Objectives To describe the factors related to the operator skills and decisions that influence the scanning accuracy of intraoral scanners (IOSs). A new classification for these factors is proposed to facilitate dental professionals' decision making when using IOSs and maximize the accuracy and reliability of intraoral digital scans. Overview Each IOS system is limited by the hardware and software characteristics of the selected device. The operator decisions that can influence the accuracy of IOSs include the scanning technology and system selection, scanning head size, calibration, scanning distance, exposure of the IOS to ambient temperature changes, ambient humidity, ambient lighting conditions, operator experience, scanning pattern, extension of the scan, cutting off, rescanning, and overlapping procedures. Conclusions The knowledge and understanding of the operator factors that impact scanning accuracy of IOSs is a fundamental element for maximizing the accuracy of IOSs and for successfully integrating IOSs in daily practices. Clinical Significance Operator skills and clinical decisions significantly impact intraoral scanning accuracy. Dental professionals must know and understand these influencing operator factors for maximizing the accuracy of IOSs.

Minimally invasive flapless surgery offers patients the possibility of high implant predictability with clinically insignificant crestal bone loss for up to 4 years. Proper diagnosis and treatment planning are key factors in achieving predictable outcomes.

Objectives: To describe the factors related to patient intraoral conditions that impact the scanning accuracy of intraoral scanners (IOSs). A new classification for these influencing factors is proposed to facilitate dental professionals' decision-making and maximize the accuracy and reliability of intraoral digital scans.Overview: Variables related to intraoral conditions of the patient that can influence the scanning accuracy of IOSs include tooth type, presence of interdental spaces, arch width variations, palate characteristics, wetness, existing restorations, characteristics of the surface being digitized, edentulous areas, interimplant distance, position, angulation, and depth of existing implants, and implant scan body selection. Conclusions:The knowledge and understanding of the patient's intraoral conditions that can impact the scanning accuracy of IOSs is a fundamental element for maximizing the accuracy of IOSs.

Many restorative materials have been advocated for partial coverage restorations. It is essential to ensure that restorative materials have sufficient strength to support occlusal forces and, in case of fracture, the remaining tooth structure is not compromised or placed at risk. This study revealed that all-ceramic materials had high incidences of fractures involving the materials themselves, whereas the predominant failure of resin-based composite involved the tooth structure in a catastrophic manner.

Although the evolution of digital technology continues to improve patient data acquisition, the ability to both standardize the recording of the maxillary occlusal plane and capture the necessary dynamic data for dento‐facial analysis remains elusive. This article describes step‐by‐step techniques to position the maxilla on an articulator using the natural head position and a facial reference system (Kois Facial Reference Glasses) for both analog and digital workflows. A photographic technique will be presented that captures the natural head position and allows the clinician to align a 2D reference photograph with the maxillary intraoral digital scan and the virtual articulator. Using this reference photograph, the clinician can record and communicate to the technician the maxillary arch position in relationship with the facial references, as well as transfer the additively manufactured casts in the same facial orientation for mounting and analysis either virtually or on an analog articulator.

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