HOW TO ENSURE THE ACCURACY OF SCANNED

OCCLUSION DATA?

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Intraoral scanner is now becoming a very popular equipment in dental industry.
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Dentists usually use it to capture the intraoral data to replace the physical impression
which may cause patients vomit or nausea. Besides, the intraoral scanner is usually
cost and time-saving by getting rid of several traditional steps, such as transport
impressions, make models, scan physical models, etc. With such advantages, it is
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turn to intraoral scanner and start up their
24 hours (during working days).
first step of digital diagnostic and treatment.

However, even the intraoral scanner has been such widely used, some users are
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always wondering how to make sure the occlusion data we acquired is accurate and
the same with that in patient’s mouth. This article will pay attention to this point and
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discuss in details.
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What is occlusion?
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Occlusion, technologically, it is a relationship between the maxillary and mandibular

teeth* Intraoral
when theyScanner
approach each other, during chewing or at rest. It is very important,
and plays a critical role in implantology, orthodontics and prosthodontics. To capture
an accurate occlusion by intraoral scanner, there are lots of things we need to
submit
consider.

Common problems of occlusion

data during intraoral scan
Teeth data staggered

Fig 1 and Fig 2 shows the teeth that are staggered. In Fig1, it is very obvious, in Fig 2,
the red arrows indicate the data staggered position.
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The data of the upper and lower gingiva are staggered

Fig 3 and Fig 4 shows the gingiva that are staggered. The red arrows indicate the data
staggered position.

A deranged, elevated occlusion

Fig 5 and Fig 6 shows the occlusion that is deranged (Fig 5) or elevated (Fig 6).

Above are three common problems during occlusion scanning, then What are the
problems with the confused occlusal?

The problem results from

incorrect occlusion
First,
Companythe incorrect occlusion leads to an increasing difficulty in
designing
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and manufacturing.

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Fig 7 and Fig 8, it shows the occlusion of posterior is a little empty while the occlusion
of anterior is suitable.

For lab technicians, if there is no intra oral photograph, or no obvious occlusion wear, it

is hard to make a judgement whether the scan data is consistent with that in the
mouth. If rescan is not possible in reality as the patients may already leave clinics, the
most common method is to print out the model and reconstruct the maxillary frame to
determine the correct bite.

Fig9: the left side occlusion. Fig10: the right side occlusion. Fig 11: the front side
occlusion.

The technician was unable to determine the value of the empty occlusion when all
sides, includes the left side, front side, right side, are empty. Without the accurate
value of the empty occlusion, there is no way to make an accurate restoration.

Second, improper prostheses lead to a poor experience during dental

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treatment.

Fig12 and Fig13 show, without an accurate occlusion, there is unsuitable occlusion of
final restoration.

Fig 14 and Fig 15: The case without accurate occlusion leads to some uncertainty
during CAD process.

The inaccurate occlusion results in the emptiness or elevation of the final restoration,
which leads to long-time occlusion adjustment，brings bad dental experience to
patients.

The reasons that lead to 8nal restoration with un8tted

occlusion: from clinic side

The occlusal relationship was not accurately estimated before

intraoral scan.

Suggestion from Shining 3d:

When scan occlusal, it is necessary to confirm the accurate occlusal relationship first, then click the
start button to scan.
During the scan process, we can hold the patient’s jaw by hand to ensure that the patient’s
occlusion is fixed and does not move.

The scan range of unilateral occlusion is too large

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 Fig 16 and Fig17：Too much data had been collected during occlusion scan.

Suggestion from Shining 3d:

Selection of occlusal range: If the patient is scanned for full-mouth data, we recommend that the
occlusal range of the left and right sides need to be captured, with 2~3 teeth on each side. The
occlusal accuracy of region with teeth in is higher than that in edentulous region.

Fig 18 and Fig 19: The correct way to collect occlusion data.

Excess soft tissue data in the working model

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 Fig 20: There is soft tissue data that covers the abutment

Suggestion from Shining 3d:

It is recommended to capture the gingival data 4mm below the neck margin line, and active AI
intelligent scanning function throughout the whole process.

Fig 21: The scan data with gingival information.

There is excess soft tissue data when occlusion aligns

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 Fig22: upper jaw information is staggered with lower jaw.

Suggestion from Shining 3d:

Please remove the excess data when scan occlusion, make sure there is no interference during this
process, otherwise, it will affect the occlusion accuracy.

Fig 23: The data is clear when scan occlusion.

The reasons that lead to 8nal

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restoration with un8tted
occlusion– from Lab side
There are errors during the occlusion data transmission from clinic to
lab

Suggestion from Shining 3d:

It is recommended for some complex cases, such as orthodontics treatment, full mouth occlusion
reconstruction, free end restorations, if possible, it is much better to provide the bite wax to help
technicians judge the patient’s occlusion more accurately.

Fig24: The free end cases

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 Fig25: Half-mouth occlusion reconstruction

The deviation in design and manufacture, especially in cases with

unstable occlusion.

Suggestion from Shining 3d:

For cases like orthodontics treatment, full mouth occlusion reconstruction, free end cases, the
occlusion are always not stable, it is recommended that technicians print out the model and use
bite wax to reconstruct the occlusion with articulator in a traditional way.
In this article, we make an analysis of the reason which may cause inaccurate occlusion from clinic
side and lab side, and the problems results from incorrect occlusion, meanwhile, there are some
tips to avoid these problems. Hope it can help you to get an accurate occlusion.

Previous: Posterior Teeth Restoration by Digital Workflow

Next: Case study: Digital implantology overdenture for maxillary edentulous with jaw bone defect

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