{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T17:38:25Z","timestamp":1789061905983,"version":"build-2803163510"},"reference-count":61,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:00:00Z","timestamp":1652918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Objective: Information about full-digital protocols for bite registration with intraoral scanners on multiple implants in the edentulous jaw is scarce. The purpose of this comparative in vivo study was to investigate the reliability and time efficiency of a novel full-digital bite registration technique for the manufacture of full-arch maxillary fixed implant prostheses. Material and methods: In ten patients, a full-arch maxillary fixed implant prosthesis was manufactured on multi-unit abutment level through an analog prosthetic workflow. The bite registration was performed with use of a screw-retained polymethyl methacrylate (PMMA) verification jig with detachable wax rim. To articulate the definitive edentulous maxillary implant cast in centric relation at the appropriate occlusal vertical dimension (OVD) to the mandibular antagonist cast, a type II articulator (Artex, Amann Girrbach) was used. Three to six months later, a full-digital bite registration was performed with use of dual-function scan bodies and bilateral connected bite pillars. The bite pillars screwed into the scan bodies were used to adjust and articulate the edentulous maxillary implant arch to the mandibular antagonist arch at the defined OVD. Treatment time for analog and digital bite registration technique was measured in each patient. The reliability of the digital bite registration technique was evaluated by 3D comparison of two sets of stereo lithographic (STL) files obtained from each patient. The three-dimensional deviation was defined along the X-, Y- and Z-axes (Geomagic Control X, 3D Systems Inc., Rock Hill, SC, USA). Results: The treatment time for digital bite registration using dual-function scan bodies and bite pillars was significantly shorter than analog bite registration with verification jig and wax rim (60.30%, SD 5.72%). Minor differences between the two techniques were observed with a linear deviation range of 1115 \u00b5m (SD 668 \u00b5m) overall, 46.2 \u00b5m (SD 731.3 \u00b5m) along the X-axis, \u2212200.3 \u00b5m (SD 744.3 \u00b5m) along the Y-axis and 67.1 \u00b5m (SD 752.2 \u00b5m) along the Z-axis. Bilateral balanced contacts were registered in all patients during full-digital bite registration. Conclusions: The novel digital bite registration technique with dual-function scan bodies and bite pillars allows for a full-digital workflow for full-arch implant supported restorations. The digital bite workflow was 60% faster, and the overall deviation was around 1 mm, which can be considered clinically acceptable.<\/jats:p>","DOI":"10.3390\/jcm11102882","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T12:25:57Z","timestamp":1652963157000},"page":"2882","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Reliability and Time Efficiency of Digital vs. Analog Bite Registration Technique for the Manufacture of Full-Arch Fixed Implant Prostheses"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9760-0114","authenticated-orcid":false,"given":"Philippe","family":"Nuytens","sequence":"first","affiliation":[{"name":"Private Practice for Restorative Dentistry, Het Tandatelier, 8870 Izegem, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6194-0931","authenticated-orcid":false,"given":"Rani","family":"D\u2019haese","sequence":"additional","affiliation":[{"name":"Department of Reconstructive Dentistry, Dental School, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Vandeweghe","sequence":"additional","affiliation":[{"name":"Department of Reconstructive Dentistry, Dental School, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,19]]},"reference":[{"key":"ref_1","first-page":"927","article-title":"Mandibular Movements and Articulator Design","volume":"10","author":"Needles","year":"1923","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_2","first-page":"1842","article-title":"Obtaining the Vertical Relation in Edentulous Cases That Existed Prior to Extraction","volume":"25","author":"Niswonger","year":"1938","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/S0022-3913(99)70155-1","article-title":"Treatment plan for restoring the edentulous maxilla with implant-supported restorations: Removable overdenture versus fixed partial denture design","volume":"82","author":"Zitzmann","year":"1999","journal-title":"J. Prosthet. Dent."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1016\/0022-3913(66)90008-4","article-title":"A critique of research of the rest position of the mandible","volume":"16","author":"Atwood","year":"1966","journal-title":"J. Prosthet. Dent."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/0022-3913(81)90426-1","article-title":"Vertical dimension: A study of clinical rest position and jaw muscle activity","volume":"45","author":"Rugh","year":"1981","journal-title":"J. Prosthet. Dent."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/j.1365-2842.1977.tb00958.x","article-title":"Short-term changes in the perception of comfortable mandibular occlusal positions","volume":"4","author":"Tryde","year":"1977","journal-title":"J. Oral Rehabil."},{"key":"ref_7","first-page":"1572","article-title":"The Rest Position of the Mandible and the Centric Relation","volume":"21","author":"Niswonger","year":"1934","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1038\/sj.bdj.4811130","article-title":"Recording the retruded contact position: A review of clinical techniques","volume":"196","author":"Wilson","year":"2004","journal-title":"Br. Dent. J."},{"key":"ref_9","first-page":"19","article-title":"Studies in the mobility of the human mandible","volume":"10","author":"Posselt","year":"1952","journal-title":"Acta Odontol. Scand."},{"key":"ref_10","first-page":"130","article-title":"Retruded contact position of the mandible. A comparison between children and adults","volume":"15","author":"Ingervall","year":"1964","journal-title":"Odont. Revy"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/0022-3913(64)90086-1","article-title":"Effect of clinical procedures on mandibular position","volume":"14","author":"Kabcenell","year":"1964","journal-title":"J. Prosthet. Dent."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1365-2842.1985.tb00614.x","article-title":"Repeatability of the mandibular retruded position","volume":"12","author":"Hellsing","year":"1985","journal-title":"J. Oral Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"5255322","DOI":"10.1016\/S0011-8532(22)03375-4","article-title":"Freedom in centric","volume":"13","author":"Schuyler","year":"1969","journal-title":"Dent. Clin. North Am."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/S0022-3913(07)60037-7","article-title":"Transferring the existing occlusal vertical dimension using a duplicate denture","volume":"98","author":"Abbo","year":"2007","journal-title":"J. Prosthet. Dent."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/jerd.12447","article-title":"The digitally replicated denture technique: A case report","volume":"31","author":"Clark","year":"2019","journal-title":"J. Esthet. Restor. Dent."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1111\/j.1532-849X.2011.00704.x","article-title":"Simplifying Prosthetic Procedures while Converting an Interim Maxillary Removable Complete Denture to an Interim Implant-Supported Fixed Complete Denture","volume":"20","author":"Michalakis","year":"2011","journal-title":"J. Prosthodont."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"672","DOI":"10.5005\/jp-journals-10024-1597","article-title":"A time-saving method for transferring occlusal vertical dimension and centric relation of complete denture to a full-arch implant prosthesis","volume":"15","author":"Parnia","year":"2014","journal-title":"J. Contemp. Dent. Pract."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"341","DOI":"10.4047\/jap.2017.9.5.341","article-title":"Accuracy of several implant bite registration techniques: An in-vitro pilot study","volume":"9","author":"Park","year":"2017","journal-title":"J. Adv. Prosthodont."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"256","DOI":"10.14219\/jada.archive.1947.0254","article-title":"Gothic Arch Tracing and Temporomandibular Anatomy","volume":"35","author":"Aprile","year":"1947","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/s13191-012-0154-5","article-title":"A Comparative Evaluation of Static and Functional Methods for Recording Centric Relation and Condylar Guidance: A Clinical Study","volume":"12","author":"Thakur","year":"2012","journal-title":"J. Indian Prosthodont. Soc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1111\/j.1532-849X.1998.tb00218.x","article-title":"A Technique to Stabilize Record Bases for Gothic Arch Tracings in Patients with Implant-Retained Complete Dentures","volume":"7","author":"Raigrodski","year":"1998","journal-title":"J. Prosthodont."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1111\/prd.12164","article-title":"Digital technology in fixed implant prosthodontics","volume":"73","author":"Joda","year":"2000","journal-title":"Periodontology"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1111\/clr.12270","article-title":"Complete digital workflow for the production of implant-supported single-unit monolithic crowns","volume":"25","author":"Joda","year":"2014","journal-title":"Clin. Oral Implants Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1111\/jopr.13240","article-title":"Virtual Articulators and Virtual Mounting Procedures: Where Do We Stand?","volume":"30","author":"Lepidi","year":"2021","journal-title":"J. Prosthodont. Dent."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1111\/jopr.13023","article-title":"A Full-Digital Technique to Mount a Maxillary Arch Scan on a Virtual Articulator","volume":"28","author":"Lepidi","year":"2019","journal-title":"J. Prosthodont."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/j.prosdent.2020.08.049","article-title":"Digital fixed complete-arch rehabilitation: From virtual articulator mounting to clinical delivery","volume":"127","author":"Lepidi","year":"2022","journal-title":"J. Prosthet. Dent."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1111\/jopr.13143","article-title":"Setting the Sagittal Condylar Inclination on a Virtual Articulator Using Intraoral Scan of Protrusive Interocclusal Position and Cone Beam Computed Tomography","volume":"29","author":"Hong","year":"2020","journal-title":"J. Prosthodont."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1016\/j.prosdent.2020.04.008","article-title":"Digital maxillomandibular relationship registration for an edentulous maxilla: A dental technique","volume":"125","author":"Griseto","year":"2021","journal-title":"J. Prosthet. Dent."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jpor.2017.10.005","article-title":"A fully digital approach to replicate functional and aesthetic parameters in implant-supported full-arch rehabilitation","volume":"62","author":"Monaco","year":"2018","journal-title":"J. Prosthodont. Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.prosdent.2017.10.003","article-title":"A CAD-CAM technique for conversion of interim-to-definitive restoration in patients with complete edentulism","volume":"120","author":"An","year":"2018","journal-title":"J. Prosthet. Dent."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s40729-019-0172-8","article-title":"Using the surgical guide for impression-free digital bite registration in the edentulous maxilla\u2014a technical note","volume":"5","author":"Michelinakis","year":"2019","journal-title":"Int. J. Implant. Dent."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.prosdent.2020.01.010","article-title":"Maxillary complete-arch implant-supported restoration: A digital scanning and hence- mandibular relationship workflow","volume":"125","author":"Ahmed","year":"2021","journal-title":"J. Prosthet. Dent."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/j.prosdent.2018.09.024","article-title":"CAD-CAM\u2013fabricated interim fixed complete-arch implant-supported restorations based on the existing dentition","volume":"121","author":"Shao","year":"2019","journal-title":"J. Prosthet. Dent."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.prosdent.2019.02.004","article-title":"Complete digital workflow in prosthesis prototype manufacture for complete-arch implant rehabilitation: A technique","volume":"122","author":"Papaspyridakos","year":"2019","journal-title":"J. Prosthet. Dent."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/j.prosdent.2019.08.008","article-title":"Immediately loaded interim complete-arch implant-supported fixed dental prostheses fabricated with a completely digital workflow: A clinical technique","volume":"124","author":"Espona","year":"2020","journal-title":"J. Prosthet. Dent."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.prosdent.2016.09.016","article-title":"Accuracy of intraoral digital impressions using an artificial landmark","volume":"117","author":"Kim","year":"2017","journal-title":"J. Prosthet. Dent."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Cappare, P., Sannino, G., Minoli, M., Montemezzi, P., and Ferrini, F. (2019). Conventional versus Digital Impressions for Full Arch Screw-Retained Maxillary Rehabilitations: A Randomized Clinical Trial. Int. J. Environ. Res. Public Health., 16.","DOI":"10.3390\/ijerph16050829"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1111\/clr.13844","article-title":"In vitro and in vivo accuracy of full-arch digital implant impressions","volume":"32","author":"Rutkunas","year":"2021","journal-title":"Clin. Oral Implants Res."},{"key":"ref_39","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":"Schimmel","year":"2021","journal-title":"Clin. Oral Investig."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1111\/jopr.13264","article-title":"Three-Dimensional Accuracy of Conventional Versus Digital Complete Arch Implant Impressions","volume":"30","author":"Albayrak","year":"2021","journal-title":"J. Prosthodont."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Knechtle, N., Wiedemeier, D., Mehl, A., and Ender, A. (2021). Accuracy of digital complete-arch, multi-implant scans made in the edentulous jaw with gingival movement simulation: An in vitro study. J. Prosthet. Dent.","DOI":"10.1016\/j.prosdent.2020.12.037"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.prosdent.2020.08.017","article-title":"In vitro evaluation of the accuracy and precision of intraoral and extraoral complete-arch scans","volume":"126","author":"Baghani","year":"2021","journal-title":"J. Prosthet. Dent."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"171","DOI":"10.11607\/ijp.5535","article-title":"Precision and Accuracy of a Digital Impression Scanner in Full-Arch Implant Rehabilitation","volume":"31","author":"Pesce","year":"2018","journal-title":"Int. J. Prosthodont."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1111\/jopr.12714","article-title":"Three-Dimensional Accuracy of Digital Static Interocclusal Registration by Three Intraoral Scanner Systems","volume":"27","author":"Wong","year":"2018","journal-title":"J. Prosthodont."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"D\u2019haese, R., Vrombaut, T., Roeykens, H., and Vandeweghe, S. (2021). In Vitro Accuracy of Digital and Conventional Impressions for Full-Arch Implant-Supported Prostheses. J. Clin. Med., 11.","DOI":"10.3390\/jcm11030594"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.prosdent.2019.11.014","article-title":"Clinical accuracy and reproducibility of virtual interocclusal records","volume":"124","author":"Abdulateef","year":"2020","journal-title":"J. Prosthet. Dent."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"573","DOI":"10.2341\/17-272-C","article-title":"Accuracy of Buccal Scan Procedures for the Registration of Habitual Intercuspation","volume":"43","author":"Zimmermann","year":"2018","journal-title":"Oper Dent."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.prosdent.2015.01.009","article-title":"Comparison of a conventional and virtual occlusal record","volume":"114","author":"Solaberrieta","year":"2015","journal-title":"J. Prosthet. Dent."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.ortho.2021.06.008","article-title":"A new technique for testing accuracy and sensitivity of digital bite registration: A prospective comparative study","volume":"19","author":"Salmanpour","year":"2021","journal-title":"Int. Orthod."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1111\/jopr.13321","article-title":"What Materials and Reproducible Techniques May Be Used in Recording Centric Relation? Best Evidence Consensus Statement","volume":"30","author":"Kattadiyil","year":"2021","journal-title":"J. Prosthodont."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.prosdent.2019.08.013","article-title":"Accuracy of virtual interocclusal records for partially edentulous patients","volume":"123","author":"Ren","year":"2020","journal-title":"J. Prosthet. Dent."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1038\/sj.bdj.4801384","article-title":"Clinical factors and clinical variation influencing the reproducibility of interocclusal recording methods","volume":"192","author":"Eriksson","year":"2002","journal-title":"Br. Dent. J."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1016\/j.prosdent.2018.01.024","article-title":"The accuracy of virtual interocclusal registration during intraoral scanning","volume":"120","author":"Edher","year":"2018","journal-title":"J. Prosthet. Dent."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.jpor.2019.05.006","article-title":"Precision of maxillo-mandibular registration with intraoral scanners in vitro","volume":"64","author":"Gintaute","year":"2020","journal-title":"J. Prosthodont. Res."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.prosdent.2019.12.011","article-title":"Influence of operator experience, scanner type, and scan size on 3D scans","volume":"125","author":"Resende","year":"2021","journal-title":"J. Prosthet. Dent."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"R\u00f3th, I., Czigola, A., Jo\u00f3s-Kov\u00e1cs, G.L., Dalos, M., Hermann, P., and Borb\u00e9ly, J. (2020). Learning curve of digital intraoral scanning\u2014An in vivo study. BMC Oral Health, 20.","DOI":"10.1186\/s12903-020-01278-1"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.prosdent.2019.04.003","article-title":"Learning curve of intraoral scanning by prosthodontic residents","volume":"123","year":"2020","journal-title":"J. Prosthet. Dent."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Michelinakis, G., Apostolakis, D., Kamposiora, P., Papavasiliou, G., and \u00d6zcan, M. (2021). The direct digital workflow in fixed implant prosthodontics: A narrative review. BMC Oral Health, 21.","DOI":"10.1186\/s12903-021-01398-2"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1111\/jopr.12457","article-title":"An In Vitro Study of Factors Influencing the Performance of Digital Intraoral Impressions Operating on Active Wavefront Sampling Technology with Multiple Implants in the Edentulous Maxilla","volume":"26","author":"Hassan","year":"2017","journal-title":"J. Prosthodont."},{"key":"ref_60","first-page":"101","article-title":"Accuracy of digital implant impressions with intraoral scanners. A systematic review","volume":"10","year":"2017","journal-title":"Eur. J. Oral Implantol."},{"key":"ref_61","unstructured":"Nuytens, P. (2017). Scan Post, Bite Pillar, Reference Pillar and Related Methods for Recording Dental Implant Position. (20190223990), US Patent."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/10\/2882\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:14:58Z","timestamp":1760138098000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/10\/2882"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,19]]},"references-count":61,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,5]]}},"alternative-id":["jcm11102882"],"URL":"https:\/\/doi.org\/10.3390\/jcm11102882","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,19]]}}}