Marginal adaptation of CAD-CAM and heat-pressed lithium disilicate crowns: A systematic review and meta-analysis
Lithium disilicate crowns can be manufactured by computer-aided design and computer-aided manufacturing (CAD-CAM) or with the heat-pressed technique. The outcome of studies comparing the effect of the manufacturing method on the marginal adaptation of these crowns is not clear. The purpose of this s...
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Published in: | The Journal of prosthetic dentistry Vol. 129; no. 1; pp. 34 - 39 |
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01-01-2023
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Abstract | Lithium disilicate crowns can be manufactured by computer-aided design and computer-aided manufacturing (CAD-CAM) or with the heat-pressed technique. The outcome of studies comparing the effect of the manufacturing method on the marginal adaptation of these crowns is not clear.
The purpose of this systematic review and meta-analysis was to investigate the effect of the CAD-CAM system and pressing technique on the marginal adaptation of lithium disilicate crowns.
This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A literature research was conducted in MEDLINE via PubMed and Scopus databases, relevant journal sites, and the authors’ collected references, from January 2009 to April 2019.
The electronic and manual searches that could be read in full totaled 24 studies; of which, 9 were included in the systematic review and meta-analysis, 7 of which were in vitro and 2 in vivo. Statistical analyses were conducted by using Review Manager software program. Meta-analyses were performed with the random effects model (α=.05). In vitro studies showed no difference in the manufacturing (P>.001; 95% confidence interval -0.687 to 0.632), and no significant difference was found for in vivo studies (P=.7, 95% confidence interval 0.00 to 54.77). In the joint analysis of the in vivo and in vitro articles, there was a significant difference between the manufacturing methods (P<.001).
Differences were detected between the marginal adaptation of lithium disilicate crowns fabricated with the CAD-CAM system and the pressing technique, but the accuracy values were clinically acceptable. |
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AbstractList | STATEMENT OF PROBLEMLithium disilicate crowns can be manufactured by computer-aided design and computer-aided manufacturing (CAD-CAM) or with the heat-pressed technique. The outcome of studies comparing the effect of the manufacturing method on the marginal adaptation of these crowns is not clear. PURPOSEThe purpose of this systematic review and meta-analysis was to investigate the effect of the CAD-CAM system and pressing technique on the marginal adaptation of lithium disilicate crowns. MATERIAL AND METHODSThis study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A literature research was conducted in MEDLINE via PubMed and Scopus databases, relevant journal sites, and the authors' collected references, from January 2009 to April 2019. RESULTSThe electronic and manual searches that could be read in full totaled 24 studies; of which, 9 were included in the systematic review and meta-analysis, 7 of which were in vitro and 2 in vivo. Statistical analyses were conducted by using Review Manager software program. Meta-analyses were performed with the random effects model (α=.05). In vitro studies showed no difference in the manufacturing (P>.001; 95% confidence interval -0.687 to 0.632), and no significant difference was found for in vivo studies (P=.7, 95% confidence interval 0.00 to 54.77). In the joint analysis of the in vivo and in vitro articles, there was a significant difference between the manufacturing methods (P<.001). CONCLUSIONSDifferences were detected between the marginal adaptation of lithium disilicate crowns fabricated with the CAD-CAM system and the pressing technique, but the accuracy values were clinically acceptable. Lithium disilicate crowns can be manufactured by computer-aided design and computer-aided manufacturing (CAD-CAM) or with the heat-pressed technique. The outcome of studies comparing the effect of the manufacturing method on the marginal adaptation of these crowns is not clear. The purpose of this systematic review and meta-analysis was to investigate the effect of the CAD-CAM system and pressing technique on the marginal adaptation of lithium disilicate crowns. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A literature research was conducted in MEDLINE via PubMed and Scopus databases, relevant journal sites, and the authors' collected references, from January 2009 to April 2019. The electronic and manual searches that could be read in full totaled 24 studies; of which, 9 were included in the systematic review and meta-analysis, 7 of which were in vitro and 2 in vivo. Statistical analyses were conducted by using Review Manager software program. Meta-analyses were performed with the random effects model (α=.05). In vitro studies showed no difference in the manufacturing (P>.001; 95% confidence interval -0.687 to 0.632), and no significant difference was found for in vivo studies (P=.7, 95% confidence interval 0.00 to 54.77). In the joint analysis of the in vivo and in vitro articles, there was a significant difference between the manufacturing methods (P<.001). Differences were detected between the marginal adaptation of lithium disilicate crowns fabricated with the CAD-CAM system and the pressing technique, but the accuracy values were clinically acceptable. |
Author | Sanches, Ingrid Bandeira Metzker, Thayara Coelho Castor Xisto Lima, Emilena Maria Kappler, Roniel Oliveira, Michelle Villa Carvalho, Adriana Oliveira |
Author_xml | – sequence: 1 givenname: Ingrid Bandeira surname: Sanches fullname: Sanches, Ingrid Bandeira organization: Master, Department of Dentistry, Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil – sequence: 2 givenname: Thayara Coelho surname: Metzker fullname: Metzker, Thayara Coelho organization: Master student, Department of Dentistry, Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil – sequence: 3 givenname: Roniel surname: Kappler fullname: Kappler, Roniel organization: Private practice, Salvador, Bahia, Brazil – sequence: 4 givenname: Michelle Villa surname: Oliveira fullname: Oliveira, Michelle Villa organization: Graduate student of Dentistry, Department of Dentistry, Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil – sequence: 5 givenname: Adriana Oliveira surname: Carvalho fullname: Carvalho, Adriana Oliveira organization: Adjunct Professor, Department of Dentistry, Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil – sequence: 6 givenname: Emilena Maria surname: Castor Xisto Lima fullname: Castor Xisto Lima, Emilena Maria email: emilenalima@gmail.com organization: Adjunct Professor, Department of Dentistry, Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil |
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Snippet | Lithium disilicate crowns can be manufactured by computer-aided design and computer-aided manufacturing (CAD-CAM) or with the heat-pressed technique. The... STATEMENT OF PROBLEMLithium disilicate crowns can be manufactured by computer-aided design and computer-aided manufacturing (CAD-CAM) or with the heat-pressed... |
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SubjectTerms | Computer-Aided Design Crowns Dental Impression Technique Dental Marginal Adaptation Dental Porcelain Dental Prosthesis Design - methods Hot Temperature |
Title | Marginal adaptation of CAD-CAM and heat-pressed lithium disilicate crowns: A systematic review and meta-analysis |
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