Aim: To compare the accuracy (trueness and precision)of cost-accessible three-dimensional (3D) printed models.Methods: A maxillary typodont (MM) was scanned andprinted 10 times in polylactic acid, resulting in 10 digitalmodels (DMs). Polyvinylsiloxane impressions were made toobtain 10 conventional stone models (SMs). All models werescanned and imported to CloudCompare software. The totalarea and three locations of interest were evaluated (zenith toincisal [Z-I], canine to canine [C-C], and first molar to canine[1M-C] distances). Total area evaluations were performed byaligning the MM and experimental models using the best-fitalgorithm and were compared using the Haussdorf distance.The distances between points of interest were measured usingthe point-picking tool at the same 3D coordinates. The meanvolumetric deviations were considered for trueness analysis.Precision was set as the standard deviation. Statisticaldifferences were evaluated using the Student’s t-test. Results:Total area volumetric comparisons showed that DMs showedsuperior trueness and precision (-0.02 ± 0.03) compared tothe SMs (0.37 ± 0.29) (P < 0.001). No differences between themodels were observed for Z-I (P = .155); however, SMs showedfewer deviations for C-C (P = .035) and 1M-C (P = .001) thanDMs. Conclusions: The DMs presented superior trueness andprecision for total area compared to the SMs; however, the SMswere more accurate when points of interest were evaluated.
Digital dentistry is a ubiquitous phenomenon nowadays but it requires access to technologies and learning curve. To aid digital workflow implementation, digital steps can be progressively incorporated in conventional workflows. We aimed to demonstrate a multidisciplinary oral rehabilitation performed mixing conventional procedures with digital open-source software programs and low-cost devices. A 46-year-old female patient had photographs, intraoral scans, and cone-beam computed tomography obtained and used in combination with conventional clinical exams to develop a treatment plan. Power point software was used for digital smile planing and Horos for digital implant planning. The digital dataset were used to guide conventional clinical procedures (scaling and root planning, gingivoplasty, in-office tooth bleaching, fiber-post restoration, implant and bone graft placement, teeth preparation, and protheses design and milling). The inclusion of digital steps in the conventional workflow enabled the performance of rehabilitation procedures with reduced clinical time and increased predictability, favoring the overall workflow and the communication among the different dental specialties. A mixed workflow can progressively lead to an exclusively digital workflow as technologies become accessible and learning curve is coped.
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