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Multibracket appliance: impression defaults and their reduction by blocking-out  -  a three-dimensional study.

Susanne Wriedt1, Moritz Foersch2, Jan Daniel Muhle2

  • 1Department of Orthodontics and Dentofacial Orthopedics, Johannes Gutenberg-University Mainz Medical Center, Augustusplatz 2, Mainz, 55131, Germany. susanne.wriedt@unimedizin-mainz.de.

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Summary
This summary is machine-generated.

Dental impressions with fixed appliances are less accurate due to bracket undercuts. Covering brackets on the gingival side or removing the archwire may improve impression precision.

Keywords:
3D scannerAccuracyAlginateDental impressionDigital modelOrthodontic brackets

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Area of Science:

  • Orthodontics
  • Dental Materials Science
  • Biomedical Engineering

Background:

  • Accurate dental impressions are crucial for effective orthodontic treatment.
  • Fixed appliance therapy introduces complexities that can affect impression accuracy.

Purpose of the Study:

  • To evaluate the accuracy of dental impressions and plaster models during fixed appliance treatment.
  • To identify factors influencing impression accuracy in the presence of orthodontic brackets and archwires.

Main Methods:

  • Maxillary typodonts with various bracket configurations were used.
  • Impressions were taken with different techniques, including wax application.
  • Virtual models were created and compared to scanned typodonts for dimensional analysis.

Main Results:

  • Teeth with brackets showed significantly higher mean differences compared to reference blocks (0.169 mm vs. 0.019 mm).
  • Incisors exhibited the largest deviations (0.258 mm).
  • Covering brackets on the gingival side with wax resulted in a smaller mean difference (0.152 mm).

Conclusions:

  • Bracket undercuts inherently reduce dental impression accuracy.
  • Removing the archwire or selectively covering brackets may enhance impression precision.
  • Clinicians must account for potential inaccuracies when taking impressions during fixed appliance treatment.