Cho Schaefer 2015 April J Pros Dent

iTero vs impression shows impression slightly better Kim 2013 Int J Pros

Full arch impressions PE and VSE better than all tested Ender 2016 JPD

Bone level implants conventional beats digital and of digital tested Trios Color beats True Def and iTero Chew IJOMI 2017

Intraoral scanner = Better

Lava COS and iTero beat tradional PVS impression in measuring gap of crown made.  Abdel-Azim 2015 JPD

Lava COS better traditional in margin fit Ng   Syrek

Lava better PE for bridge Silva 2014 Clin Oral Investig

Lava better than traditional impression Guth 2013 Clin Oral Investig

Cerec Omnicam beats traditional in patient preference and time Luthardt

iTero, Lava, and Cerec better than traditional in precision Henkel, Ender and Mehl 2013 Inside Dentistry

Cerec  omnicam better than PE in time and patient preference Schepke JPD 2015 Sept

iTero vs. PE for better implants showed more time-efficeint for both lab and doctor Joda 2015 JOMI

Intraoral scanner = Same

Similar accuracy.  3M, Cerec, iTero and PVS Seelbach 2013 COI

Digital versus conventional implant impressions

I have heard several lectures that are very into digital admit they still take conventional impressions for implants. I would think if doing implant crowns with cement the accuracy would not be quite as critical so I am sure they feel digital implant impressions are somewhat inferior at this stage.

Marghalani JPD 2017 found True Def beat conventional and Omnicam for implants.

Conventional beat the Trios in Hussein 2018 J Pros article.

Trueness v Precision definitions

The trueness (some call this accuracy but maybe mean accuracy is better term) of the impressions was

  • 55 +/- 21.8 microm = conventional impression group
  • Cerec Bluecam = 49 +/- 14.2 microm
  • Lava COS 40.3 +/- 14.1 microm

The precision (repeatability) was

  • 61.3 +/- 17.9 microm for conventional impression with Impregum
  • 30.9 +/- 7.1 microm for Cerec Bluecam and
  • 60.1 +/- 31.3 microm for Lava COS.

These in-vitro results show that accuracy of the digital impression is similar to that of the conventional impression. Ender 2011 Int J Comput Dent. 2011

Studies on Technique of 3D intraoral scanner

iTero 50 µm deviation in the mouth (Intraoral iTero worse than extraoral iTero by 2 fold deviation).  “Intraoral scanning with the iTero is less accurate than model scanning with the iTero, suggesting that the intraoral conditions (saliva, limited spacing) contribute to the inaccuracy of a scan.”  Deviation is not necessarily accuracy though. Flugge 2013 AJO-DO

PVS with press better > 3M with press = 3M w/ milling on E4D = PVS w/ milling on E4D    Anadioti 2014

PVS/Press=PVS/CAD=3M/CAD>3M/Press  Anadioti 2015 April JPD

Along same lines as above.  Study kind of dumb. 3M direct scan better than PE impression and scan.  Guth 2013

Interesting that new users were MORE accurate than experienced users.  Believed due to experienced users ability to easily rotate camera. Cerec Bluecam Gimenez Oct 2015 ID

Distance of scan impacts accuracy Gimenez 2014 Int J Oral Max Implants

Different 3D intraoral scanners – Trios is best but for the price 3M really good

Top 3 intraoral scanner models 2017 = Omnicam, Trios 3, and 3M

 

Trios Color best in terms of trueness and precision AND speed. Compare to Omnicam, Bluecam, and Carestream, the Bluecam. Treesh JPD 2018

Trios beats iTero Lim JPD 2018

Precision CS 3500, the Trios, the True Definition, the iTero > CEREC Omnicam and the PlanScan Hack ADA product Review 2015

Omnicam, Truedef, and 3Shape>Bluecam, iTero, and Lava COS Ender 2016 JPD

List but wont say best.  Outdated already though Logozzo

Cerec introral and extraoral same da Costa

Lava>iTero and Cerec Blue cam van der Meer

Lava>Cerec AC Brawek

Lava>iTero>>Cerec Bluecam Patzelt COI 2014

Lava>iTero Cerec AC/Bluecam and E4D Nedelcu JPD 2014

Lava Oral scanner and Cadent’s iTero – The mean value for the marginal measuring points of the control was 170 μm, and the values for all the evaluated crowns ranged from 107 to 128 μm.

Extraoral iTero v 3Shape = 3Shape much better

3D intraoral scanner

Hsuan reviews 12 systems at IDS 2017 but it is a very subjective review.  He is relying on information from reps which can be hit or miss and I am assuming has a heavy omnicam bias since it’s on a cerec website.  The information is probably usable for the easy of use analysis though.

Full arch scan intraoral scan

TRIOS – Time to scan is less with digital but more rescans needed. Gherlone 2016 JOMI

                                                      

 

 

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