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The complete digital workflow in fixed prosthodontics: a systematic review
- Source :
- BMC Oral Health, Vol 17, Iss 1, Pp 1-9 (2017), BMC Oral Health, Joda, Tim Alexander; Zarone, Fernando; Ferrari, Marco (2017). The complete digital workflow in fixed prosthodontics: a systematic review. BMC Oral Health, 17(1), p. 124. BioMed Central 10.1186/s12903-017-0415-0
- Publication Year :
- 2017
- Publisher :
- BMC, 2017.
-
Abstract
- Background The continuous development in dental processing ensures new opportunities in the field of fixed prosthodontics in a complete virtual environment without any physical model situations. The aim was to compare fully digitalized workflows to conventional and/or mixed analog-digital workflows for the treatment with tooth-borne or implant-supported fixed reconstructions. Methods A PICO strategy was executed using an electronic (MEDLINE, EMBASE, Google Scholar) plus manual search up to 2016–09-16 focusing on RCTs investigating complete digital workflows in fixed prosthodontics with regard to economics or esthetics or patient-centered outcomes with or without follow-up or survival/success rate analysis as well as complication assessment of at least 1 year under function. The search strategy was assembled from MeSH-Terms and unspecific free-text words: {((“Dental Prosthesis” [MeSH]) OR (“Crowns” [MeSH]) OR (“Dental Prosthesis, Implant-Supported” [MeSH])) OR ((crown) OR (fixed dental prosthesis) OR (fixed reconstruction) OR (dental bridge) OR (implant crown) OR (implant prosthesis) OR (implant restoration) OR (implant reconstruction))} AND {(“Computer-Aided Design” [MeSH]) OR ((digital workflow) OR (digital technology) OR (computerized dentistry) OR (intraoral scan) OR (digital impression) OR (scanbody) OR (virtual design) OR (digital design) OR (cad/cam) OR (rapid prototyping) OR (monolithic) OR (full-contour))} AND {(“Dental Technology” [MeSH) OR ((conventional workflow) OR (lost-wax-technique) OR (porcelain-fused-to-metal) OR (PFM) OR (implant impression) OR (hand-layering) OR (veneering) OR (framework))} AND {((“Study, Feasibility” [MeSH]) OR (“Survival” [MeSH]) OR (“Success” [MeSH]) OR (“Economics” [MeSH]) OR (“Costs, Cost Analysis” [MeSH]) OR (“Esthetics, Dental” [MeSH]) OR (“Patient Satisfaction” [MeSH])) OR ((feasibility) OR (efficiency) OR (patient-centered outcome))}. Assessment of risk of bias in selected studies was done at a ‘trial level’ including random sequence generation, allocation concealment, blinding, completeness of outcome data, selective reporting, and other bias using the Cochrane Collaboration tool. A judgment of risk of bias was assigned if one or more key domains had a high or unclear risk of bias. An official registration of the systematic review was not performed. Results The systematic search identified 67 titles, 32 abstracts thereof were screened, and subsequently, three full-texts included for data extraction. Analysed RCTs were heterogeneous without follow-up. One study demonstrated that fully digitally produced dental crowns revealed the feasibility of the process itself; however, the marginal precision was lower for lithium disilicate (LS2) restorations (113.8 μm) compared to conventional metal-ceramic (92.4 μm) and zirconium dioxide (ZrO2) crowns (68.5 μm) (p
- Subjects :
- Blinding
medicine.medical_treatment
Fixed prosthodontics
Dentistry
610 Medicine & health
Fixed prosthodontic
Prosthesis
Crown (dentistry)
Tooth-bourne
Workflow
03 medical and health sciences
0302 clinical medicine
Complete digital workflow
Humans
Medicine
030212 general & internal medicine
Bridge (dentistry)
General Dentistry
Orthodontics
business.industry
Dental prosthesis
030206 dentistry
lcsh:RK1-715
Dental Prosthesis Design
Data extraction
lcsh:Dentistry
Dentistry (all)
Systematic review
Computer-Aided Design
Dental Prosthesis, Implant-Supported
business
Research Article
Implant-supported
Subjects
Details
- Language :
- English
- ISSN :
- 14726831
- Volume :
- 17
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Oral Health
- Accession number :
- edsair.doi.dedup.....d56cb8884ab62eb12ec3b0f6d78373f7
- Full Text :
- https://doi.org/10.1186/s12903-017-0415-0