The aim of this study was to evaluate the accuracy, in terms of trueness and precision, of optical dental scanners. An experimental acrylic resin cast was created and digitized using a microcomputed tomography (microCT) scanner, which sewed as the reference model. Five polyether impressions were made of the acrylic resin cast to create five stone casts. Each dental digitizer (Imetric, Lava ST, Smart Optics, KaVo Everest) made five scans of the acrylic resin cast and one scan of every stone cast. The scans were superimposed and compared using metrology software. Deviations were calculated between the datasets obtained from the dental digitizers and the microCT scanner (= trueness) and between datasets from the same dental digitizer (= precision). With exception of the Smart Optics scanner, there were no significant differences in trueness for the acrylic resin cast. For the stone casts, however, the Lava ST performed better than Imetric, which did better than the KaVo scanner. The Smart Optics scanner demonstrated the highest deviation. All digitizers demonstrated a significantly higher trueness for the acrylic resin cast compared to the plaster cast, except the Lava ST The Lava ST was significantly more precise compared to the other scanners. Imetric and Smart Optics also demonstrated a higher level of precision compared to the KaVo scanner. All digitizers demonstrated some degree of error. Stone cast copies are less accurate because of difficulties with scanning the rougher surface or dimensional deformations caused during the production process. For complex, large-span reconstructions, a highly accurate scanner should be selected.
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