Effect of preparation type on the accuracy of different intraoral scanners: An in vitro study at different levels of accuracy evaluation

Objective Evaluation of the effect of preparation type (inlay, onlay, and crown) on the accuracy of different intraoral scanning (IOS) systems at the preparation and arch segment levels. Materials and Methods Three molars were prepared for inlay, onlay, and crown. Each preparation was scanned 10 times by CEREC Omnicam, Trios 3 (TS), and Medit i500 scanners. Each image was trimmed twice. The first trimming produced a preparation image (PI), and the second trimming extracted a segment image (SI) that involved the preparation with the adjacent teeth. Trueness and precision were calculated at the PI and SI levels. Results At the PI level, all IOS systems had similar trueness pattern for all preparations, where the inlay had the best trueness followed by the crown and onlay. At the SI level, the different preparations showed similar trueness. The precision did not show a clear pattern of superiority for any preparation. The TS was significantly more precise than other IOS systems at the PI and SI levels, for every preparation. The proximal areas suffered from the greatest errors, regardless of preparation type. Conclusions The preparation type influenced PI trueness, and the IOS system affected PI and SI precisions. Clinical Significance The smaller and less complex preparations have greater IOS accuracy than larger and more complex preparations. As the proximal areas are more affected regardless of the preparation, a more accessible proximal area for scanning is desirable.