OBJECTIVE: In vitro studies showed superior impression correctness for one-stage impressions. However, clinical data, especially clinical trials, are lacking in this matter. The aim of the study was to investigate the three-dimensional correctness of impressions for final restorations applying three different impression techniques. METHOD AND MATERIALS: Three impressions each were made from 48 patients with different techniques using metal stock trays. In a randomized order, one-stage putty-wash, two-stage putty-wash, and monophase impressions (respectively, Dimension Penta H and Garant L, Dimension Penta H Quick and Garant L Quick, Impregum Penta; 3M ESPE) were made with either polyvinyl siloxane or polyether materials. The double-cord technique was applied at all abutment teeth. Factors potentially influencing the correctness of the impressions were recorded. The precision of the impressions was three-dimensionally analyzed using the resulting gypsum models. Discrepancies between the impressions were calculated using the one-stage putty-wash impression as reference. RESULTS: Discrepancies between the one-stage putty-wash impressions and the monophase impressions are significantly lower compared with two-stage putty-wash impressions. The depth of the most subgingival portion of the preparation margin significantly influences the discrepancies between the impression techniques. CONCLUSION: In light of the major influence of clinical parameters on impression correctness, one-stage procedures should be favored. These findings support the results of in vitro investigations.
RCT Entities:
OBJECTIVE: In vitro studies showed superior impression correctness for one-stage impressions. However, clinical data, especially clinical trials, are lacking in this matter. The aim of the study was to investigate the three-dimensional correctness of impressions for final restorations applying three different impression techniques. METHOD AND MATERIALS: Three impressions each were made from 48 patients with different techniques using metal stock trays. In a randomized order, one-stage putty-wash, two-stage putty-wash, and monophase impressions (respectively, Dimension Penta H and Garant L, Dimension Penta H Quick and Garant L Quick, Impregum Penta; 3M ESPE) were made with either polyvinyl siloxane or polyether materials. The double-cord technique was applied at all abutment teeth. Factors potentially influencing the correctness of the impressions were recorded. The precision of the impressions was three-dimensionally analyzed using the resulting gypsum models. Discrepancies between the impressions were calculated using the one-stage putty-wash impression as reference. RESULTS: Discrepancies between the one-stage putty-wash impressions and the monophase impressions are significantly lower compared with two-stage putty-wash impressions. The depth of the most subgingival portion of the preparation margin significantly influences the discrepancies between the impression techniques. CONCLUSION: In light of the major influence of clinical parameters on impression correctness, one-stage procedures should be favored. These findings support the results of in vitro investigations.
Authors: Stefan Rues; Thomas Stober; Thomas Bargum; Peter Rammelsberg; Andreas Zenthöfer Journal: Clin Oral Investig Date: 2020-09-03 Impact factor: 3.573
Authors: Heike Rudolph; Silke Ostertag; Michael Ostertag; Michael H Walter; Ralph Gunnar Luthardt; Katharina Kuhn Journal: J Appl Oral Sci Date: 2018-02-01 Impact factor: 2.698