Purpose: The purpose of this study was to investigate the influence of different implant computer software on the accuracy of image registration between radiographic and optical scan data. Materials and Methods: Cone-beam computed tomography and optical scan data of a partially edentulous jaw were collected and transferred to three different computer softwares: Blue Sky Plan (Blue Sky Bio), Implant Studio (3M Shape), and Geomagic DesignX (3D systems). In each software, the two image sets were aligned using a point-based automatic image registration algorithm. Image matching error was evaluated by measuring the linear discrepancies between the two images at the anterior and posterior area in the direction of the x-, y-, and z-axes. Kruskal–Wallis test and a post hoc Mann–Whitney U-test with Bonferroni correction were used for statistical analyses. The significance level was set at 0.05.Result: Overall discrepancy values ranged from 0.08 to 0.30 μm. The image registration accuracy among the software was significantly different in the x- and z-axes (P=0.009 and <0.001, respectively), but not different in the y-axis (P=0.064). Conclusion The image registration accuracy performed by a point-based automatic image matching could be different depending on the computer software used.

PURPOSE: The image registration of radiographic image and digital surface data is essential in the computer-guided implant guide system. The purpose of this study was to examine the effects of using micro-screw on the working time and convenience of operators in the process of image matching for guided implant surgery. MATERIALS AND METHODS: A mandibular dental model was prepared in partial edentulism for Kennedy class I classification. Two micro-screws were placed on the each side of retromolar area. Radiographic and scan images were taken using computed-tomography and digital scanning. The images were superimposed by 12 operators in software in two different conditions: using remaining teeth image alone and using teeth and micro-screws images. Working time, operator convenience and satisfaction were obtained, and analyzed using the Mann-Whitney U test (α=.05). RESULTS: The working time was not statistically different between image registration conditions (P>.05); however, operator convenience and satisfaction were higher in the teeth and micro-screw assisted condition than in the teeth-alone assisted condition (P<.001). CONCLUSION: The use of microscrew for the image registration has no effect in working time reduction, but improves operator convenience and satisfaction.
Classification ; Dental Models ; Tooth

This clinical case report describes the digital workflow that combines a face scan, cone beam computed tomography and an intraoral scan to visualize the outcome of prosthodontic treatment in the anterior region. This approach improves communication between clinic, laboratory and patients. A patient with healthy general condition came for a restorative treatment to treat post-traumatic central incisors of maxilla. A virtual patient replica was made by incorporating a face scan, cone beam computed tomography and an intraoral scan. Design mockup of definitive restorations was shown to the patient and modified according to the patient's desire. This digital workflow facilitates the fabrication of optimal esthetic restorations, and enhances the predictability of outcome of restorations.
Cone-Beam Computed Tomography ; Humans ; Incisor ; Maxilla

PURPOSE: . This study investigated the accuracy of full-arch intraoral scans obtained by various scan strategies with the segmental scan and merge methods. MATERIALS AND METHODS: . Seventy intraoral scans (seven scans per group) were performed using 10 scan strategies that differed in the segmental scan (1, 2, or 3 segments) and the scanning motion (straight, zigzag, or combined). The three-dimensional (3D) geometric accuracy of scan images was evaluated by comparison with a reference image in an image analysis software program, in terms of the arch shape discrepancies. Measurement parameters were the intermolar distance, interpremolar distance, anteroposterior distance, and global surface deviation. One-way analysis of variance and Tukey honestly significance difference post hoc tests were carried out to compare differences among the scan strategy groups (α = .05). RESULTS: . The linear discrepancy values of intraoral scans were not different among scan strategies performed with the single scan and segmental scan methods. In general, differences in the scan motion did not show different accuracies, except for the intermolar distance measured under the scan conditions of a 3-segmental scan and zigzag motion. The global surface deviations were not different among all scan strategies. CONCLUSION . The segmental scan and merge methods using two scan parts appear to be reliable as an alternative to the single scan method for full-arch intraoral scans. When three segmental scans are involved, the accuracy of complete arch scan can be negatively affected.