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Updated: Dec 30, 2025

Measuring the Complete-arch Distortion of an Optical Dental Impression
Published on: May 30, 2019
Digital workflow: In vitro accuracy of 3D printed casts generated from complete-arch digital implant scans
Panos Papaspyridakos1, Yo-Wei Chen2, Bahaa Alshawaf3
1Assistant Professor, Division of Postgraduate Prosthodontics, Tufts University School of Dental Medicine, Boston, Mass; Visiting Assistant Professor, Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, N.Y.
Statement Of Problem:
Data on the accuracy of printed casts from complete-arch digital implant scans are lacking.
Purpose:
The purpose of this in vitro study was to compare the 3D accuracy of printed casts from a complete-arch digital implant intraoral scan with stone casts from conventional impressions.
Material And Methods:
An edentulous mandibular cast with 4 multiunit abutments with adequate anteroposterior spread was used as the master cast. Digital scans (n=25) were made by using a white light intraoral scanner (IOS). The generated standard tessellation language (STL) data sets were imported into a computer-assisted design (CAD) software program to generate complete-arch implant casts through 3D printing technology. The 25 printed casts and the mandibular master cast were further digitized by using a laboratory reference scanner (Activity 880; Smart Optics). These STL data sets were superimposed on the digitized master cast in a metrology software program (Geomagic Control X) for virtual analysis. The root mean square (RMS) error and the average offset were measured.
Results:
When compared with the master cast, the printed casts had a mean ±standard deviation RMS error of 59 ±16 μm (95% CI: 53, 66). The maximum RMS error reached 98 μm. The average offsets were all negative, with a significant difference compared with zero (P<.001).
Conclusions:
The implant 3D deviations of the printed casts from complete-arch digital scans had statistically significant differences compared with those of the master cast but may still be within the acceptable range for clinical application.

