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Digital Impressions vs. Traditional Impressions:
                                        A Comprehensive Comparison


             Authors: Aanchal Parmar, DDS, Athman Sivaseelan, Angela M. De Bartolo, DDS and Analia Veitz-Keenan, DDS, FAGD

        Introduction                                            Traditional Impression Methods
        Impressions in restorative dentistry are paramount for accurately  Contrastingly,  traditional  impression  methods  involve  using  vis-
        reproducing a patient’s dentition, which is essential for the effec-  cous  materials  that  patients  often  find  uncomfortable  (Figure  3).
        tive treatment and rehabilitation of oral health. The dawn of the
        digital  age has introduced  a new competitor  to the conventional
        methodologies—digital impressions. Recent improvements within
        the digital workflow model have enhanced various aspects of the
        impression process, including reduced costs, shorter working times,
        and increased efficiency.  This paper aims to evaluate the advantag-
                            1
        es, disadvantages, and overall effectiveness of digital impressions
        compared to traditional impression methods in restorative dentistry.

        Background
        Historically, dental impressions have been an integral part of den-
        tal medicine, providing dentists with the necessary molds to create
        various dental prosthetics. Traditional impressions have relied on
        physical materials such as alginate or silicone to create a negative
        replica of the oral structures. However, technological advancements
        have given rise to digital impression technologies, which aim to
        streamline the impression process and improve outcomes. The evo-
        lution from traditional to digital methods represents a significant   Figure 3. Traditional impression materials.
        shift in dental practice, reflecting broader trends toward digitaliza-
        tion in healthcare.                                     These materials require time to set within the mouth, which can
                                                                cause anxiety and discomfort, particularly for those with a strong
        Digital Impression Technologies                         gag  reflex.  Moreover,  the  physical  nature  of  these  materials  can
        Digital impression technologies, including various intraoral scan-  lead to distortions and inaccuracies, requiring retakes that consume
        ners, are  revolutionizing  how impressions are taken  in dentistry.   additional time and resources. Despite these challenges, traditional
        These devices capture continuous optical images of the oral cav-  impressions have been a reliable method for decades (Figure 4), and
        ity, which are then stitched together to create a 3D digital model   their familiarity makes them a fallback option in cases where digital
        (Figures 1,2). These technologies promise to enhance the detail and   technology may not be applicable.
        accuracy of dental impressions and improve the patient’s experi-
        ence during the procedure. These digital tools align with modern
        dentistry’s increasing demand for precision and efficiency.






                                                                            Figure 4. Traditional dental impressions.
                                                                             Accuracy and Precision
                                                                             One of the main selling points of digital impressions
                                                                             is their purported superior accuracy and precision
                                                                             over traditional methods (Figure 5). Studies have

        Figure 1. Intraoral scanning to create the digital models.













        Figure 2. Scanning of a different area.


        www.nysagd.org l Fall 2024 l GP 22                                   Figure 5. 3D Digital models.
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