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Updated: Mar 24, 2026
Measuring the Complete-arch Distortion of an Optical Dental Impression
Published on: May 30, 2019
Digital versus conventional impressions for fixed prosthodontics: A systematic review and meta-analysis
Konstantinos M Chochlidakis1, Panos Papaspyridakos2, Alessandro Geminiani3
1Assistant Professor, Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY.
Statement Of Problem:
Limited evidence is available for the marginal and internal fit of fixed dental restorations fabricated with digital impressions compared with those fabricated with conventional impressions.
Purpose:
The purpose of this systematic review was to compare marginal and internal fit of fixed dental restorations fabricated with digital techniques to those fabricated using conventional impression techniques and to determine the effect of different variables on the accuracy of fit.
Material And Methods:
Medline, Cochrane, and EMBASE databases were electronically searched and enriched by hand searches. Studies evaluating the fit of fixed dental restorations fabricated with digital and conventional impression techniques were identified. Pooled data were statistically analyzed, and factors affecting the accuracy of fit were identified, and their impact on accuracy of fit outcomes were assessed.
Results:
Dental restorations fabricated with digital impression techniques exhibited similar marginal misfit to those fabricated with conventional impression techniques (P>.05). Both marginal and internal discrepancies were greater for stone die casts, whereas digital dies produced restorations with the smallest discrepancies (P<.05). When a digital impression was used to generate stereolithographic (SLA)/polyurethane dies, misfit values were intermediate. The fabrication technique, the type of restoration, and the impression material had no effect on misfit values (P>.05), whereas die and restoration materials were statistically associated (P<.05).
Conclusions:
Although conclusions were based mainly on in vitro studies, the digital impression technique provided better marginal and internal fit of fixed restorations than conventional techniques did.
