Objectives: To evaluate the accuracy of intraoral photogrammetry in digital impressions for full-arch implant rehabilitation.
Subjects and methods: An in vitro study was conducted on a monolithic 3D-printed edentulous maxillary model equipped with 4 digital analogs. A reference scan was obtained with a 3Shape D2000 laboratory scanner, and 10 test scans were acquired using a Shining 3D Aoralscan Elite intraoral scanner with coded scan body accessories. The *.stl files were superimposed and analyzed using CloudCompare software to calculate linear deviations (Δx, Δy, Δz, ΔEUC) and angular deviations. Trueness (n = 10) and precision (n = 45) were evaluated and compared against reference thresholds using a one-sample t-test with a significance level of p < 0.05.
Results: Regarding trueness, the mean overall linear deviation (ΔEUC) was 87.71 ± 3.42 µm, and the angular deviation was 0.59 ± 0.00 degrees. Regarding precision, the ΔEUC was 8.25 ± 3.94 µm, and the angular deviation was 0.05 ± 0.02 degrees. Deviations in the x and y axes, ΔEUC, and angular deviations were significantly lower than the clinically acceptable thresholds (p < 0.001). The z-axis deviation (56.42 ± 4.54 μm) exceeded the 50 μm threshold (p = 0.002).
Conclusion: This technology demonstrates high accuracy in digital impressions for full-arch implant rehabilitation. Most deviations were within clinically acceptable limits, except for the z-axis deviation, which exceeded the reference threshold. Further studies are needed to standardize the protocol and improve clinical applicability.