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The Complete Digital Workflow in Fixed Prosthodontics Updated: A Systematic Review.
Selina A Bernauer1, Nicola U Zitzmann1, Tim Joda1,2
1Department of Reconstructive Dentistry, University Center for Dental Medicine Basel, University of Basel, 4058 Basel, Switzerland.
Healthcare (Basel, Switzerland)
|March 11, 2023
Summary
Digital workflows in prosthodontics offer comparable outcomes to traditional methods, particularly for implant-supported crowns. This updated review supports their use, especially in posterior sites, for efficiency and precision.
Area of Science:
- Digital dentistry
- Prosthodontics
- Dental technology
Background:
- Digital applications are transforming prosthodontic therapy.
- A 2017 systematic review covered complete digital workflows for fixed dental prostheses (FDPs).
- Recent advancements necessitate an update on digital workflow efficacy.
Purpose of the Study:
- To update the 2017 systematic review on complete digital workflows.
- To summarize recent scientific literature on digital workflows in prosthodontics.
- To derive clinical recommendations based on current evidence.
Main Methods:
- Systematic literature search of PubMed/Embase using PICO criteria.
- Inclusion of English-language studies from September 2016 to October 2022.
- Analysis of 16 studies involving 440 patients and 658 restorations.
Main Results:
- Two-thirds of studies focused on implant therapy.
- Time efficiency, precision, and patient satisfaction were key outcomes.
- Evidence supports digital workflows for implant-supported monolithic crowns in posterior sites.
Conclusions:
- Complete digital workflows are comparable to conventional methods for implant-supported crowns.
- Clinical evidence supports their use in terms of efficiency, cost, precision, and patient satisfaction.
- Further research is needed, especially for multi-unit restorations.
