Measurement of the accuracy of dental working casts using a coordinate measuring machine

Abstract

Background/Aim. Dental impressions present a negative imprint of intraoral tissues of a patient which is, by pouring in gypsum, transferred extraorally on the working cast. Casting an accurate and precise working cast presents the first and very important step, since each of the following stages contributes to the overall error of the production process, which can lead to inadequately fitting dental restorations. The aim of this study was to promote and test a new model and technique for in vitro evaluation of the dental impression accuracy, as well as to asses the dimensional stability of impression material depending on the material bulk, and its effect on the accuracy of working casts. Methods. Impressions were made by the monophasic technique using the experimental master model. Custom trays with spacing of 1, 2 and 3 mm were constructed by rapid prototyping. The overall of 10 impressions were made with each custom tray. Working casts were made with gypsum type IV. Measurement of working casts was done 24 h later using a coordinate measuring machine. Results. The obtained results show that the working casts of all the three custom trays were in most cases significantly different in the transversal and sagittal planes in relation to the master model. The height of abutments was mainly unaffected. The degree of convergence showed certain significance in all the three custom trays, most pronounced in the tray with 3 mm spacing. Conclusion. The impression material bulk of 1-3 mm could provide accurate working casts when using the monophasic impression technique. The increase of the distance between abutment teeth influences the accuracy of working casts depending on the material bulk.

Uvod/Cilj. Otisak predstavlja negativ intraoralnih tkiva, čijim se izlivanjem u gipsu njihova morfologija prenosi ekstraoralno na budući radni model. Sa laboratorijskog aspekta izrade zubnih nadoknada, izlivanje tačnog i preciznog radnog modela predstavlja prvi i veoma bitan korak, pošto svaka sledeća faza doprinosi daljem povećanju greške tokom izrade, što za krajnji ishod može imati neodgovarajuću zubnu nadoknadu. Cilj istraživanja bio je da se ispitaju novi model i tehnika za in vitro procenu preciznosti zubnih otisaka, kao i da se odredi uticaj količine otisnog materijala na dimenzionu stabilnost otisaka i preciznost izrade radnih modela. Metode. Za uzimanje otisaka korišćena je monofazna tehnika otiskivanja. Individualne kašike sa međuprostorom od 1, 2 i 3 mm napravljene su aditivnom tehnologijom za brzu izradu prototipova. Sa svakom kašikom napravljeno je po 10 otisaka. Radni modeli izlivani su u gipsu tipa IV. Merenje radnih modela vršeno je nakon 24 sata na koordinatnoj mernoj mašini. Rezultati. Rezultati pokazuju da radni modeli napravljeni pomoću sve tri individulane kašike u transverzalnoj i sagitalnoj ravni značajno odstupaju od glavnog dela modela. Visina patrljaka je u većini slučajeva bila kao na glavnom modelu. Stepen konvergencije pokazao je određena odstupanja samo kod kašike sa međuprostorom od 3 mm. Zaključak. Monofazna tehnika otiskivanja i otisni materijal debljine od 1 do 3 mm obezbeđuju izradu preciznih radnih modela. Rastojanje između zubnih patrljaka utiče na preciznost izrade radnih modela u zavisnosti od količine otisnog materijala.