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Item The trueness of scans using one intraoral scanner in different partially edentulous conditions(Wiley, 2023) Majeed-Saidan, Ahmad; Dutra, Vinicius; Levon, John A.; Chu, Tien-Min G.; Morton, Dean; Alfaraj, Amal; Lin, Wei-Shao; Prosthodontics, School of DentistryPurpose To investigate the trueness of intraoral scanning in 8 commonly seen partially edentulous conditions. Materials and methods A maxillary dentoform was modified into the 8 commonly seen partially edentulous conditions. Each modification was scanned with a laboratory desktop scanner. Each modification was then scanned 10 times (n = 10) with an intraoral scanner. All scans were exported as STL files and then imported into a surface matching software using the best-fit alignment method. The dimensional differences between the study STL files from the intraoral scanner were compared to the corresponding reference STL files. The measurements were calculated as the root mean square (RMS) and defined as the trueness of the intraoral scans. In addition to the RMS values, qualitative assessments were completed on the color maps. The color maps produced by the surface matching software were used to visualize the areas of deviation between scans from the intraoral scanner and their corresponding reference files. One-way analysis of variance (ANOVA), followed by pair-wise comparisons using Fisher's Protected Least Significant Difference were utilized to compare the differences between the groups in RMS values (α = 0.05). Results Partially edentulous condition significantly affected the trueness of the intraoral scans. Group 8 (Class IV) had significantly lower RMS (0.1878 ± 0.0455 mm) than all other groups (p < 0.001). Group 2 (Class II) and Group 7 (Class III modification I) are not significantly different from each other (Group 2: 0.5758 ± 0.0300 mm; Group 7: 0.5602 ± 0.0231 mm, p = 0.571), while they both had significantly higher RMS than all other groups (p < 0.001). The remaining groups showed the RMS values were within the range of 0.3001 ± 0.0891 mm (Group 6 – Class III with Long Edentulous Span) and 0.4541 ± 0.1039 mm (Group 1 – Class I). Conclusion Different partially edentulous conditions affected the trueness of the scans generated from the selected intraoral scanner. Class IV edentulous condition had the highest intraoral scan trueness. It is unknown if RMS values are clinically significant, and the validity of using intraoral scans directly for PRDP fabrication will need further studies.Item Use of an open-source CAD software program and additive manufacturing technology to design and fabricate a definitive cast for retrofitting a crown to an existing removable partial denture(Elsevier, 2019-10) Su, Fang-Yu; Tsai, Jen-Chih; Morton, Dean; Lin, Wei-Shao; Prosthodontics, School of DentistryThis technical report describes a digital process for designing and fabricating a stackable definitive cast and die system to facilitate the fabrication of a new surveyed crown to retrofit to a removable partial denture (RPD). By using an open-source computer-aided design (CAD) software program, this technique provides an economical option for dental clinicians and laboratory technicians to use intraoral scans and design a stackable definitive cast and die system with minimal financial investment in the CAD software. In addition, this technique provides the advantage of a conventional indirect technique in that it can create a definitive cast with an RPD clasp assembly ready for the dental technician to properly contour the new surveyed crown, but without the need for the patient to be without the RPD during the process.