Evaluation of marginal/internal fit of fixed dental prostheses after digital, conventional, and combination impression techniques: A systematic review

Evaluation of marginal/internal fit of fixed dental prostheses after digital, conventional, and combination impression techniques: A systematic review

Advances of digital technology are rapidly adopted in dental practice. This systematic review aimed to collect evidence on the accuracy of fit of different types of fixed dental prostheses (FDPs) fabricated through digital, conventional, or combination impression techniques. Data collection was base...

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Bibliographic Details
Published in:European journal of oral sciences Vol. 130; no. 6; pp. e12902 - n/a
Main Authors: Sarafidou, Katia, Chatziparaskeva, Maria, Chatzikamagiannis, Dimitrios, Mpotskaris, Vasileios, Tortopidis, Dimitrios, Bakopoulou, Athina, Kokoti, Maria
Format: Journal Article
Language:English
Published: England Wiley Subscription Services, Inc 01-12-2022
Subjects:
all‐ceramic restorations
Data collection
Dental implants
Dental Prosthesis
Dental prosthetics
Dental Restoration, Permanent
Dental restorative materials
digital impression
Digital technology
Fabrication
fixed prosthesis fit
Humans
intraoral scanner
Literature reviews
Lithium
Meta-analysis
metal‐ceramic
Porcelain
Prostheses
restorations
Systematic review
Technology
Three dimensional printing
Workflow
Zirconia
Zirconium dioxide
restorations
digital impression
all-ceramic restorations
fixed prosthesis fit
intraoral scanner
metal-ceramic
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Summary:Advances of digital technology are rapidly adopted in dental practice. This systematic review aimed to collect evidence on the accuracy of fit of different types of fixed dental prostheses (FDPs) fabricated through digital, conventional, or combination impression techniques. Data collection was based on the guidelines of the preferred reporting items for systematic reviews and meta‐analyses (PRISMA). Two databases (PubMed, Scopus) were searched for articles in English published between 2010 and 2021 resulting in 480 articles. Of those, 35 studies fulfilled the inclusion criteria. These articles referred to three groups of materials/techniques including all‐ceramic (zirconia; lithium disilicate) and porcelain‐fused‐to‐metal (PFM) restorations. Results showed clinically acceptable marginal fit (< 120 μm) for all materials and impression techniques. Α fully digital workflow appears more promising for the construction of short‐span zirconia FDPs. Nevertheless, most articles evaluated marginal/internal fit of single crowns or short‐span FDPs in vitro, while clinical data are limited for long‐span FDPs. The necessity for gingival retraction remains a major drawback of all impression techniques, increasing procedural time and patient discomfort. Besides, factors related to the fabrication process, including milling and 3D printing of working models significantly influence the outcome. Overall, there still some way to go before digital technology can be incorporated in complex treatment plans in prosthodontics.
Bibliography:ObjectType-Article-2
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ISSN:0909-8836
1600-0722
DOI:10.1111/eos.12902