Marginal Accuracy of Lithium Disilicate Full-Coverage Single Crowns Made by Direct and Indirect Digital or Conventional Workflows: A Systematic Review and Meta-Analysis

J Prosthodont. 2022 Dec;31(9):744-753. doi: 10.1111/jopr.13515. Epub 2022 May 10.

Abstract

Purpose: Several studies have compared digital intraoral scanners and conventional impressions. The accuracy of these two methods in terms of marginal accuracy of lithium disilicate crowns is not well-established, yet. The purpose of this study was to systematically review available publications on marginal fit of single-unit, full-coverage, tooth-supported lithium disilicate restorations.

Methods: Pubmed, Web of Science, Cochrane, EMBASE, and Scopus were electronically searched along with a manual search. After critical appraisal, data from selected studies were extracted and mean marginal difference with a 95% confidence interval was calculated. Meta-analysis of the collected data was conducted using STATA software.

Results: The meta-analysis revealed similar marginal gap values in intraoral scanners with conventional groups (p>0.05) and in intraoral scanners with extraoral canners (p>0.05).

Conclusion: No significant difference was seen between digital and conventional impressions or intra- and extraoral scanners for marginal accuracy of lithium disilicate crowns.

Keywords: all-ceramic restorations; conventional impressions; digital scan; direct digitalization; indirect digitalization; marginal fit.

Publication types

  • Meta-Analysis
  • Systematic Review
  • Review

MeSH terms

  • Computer-Aided Design
  • Crowns
  • Dental Impression Technique*
  • Dental Marginal Adaptation
  • Dental Porcelain
  • Dental Prosthesis Design* / methods
  • Humans
  • Workflow

Substances

  • lithia disilicate
  • Dental Porcelain