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The complete digital workflow in fixed prosthodontics: a systematic review.

Tim Joda1,2, Fernando Zarone3, Marco Ferrari4,5

  • 1Section for Digital Reconstructive Technology + Implant Dentistry [DiRecT + ID], Department of Reconstructive Dentistry, School of Dental Medicine, University of Bern, Freiburgstr. 7, 3010, Bern, Switzerland. tim.joda@zmk.unibe.ch.

BMC Oral Health
|September 21, 2017
PubMed
Summary

Fully digital workflows in fixed prosthodontics show promise but require more research. Current studies indicate potential for faster treatment and patient satisfaction, though marginal precision may vary.

Keywords:
Complete digital workflowFixed prosthodonticsImplant-supportedSystematic reviewTooth-bourne

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Area of Science:

  • Dental materials science
  • Prosthodontics
  • Digital dentistry

Background:

  • Advancements in dental technology enable fully digital workflows for fixed prosthodontics.
  • Comparison between fully digital and conventional/mixed workflows is crucial for treatment planning.

Purpose of the Study:

  • To compare fully digital workflows with conventional or mixed analog-digital workflows for fixed reconstructions.
  • To assess outcomes related to economics, esthetics, patient satisfaction, and clinical performance.

Main Methods:

  • Systematic search of RCTs using PICO strategy (MEDLINE, EMBASE, Google Scholar) up to September 2016.
  • Inclusion criteria focused on digital workflows in fixed prosthodontics with various outcome measures.
  • Risk of bias assessment conducted using Cochrane Collaboration tool.

Main Results:

  • Limited RCTs found; analyzed studies were heterogeneous and lacked follow-up.
  • Fully digital crowns showed lower marginal precision for lithium disilicate compared to conventional materials.
  • Digital workflows were significantly faster for implant crowns, and patients/clinicians favored certain ceramic aesthetics.

Conclusions:

  • The number of high-quality RCTs on complete digital workflows in fixed prosthodontics is insufficient.
  • Current evidence does not support definitive clinical recommendations.
  • Further well-designed RCTs with follow-up are essential to guide clinical practice and match industrial advancements.