{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:31:39Z","timestamp":1791570699194,"version":"4.3.4"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014718","name":"Innovative Research Group Project of the National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81970981,82102221"],"award-info":[{"award-number":["81970981,82102221"]}],"id":[{"id":"10.13039\/100014718","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Periodontal prosthesis or removable partial dentures are essential treatments for partially edentulous dentition with periodontal issues. This study aimed to assess the accuracy of digital impressions obtained through an intra-oral scanner, employing different scanning paths versus conventional impressions in partially edentulous ridges with mobile abutment teeth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Eight lower Kennedy class I and class III models were employed as test models. The abutment teeth in these models were subjected to various mobility grades, according to the Miller classification. Reference data was generated by scanning the test models using an extra-oral laboratory scanner. An intra-oral scanner (TRIOS 4; V21; 3Shape A\/S) was used to obtain ten digital impressions following two different scanning paths (Scan path A and Scan path B). For conventional impressions, two impression materials (Monophase polyether and Polyvinyl siloxane) were used to create ten impressions with a one-step technique. Working stone casts were produced and converted to digital data. Accuracy was assessed by analyzing the deviation between test data (digital and conventional data) and the reference data using 3D software (Geomagic Control X). The data was analysis using sequential tests, including two-way and one-way ANOVA, and paired\n                      <jats:italic>t<\/jats:italic>\n                      -tests (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Digital impressions obtained through an intra-oral scanner exhibited significantly higher accuracy. Within the digital impression category, those recommended by the manufacturer obtained using scan path A showed lower deviations than those acquired through scan path B. Considering the degree of tooth mobility, models with GII and GIII mobile RPD abutment teeth displayed significantly higher deviations (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) than those with G0, GI across all impression techniques. The accuracy of conventional impressions with GII and GIII mobility was clinically unacceptable (deviation &gt;200\u00b5m).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For partially edentulous cases with mobile abutment teeth, digital impressions exhibited superior accuracy for G0, GI. Following the manufacturer-recommended scanning protocol in scan path A can improve the accuracy of impressions. Furthermore, if there is persistent mobility, particularly in GII and GIII, the use of final conventional impressions is forbidden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0327380","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T17:26:26Z","timestamp":1753982786000},"page":"e0327380","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Accuracy assessment of digital impressions with varied scanning paths in partially edentulous ridges with mobile abutment teeth: An in vitro comparative study"],"prefix":"10.1371","volume":"20","author":[{"given":"Samar S.","family":"Alaghbari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esraa A. M.","family":"Saeed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Zhen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed M.","family":"Al Moaleem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongjie","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bayan M.","family":"Gashan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaojie","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3992-1240","authenticated-orcid":true,"given":"Lin","family":"Niu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"issue":"1","key":"pone.0327380.ref001","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1111\/prd.12337","article-title":"A public health approach for prevention of periodontal disease","volume":"84","author":"C Janakiram","year":"2020","journal-title":"Periodontology 2000"},{"issue":"1","key":"pone.0327380.ref002","doi-asserted-by":"crossref","first-page":"89","DOI":"10.4012\/dmj.2018-272","article-title":"Influence of retainer and major connector designs of removable partial dentures on the stabilization of mobile teeth: A preliminary study.","volume":"39","author":"T Nagayama","year":"2020","journal-title":"Dent Mater J"},{"issue":"1","key":"pone.0327380.ref003","first-page":"45","article-title":"Removable partial dentures for older adults","volume":"3","author":"T Friel","year":"2023","journal-title":"Primary Dental Journal"},{"issue":"7","key":"pone.0327380.ref004","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.14219\/jada.archive.1941.0177","article-title":"The Partial Denture as a Means of Stabilizing Abutment Teeth","volume":"28","author":"CH Schuyler","year":"1941","journal-title":"The Journal of the American Dental Association"},{"issue":"4","key":"pone.0327380.ref005","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.prosdent.2016.04.006","article-title":"An alternative impression technique for mobile teeth","volume":"116","author":"E Lampraki","year":"2016","journal-title":"J Prosthet Dent"},{"issue":"13","key":"pone.0327380.ref006","doi-asserted-by":"crossref","first-page":"4725","DOI":"10.3390\/ijerph17134725","article-title":"Digital versus Conventional Impression Taking Focusing on Interdental Areas: A Clinical Trial","volume":"17","author":"MA Schlenz","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"pone.0327380.ref007","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1186\/s12903-019-0918-y","article-title":"Applying intraoral scanner to residual ridge in edentulous regions: in vitro evaluation of inter-operator validity to confirm trueness","volume":"19","author":"A Tasaka","year":"2019","journal-title":"BMC Oral Health"},{"issue":"4","key":"pone.0327380.ref008","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1111\/jerd.12485","article-title":"Evaluation of the trueness and precision of complete arch digital impressions on a human maxilla using seven different intraoral digital impression systems and a laboratory scanner","volume":"31","author":"AS Mennito","year":"2019","journal-title":"J Esthet Restor Dent"},{"key":"pone.0327380.ref009","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1007\/s00784-019-02965-2","article-title":"Accuracy of full-arch digital impressions: an in vitro and in vivo","volume":"24","author":"C Keul","year":"2020","journal-title":"Clinical Oral Investigations"},{"issue":"1","key":"pone.0327380.ref010","first-page":"11","article-title":"Accuracy of complete- and partial-arch impressions of actual intraoral scanning systems in vitro","volume":"22","author":"A Ender","year":"2019","journal-title":"Int J Comput Dent"},{"issue":"6","key":"pone.0327380.ref011","first-page":"488","article-title":"Evaluation of the accuracy of multiple digital impression systems on a fully edentulous maxilla","volume":"52","author":"Z Gutmacher","year":"2021","journal-title":"Quintessence Int"},{"issue":"4","key":"pone.0327380.ref012","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1007\/s00784-020-03486-z","article-title":"Accuracy of intraoral scanning in completely and partially edentulous maxillary and mandibular jaws: an in vitro analysis","volume":"25","author":"M Schimmel","year":"2021","journal-title":"Clin Oral Investig"},{"issue":"2","key":"pone.0327380.ref013","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1111\/edt.12234","article-title":"Stiffness characteristics of splints for fixation of traumatized teeth","volume":"32","author":"MW Ben Hassan","year":"2016","journal-title":"Dent Traumatol"},{"issue":"4","key":"pone.0327380.ref014","doi-asserted-by":"crossref","first-page":"389","DOI":"10.4047\/jkap.2017.55.4.389","article-title":"Flexibility of resin splint systems for traumatized teeth","volume":"55","author":"J-H Park","year":"2017","journal-title":"J Korean Acad Prosthodont"},{"issue":"5","key":"pone.0327380.ref015","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1111\/j.1600-9657.2011.01010.x","article-title":"Development of new artificial models for splint rigidity evaluation","volume":"27","author":"C Berthold","year":"2011","journal-title":"Dent Traumatol"},{"issue":"3","key":"pone.0327380.ref016","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1111\/edt.12241","article-title":"Influence of abutment tooth position and adhesive point dimension on the rigidity of a dental trauma wire-composite splint","volume":"32","author":"Y Zhu","year":"2016","journal-title":"Dent Traumatol"},{"issue":"6","key":"pone.0327380.ref017","doi-asserted-by":"crossref","first-page":"731","DOI":"10.4012\/dmj.2016-333","article-title":"Establishment of experimental models to evaluate the effectiveness of dental trauma splints","volume":"36","author":"T Shirako","year":"2017","journal-title":"Dent Mater J"},{"key":"pone.0327380.ref018","volume-title":"Textbook of periodontia","author":"S Miller","year":"1950"},{"key":"pone.0327380.ref019","doi-asserted-by":"crossref","first-page":"17038","DOI":"10.1038\/nrdp.2017.38","article-title":"Periodontal diseases","volume":"3","author":"DF Kinane","year":"2017","journal-title":"Nat Rev Dis Primers"},{"issue":"3","key":"pone.0327380.ref020","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.jpor.2018.01.003","article-title":"Trueness and precision of digital impressions obtained using an intraoral scanner with different head size in the partiallyEdentulous mandible","volume":"62","author":"H Hayama","year":"2018","journal-title":"Journal of Prosthodontic Research"},{"issue":"9","key":"pone.0327380.ref021","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1111\/jopr.13341","article-title":"Evaluating the Effect of Ambient and Scanning Lights on the Trueness of the Intraoral Scanner","volume":"30","author":"M Koseoglu","year":"2021","journal-title":"J Prosthodont"},{"issue":"5","key":"pone.0327380.ref022","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1111\/jopr.12997","article-title":"An In Vitro Investigation of Accuracy and Fit of Conventional and CAD\/CAM Removable Partial Denture Frameworks","volume":"28","author":"P Soltanzadeh","year":"2019","journal-title":"J Prosthodont"},{"issue":"5","key":"pone.0327380.ref023","doi-asserted-by":"crossref","first-page":"503","DOI":"10.11607\/ijp.4835","article-title":"Factors Influencing the Dimensional Accuracy of 3D-Printed Full-Coverage Dental Restorations Using Stereolithography Technology","volume":"29","author":"N Alharbi","year":"2016","journal-title":"Int J Prosthodont"},{"issue":"1","key":"pone.0327380.ref024","doi-asserted-by":"crossref","first-page":"465","DOI":"10.2174\/1874210602014010465","article-title":"Tooth Mobility Reproduction in Dental Material Research: A Scoping Review","volume":"14","author":"Y Ang","year":"2020","journal-title":"TODENTJ"},{"issue":"4","key":"pone.0327380.ref025","article-title":"Impact of digital intraoral scan strategies on the impression accuracy using the TRIOS Pod scanner","volume":"47","author":"P M\u00fcller","year":"2016","journal-title":"Quintessence International"},{"issue":"1","key":"pone.0327380.ref026","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4041\/kjod.2016.46.1.3","article-title":"A comparison of the precision of three-dimensional images acquired by 2 digital intraoral scanners: effects of tooth irregularity and scanning direction","volume":"46","author":"J-W Anh","year":"2016","journal-title":"Korean J Orthod"},{"issue":"1","key":"pone.0327380.ref027","doi-asserted-by":"crossref","first-page":"101","DOI":"10.11607\/ijp.6834","article-title":"Accuracy of Digital Impressions Obtained Using Six Intraoral Scanners in Partially Edentulous Dentitions and the Effect of Scanning Sequence","volume":"34","author":"B Diker","year":"2021","journal-title":"Int J Prosthodont"},{"key":"pone.0327380.ref028","article-title":"Intraoral scanner accuracy: The influence of manual movement?","author":"P Strau\u00df","year":"2021","journal-title":"Journal of Osseointegration"},{"issue":"2","key":"pone.0327380.ref029","article-title":"In vitro comparison of analog versus digital impressions of the periodontally compromised dentition focused on interdental areas","volume":"22","author":"MA Schlenz","year":"2019","journal-title":"International Journal of Computerized Dentistry"},{"issue":"1","key":"pone.0327380.ref030","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.jpor.2019.05.005","article-title":"Full arch precision of six intraoral scanners in vitro","volume":"64","author":"CA Osnes","year":"2019","journal-title":"Journal of Prosthodontic Research"},{"key":"pone.0327380.ref031","unstructured":"Tayan N. Accuracy of scanning partially edentulous mandibular arches using an Intraoral scanner: an in-vitro pilot study. University of British Columbia. 2024."},{"key":"pone.0327380.ref032","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1007\/978-3-031-07369-4_2","article-title":"Principles and applications of various 3D scanning methods for image acquisition for 3D printing applications in oral health science","volume-title":"3D printing in oral health science: applications and future directions","author":"YJ Kim","year":"2022"},{"issue":"8","key":"pone.0327380.ref033","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.3390\/jcm8081187","article-title":"Repeatability of intraoral scanners for complete arch scan of partially edentulous dentitions: an in vitro study","volume":"8","author":"JH Lee","year":"2019","journal-title":"Journal of Clinical Medicine"},{"key":"pone.0327380.ref034","article-title":"Diagnostic Impressions and Custom-Made Trays","volume-title":"Complete Denture Prosthodontics: Planning and Decision-Making","author":"C-M Trays","year":"2018"},{"issue":"1","key":"pone.0327380.ref035","doi-asserted-by":"crossref","first-page":"14958","DOI":"10.1038\/s41598-017-14005-8","article-title":"Clinical evaluation of final impressions from three-dimensional printed custom trays","volume":"7","author":"Y Sun","year":"2017","journal-title":"Sci Rep"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0327380","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T17:26:43Z","timestamp":1753982803000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0327380"}},"subtitle":[],"editor":[{"given":"Mirza Rustum","family":"Baig","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,7,31]]},"references-count":35,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7,31]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0327380","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,31]]}}}