Digital impression

数字印象
  • 文章类型: Journal Article
    目的:准确性是评估数字印象质量的关键因素。本系统综述旨在评估口内扫描(IOS)获得无牙颌数字印象的准确性。
    方法:本系统评价遵循系统评价和荟萃分析(PRISMA)的首选报告项目,并在国际系统评价前瞻性注册(PROSPEROID:CRD42022382983)中注册。彻底检索了7个电子数据库,包括MEDLINE(PubMed),WebofScience,EMBASE,Scopus,科克伦图书馆,虚拟健康图书馆,打开灰色,到2023年9月11日。通过追踪纳入研究的参考列表进行滚雪球搜索。人口,干预,比较,这项系统评价的结果(PICO)问题是:“口腔内扫描在获得无牙弓的数字印象方面的准确性如何?”“非随机研究的改良方法学指数(MINORS)用于评估偏倚风险。
    结果:在从数据库和手动搜索中检索到的研究中,共有25项研究入选本系统综述,包括9项体内研究和16项体外研究。纳入的研究中有21项使用了3D偏差分析方法,而4项研究采用了线性或角度偏差分析方法。体外研究的准确性结果表明,精确度范围为20-600μm,精确度范围为2-700μm。体内研究结果表明,真实范围为40-1380μm,而精度结果没有报告。
    结论:根据本研究的结果,IOS的直接数字印象不能代替体内完全无牙弓的常规印象。IOS的无极数字印象在具有活动组织的外围区域显示出较差的准确性,比如软腭,前庭沟,和舌下区域。
    Accuracy is a crucial factor when assessing the quality of digital impressions. This systematic review aims to assess the accuracy of intraoral scan (IOS) in obtaining digital impressions of edentulous jaws.
    This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was registered in the International Prospective Register of Systematic Reviews (PROSPERO ID: CRD42022382983). A thorough retrieval of 7 electronic databases was undertaken, encompassing MEDLINE (PubMed), Web of Science, EMBASE, Scopus, Cochrane Library, Virtual Health Library, and Open gray, through September 11, 2023. A snowball search was performed by tracing the reference lists of the included studies. The Population, Intervention, Comparison, and Outcome (PICO) question of this systematic review was: \"What is the accuracy of intraoral scan in obtaining digital impressions of edentulous arches?\" The Modified Methodological Index for Nonrandomized Studies (MINORS) was employed to assess the risk of bias.
    Among the studies retrieved from databases and manual search, a total of 25 studies were selected for inclusion in this systematic review, including 9 in vivo and 16 in vitro studies. Twenty-one of the included studies utilized the 3D deviation analysis method, while 4 studies employed the linear or angular deviation analysis method. The accuracy results of in vitro studies indicated a trueness range of 20-600 μm and a precision range of 2-700 μm. Results of in vivo studies indicated a trueness range of 40-1380 μm, while the precision results were not reported.
    According to the results of this study, direct digital impressions by IOS cannot replace the conventional impressions of completely edentulous arches in vivo. Edentulous digital impressions by IOS demonstrated poor accuracy in peripheral areas with mobile tissues, such as the soft palate, vestibular sulcus, and sublingual area.
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  • 文章类型: Journal Article
    这项系统评价的目的是评估使用数字编码愈合基牙(CHAs)进行的牙种植体印模的体外准确性,与使用常规技术(CI)和/或CHA组内不同角度的印模相比。两名独立审稿人在MedLine进行了系统的电子搜索,PubMed,谷歌学者,科克伦图书馆,WebofScience,和Scopus数据库。一些使用的关键术语,结合布尔运算符的帮助,是:\“数字编码的愈合基台\”,“编码愈合基台”,“牙科植入物”,“印象准确性”,“数字印象”,和“传统印象”。发布日期为2010年1月至2022年11月。共有7篇文章符合纳入标准:6项研究比较了CHA与常规拾取印模技术的准确性,一项研究仅在不同的角度和高度使用CHA来比较组内的准确性。结果分为A组(CHA的弹性印模)和B组(CHA口内扫描仪)。根据本系统综述的结果,与多种植入物的CI相比,CHA的弹性印模表现不佳,尽管CHA的口内扫描似乎更准确。在CHA组中,CHA的角度和可见高度对印模准确性起着重要作用。然而,在对所有非平行的多种植体支持修复体推荐CHA之前,还需要更多的研究.
    The aim of this systematic review was to evaluate the in vitro accuracy of dental implant impressions taken using digitally coded healing abutments (CHAs) compared with impressions taken with conventional techniques (CI) and/or within the CHA group at varying degrees of angulations for multiple implant units. Two independent reviewers conducted a systematic electronic search in the MedLine, PubMed, Google Scholar, Cochrane Library, Web of Science, and Scopus databases. Some of the employed key terms, combined with the help of Boolean operators, were: \"digitally coded healing abutments\", \"encode healing abutment\", \"dental implants\", \"impression accuracy\", \"digital impression\", and \"conventional impression\". Publication dates ranged from January 2010 to November 2022. A total of 7 articles fulfilled the inclusion criteria: 6 studies compared the accuracy of CHA with conventional pick-up impression techniques, and one study only used CHAs at different angulations and heights to compare accuracy within the group. The results were divided into Group A (elastomeric impression of CHA) and Group B (CHA + Intraoral scanner). According to the results of this systematic review, elastomeric impression of CHA performed poorly when compared to CI for multiple implants, although an intraoral scan of CHA appears to be more accurate. Within the CHA group, the angulation and visible height of CHA play a significant role in impression accuracy. However, more studies are needed before CHA can be recommended for all non-parallel multiple implant-supported restorations.
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  • 文章类型: Systematic Review
    目的:评估植入物扫描体(ISB)设计的影响(高度,直径,几何图形,材料,和保留系统)对数字植入物扫描的准确性。
    方法:在五个数据库中完成了文献检索:PubMed/Medline,Scopus,Embase,科学世界,还有Cochrane.还进行了手动搜索。包括报告ISB设计对使用IOS获得的数字扫描准确性的评估的研究。两名研究人员通过应用JoannaBriggs研究所的批判性评估独立评估了这些研究。咨询了第三位审查员,以解决任何缺乏共识的问题。文章根据ISB的高度特征进行分类,几何图形,材料,和保留系统。
    结果:包括20篇文章。在审查的研究中,11项调查分析了不同ISB几何形状的影响,1项研究评估了ISB直径的影响,4项研究调查了ISB夹板的效果,2篇文章评估了ISB高度,2项研究集中于ISB材料对扫描精度的影响。此外,8项研究涉及用不同材料制造的ISB(1-和2-片聚醚醚酮和1-片钛ISB),和所有审查过的文章测试了螺钉固定的ISB,除了3个体外研究。
    结论:研究结果未能得出关于最佳ISB设计的具体结论,IOS技术与特定的ISB设计之间是否存在关系,或最大限度地提高口内扫描准确性的临床状况。需要进行研究以确定最佳的ISB设计及其与选择用于获取口内数字植入物扫描的IOS的可能关系。
    OBJECTIVE: To evaluate the influence of implant scan body (ISB) design (height, diameter, geometry, material, and retention system) on the accuracy of digital implant scans.
    METHODS: A literature search was completed in five databases: PubMed/Medline, Scopus, Embase, World of Science, and Cochrane. A manual search was also conducted. Studies reporting the evaluation of ISB design on the accuracy of digital scans obtained by using IOSs were included. Two investigators evaluated the studies independently by applying the Joanna Briggs Institute critical appraisal. A third examiner was consulted to resolve any lack of consensus. Articles were classified based on the ISB features of height, geometry, material, and retention system.
    RESULTS: Twenty articles were included. Among the reviewed studies, 11 investigations analyzed the influence of different ISB geometries, 1 study assessed the impact of ISB diameter, 4 studies investigated the effect of ISB splinting, 2 articles evaluated ISB height, and 2 studies focused on the effect of ISB material on scan accuracy. In addition, 8 studies involved ISBs fabricated with different materials (1- and 2-piece polyetheretherketone and 1-piece titanium ISBs), and all of the reviewed articles tested screw-retained ISBs, except for 3 in vitro studies.
    CONCLUSIONS: The findings did not enable concrete conclusions regarding the optimal ISB design, whether there is a relationship between IOS technology and a specific ISB design, or the clinical condition that maximizes intraoral scanning accuracy. Research efforts are needed to identify the optimal ISB design and its possible relationship with the IOS selected for acquiring intraoral digital implant scans.
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  • 文章类型: Review
    背景:三维(3D)重建技术是一种将真实目标转换为与计算机逻辑表达式一致的数学模型的方法,并已广泛用于牙科,但是缺乏审查和总结导致信息的混乱和误解。这篇综述的目的是提供3D重建技术和牙科的第一个综合链接和科学分析,以弥合这两个学科之间的信息偏差。
    方法:IEEEXplore和PubMed数据库用于根据特定的纳入和排除标准进行严格的搜索,由GoogleAcademic作为补充工具,用于检索截至2023年2月的所有文献。我们进行了叙述性回顾,重点是3D重建技术在牙科中应用的经验发现。
    结果:我们根据其原理对应用于牙科的技术进行分类,并总结了每个类别的不同特征,以及每种技术的这些特点所决定的不同应用场景。此外,指出了它们在牙科领域的发展前景和值得研究的方向,从个体技术到三维重建技术的整体学科,分别。
    结论:研究人员和临床医生应根据不同的目标对3D重建技术的选择做出不同的决定。三维重建技术未来发展的主要趋势是技术的联合应用。
    Three-dimensional(3D) reconstruction technology is a method of transforming real goals into mathematical models consistent with computer logic expressions and has been widely used in dentistry, but the lack of review and summary leads to confusion and misinterpretation of information. The purpose of this review is to provide the first comprehensive link and scientific analysis of 3D reconstruction technology and dentistry to bridge the information bias between these two disciplines.
    The IEEE Xplore and PubMed databases were used for rigorous searches based on specific inclusion and exclusion criteria, supplemented by Google Academic as a complementary tool to retrieve all literature up to February 2023. We conducted a narrative review focusing on the empirical findings of the application of 3D reconstruction technology to dentistry.
    We classify the technologies applied to dentistry according to their principles and summarize the different characteristics of each category, as well as the different application scenarios determined by these characteristics of each technique. In addition, we indicate their development prospects and worthy research directions in the field of dentistry, from individual techniques to the overall discipline of 3D reconstruction technology, respectively.
    Researchers and clinicians should make different decisions on the choice of 3D reconstruction technology based on different objectives. The main trend in the future development of 3D reconstruction technology is the joint application of technology.
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  • 文章类型: Journal Article
    目的:为了评估准确性,扫描时间,以及用于记录牙科植入物的三维位置的摄影测量(PG)系统的患者满意度。
    方法:在5个数据库中完成了文献检索:PubMed/Medline,Scopus,Embase,科学世界,还有Cochrane.还进行了手动搜索。包括报告使用市售PG系统的研究。两名研究人员通过应用JoannaBriggs研究所的批判性评估独立评估了这些研究。咨询了第三位审查员,以解决任何缺乏共识的问题。
    结果:共包括14篇文献:体内3篇,6在体外,和6例报告手稿。一项临床研究评估了真实性,另一个测试精度,第三个评估了印象时间以及患者和操作者的满意度。所有体外研究都评估了PG系统的真实性和准确性。此外,所有审查的研究都调查了多个植入物的完全无牙状况。在所审查的临床研究中,每弓放置的植入物数量从4到8不等。而放置在参考管模上的植入物数量包括4、5、6或8个植入物。并非所有研究都将PG系统的准确性与常规印象方法进行了比较,使用IOS作为额外的实验组。对于PIC系统,精度范围为5至65μm,精度范围为10至49μm。对于iCam4D系统,精度范围为24至77μm,精度范围为2至203μm。
    结论:PG系统可能为获取植入物位置提供可靠的替代方案。然而,这个结论应该仔细解释,因为一项研究报告一个PG系统的平均精度值高于临床上可接受的差异。与常规技术相比,已报告较低的扫描时间和较高的患者\'和操作员满意度。需要进一步的研究来增加关于准确性的证据,扫描时间,以及患者和操作员对市售PG系统的满意度。本文受版权保护。保留所有权利。
    OBJECTIVE: To evaluate accuracy, scanning time, and patient satisfaction of photogrammetry (PG) systems for recording the 3D position of dental implants.
    METHODS: A literature search was completed in five databases: PubMed/Medline, Scopus, Embase, World of Science, and Cochrane. A manual search was also conducted. Studies reporting the use of commercially available PG systems were included. Two investigators evaluated the studies independently by applying the Joanna Briggs Institute critical appraisal. A third examiner was consulted to resolve any lack of consensus.
    RESULTS: A total of 14 articles were included: 3 in vivo, 6 in vitro, and 6 case report manuscripts. One clinical study evaluated trueness, another one tested precision, and the third one assessed impression time and patient and operator satisfaction. All the in vitro studies evaluated the trueness and precision of a PG system. Additionally, all the reviewed studies investigated completely edentulous conditions with multiple implants. The number of placed implants per arch among the reviewed clinical studies varied from 4 to 8 implants, while the number of implants placed on the reference casts included 4, 5, 6, or 8 implants. Not all the studies compared the accuracy of PG systems with conventional impression methods, using intraoral scanners as additional experimental groups. For the PIC system, trueness ranged from 10 to 49 μm and precision ranged from 5 to 65 μm. For the iCam4D system, trueness ranged from 24 to 77 μm and the precision value ranged from 2 to 203 μm.
    CONCLUSIONS: PG systems may provide a reliable alternative for acquiring the 3D position of dental implants. However, this conclusion should be interpreted carefully, as one study reported a mean precision value of one PG system higher than the clinically acceptable discrepancy. Lower scanning time and higher patient and operator satisfaction have been reported when compared with conventional techniques. Further studies are needed to increase the evidence regarding the accuracy, scanning time, and patient and operator satisfaction of the commercially available PG systems.
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  • 文章类型: Journal Article
    本系统综述旨在调查准确性,再现性,扫描时间,患者舒适度,以及正畸中各种市售口腔内扫描仪(IOS)的操作员经验。
    在PubMed中对文献进行了详尽而广泛的搜索,Scopus,谷歌学者,Embase,WebofScience,CochraneCentral数据库使用各种相关关键字进行。
    从所有数据库中总共获得了3256篇文章,共纳入35项研究。与传统印模技术相比,IOS的准确性存在争议。数字扫描显示出令人满意的再现性,更短的扫描时间,与传统技术相比,提高了患者的舒适度。
    IOS具有时效性,为患者舒适,并且易于使用,具有操作员的学习曲线。这些方法对于正畸中的治疗计划和矫正器制造足够准确。
    UNASSIGNED: This systematic review aimed to investigate the accuracy, reproducibility, scanning time, patient comfort, and operator experience of various commercially available intraoral scanners (IOS) in orthodontics.
    UNASSIGNED: An elaborate and extensive search of literature in the PubMed, Scopus, Google Scholar, Embase, Web of Science, and Cochrane Central databases was performed using various relevant keywords.
    UNASSIGNED: A total of 3256 articles were obtained from all the databases, 35 studies were included. The accuracy of IOS was controversial compared to that of conventional impression techniques. Digital scanning demonstrated satisfactory to excellent reproducibility, shorter scanning time, and improved patient comfort compared with conventional techniques.
    UNASSIGNED: IOS are time-efficient, comfortable for patients, and simple to use with a learning curve for the operator. These methods are sufficiently accurate for treatment planning and aligner fabrication in orthodontics.
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  • 文章类型: Journal Article
    除了获得3D数字牙科模型的公认价值外,口内扫描仪(IOSs)最近被证明是口腔健康诊断的有前途的工具.在这项工作中,回顾了有关IOSs的最新文献,重点介绍了它们作为口腔疾病检测系统的应用。IOS在口腔健康诊断检测系统一般领域的应用(例如,龋齿,牙齿磨损,牙周病,口腔癌)被包括在内,虽然不包括那些主要专注于种植的3D牙齿模型重建的工作,正畸学,或者口腔修复术.三大科学数据库,即Scopus,PubMed,和WebofScience,由三名独立审稿人进行了搜索和探索。通过考虑IOS的类型和技术特征,对研究进行了综合和分析。研究目标,以及具体的诊断应用。从二十五项纳入研究的综合来看,重点介绍了IOS技术应用的主要诊断领域,从牙齿磨损和龋齿的检测到斑块的诊断,牙周缺损,和其他并发症。这显示了如何通过将IOS技术与其他射线照相技术相结合来获得额外的诊断信息。尽管取得了一些有希望的结果,关于使用IOSs作为口腔健康探针的临床证据仍然有限,需要进一步努力来验证IOS相对于传统工具的诊断潜力。
    In addition to their recognized value for obtaining 3D digital dental models, intraoral scanners (IOSs) have recently been proven to be promising tools for oral health diagnostics. In this work, the most recent literature on IOSs was reviewed with a focus on their applications as detection systems of oral cavity pathologies. Those applications of IOSs falling in the general area of detection systems for oral health diagnostics (e.g., caries, dental wear, periodontal diseases, oral cancer) were included, while excluding those works mainly focused on 3D dental model reconstruction for implantology, orthodontics, or prosthodontics. Three major scientific databases, namely Scopus, PubMed, and Web of Science, were searched and explored by three independent reviewers. The synthesis and analysis of the studies was carried out by considering the type and technical features of the IOS, the study objectives, and the specific diagnostic applications. From the synthesis of the twenty-five included studies, the main diagnostic fields where IOS technology applies were highlighted, ranging from the detection of tooth wear and caries to the diagnosis of plaques, periodontal defects, and other complications. This shows how additional diagnostic information can be obtained by combining the IOS technology with other radiographic techniques. Despite some promising results, the clinical evidence regarding the use of IOSs as oral health probes is still limited, and further efforts are needed to validate the diagnostic potential of IOSs over conventional tools.
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  • 文章类型: Journal Article
    目的:比较常规和数字工作流程在使用植入物支持的修复体修复的部分缺牙病例中的准确性。
    方法:在PubMed数据库中进行电子搜索,Scopus,网络科学,并进行了CENTRAL以识别相关出版物,比较使用植入物支撑假体修复的部分缺牙病例中的数字和常规工作流程。
    结果:18篇文献纳入系统综述。其中十项研究是在体外进行的,八个是临床的。样品大小从20到100变化很大。在三项研究中,对三个植入物进行了调查,然而,在所有其他情况下,在两个植入物上评估准确性。所选研究方法的实质性异质性是显而易见的,这阻止了对准确性结果的总结。
    结论:与传统方法相比,数字印象在准确性方面显示出相似的结果。对于可容忍的不适合,缺乏统一的标准,这阻碍了将体外结果转移到临床情况的能力。需要一种标准化的方法来评估印象和工作流程的准确性,以便能够对不同研究的结果进行系统化和分析。
    To compare conventional and digital workflows in terms of accuracy in partially edentulous cases restored with implant-supported restorations.
    An electronic search in the databases PubMed, Scopus, Web Of Science, and CENTRAL was conducted to identify relevant publications, comparing digital and conventional workflows in partially edentulous cases restored with implant-supported prostheses.
    18 articles were included in the systematic review. Ten of the studies were in-vitro, and eight were clinical. Sample sizes varied considerably from 20 to 100. In three studies, three implants were investigated, whereas, in all other instances, accuracy was evaluated on two implants. Substantial heterogeneity in the methodology of the selected studies is evident, which prevents summarising the accuracy outcomes.
    Digital impressions showed similar results in terms of accuracy compared to the conventional approach. There is a lack of uniform criteria for the tolerable misfit, which hampers the ability to transfer in-vitro results to clinical situations. A need for a standardised approach in the evaluation of impression and workflow accuracy is warranted to enable the systematisation and analysis of results from different studies.
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  • 文章类型: Meta-Analysis
    在当今时代,人们对数字牙科的兴趣越来越大,关于数字印模是否提供与制造单个单元陶瓷牙冠的常规印模类似的精度,已发表的文献仍然令人困惑。这项研究的目的是系统地回顾体内研究,比较边缘,轴向,数字印模后制造的单单元陶瓷牙冠与常规印模后制造的牙冠的咬合配合。PubMed,Scopus,并在Cochrane在线数据库中搜索了数字印模技术与单单元陶瓷冠的常规技术的比较研究。数据提取是在出版当年完成的,研究类型,国家,患者数量,印模系统(口内扫描仪[IOS]或常规印模),边际拟合,轴向配合,和咬合配合。纳入了10项研究,用于关于边际拟合差异的荟萃分析,轴向配合,和咬合配合。数字印象被证明比传统印象更好。边际拟合的平均差为6.54μm(异质性P<0.00001,I2=93%),对于轴向拟合24.69μm(异质性P=0.34,I2=11%),对于咬合拟合6.99μm(异质性P=0.03,I2=59%)。荟萃分析的结果表明,印模系统之间没有显着差异(略微有利于数字印模)。与传统的印模技术相比,数字印模技术可提供更好的单单元陶瓷牙冠边缘和内部配合。使用IOS的数字工作流程为单个单元冠提供了临床上可接受的边际拟合。
    In the present era when interest in digital dentistry is increasing, the published literature is still confusing about whether digital impression provides similar accuracy as provided by a conventional impression for the fabrication of a single-unit ceramic crown. The aim of the study was to systematically review the in vivo studies comparing marginal, axial, and occlusal fit of single-unit ceramic crowns fabricated after digital impressions with the ones fabricated after conventional impressions. The PubMed, Scopus, and Cochrane online databases were searched for studies comparing the digital impression technique with the conventional technique for single-unit ceramic crowns. Data extraction was done for the year of publication, type of study, country, number of patients, impression system (intraoral scanner [IOS] or conventional impression), marginal fit, axial fit, and occlusal fit. Ten studies were included for meta-analysis regarding the discrepancy in marginal fit, axial fit, and occlusal fit. The digital impression proved to be better than the conventional impression. The mean difference for marginal fit was 6.54 μm (heterogeneity P < 0.00001, I2 = 93%), for axial fit 24.69 μm (heterogeneity P = 0.34, I2 = 11%), and for occlusal fit 6.99 μm (heterogeneity P = 0.03, I2 = 59%). The results of meta-analyses suggest that there is no significant difference between the impression systems (marginally favoring digital impression). The digital impression technique provided better marginal and internal fit of single-unit ceramic crowns than the conventional impression technique. The digital workflow using IOS provided a clinically acceptable marginal fit for single-unit crowns.
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  • 文章类型: Journal Article
    目的:评估和比较通过常规和数字方法制造的二硅酸锂冠和嵌体的边缘和内部配合的准确性。
    方法:在MEDLINE上进行了电子搜索,Embase,2010年至2021年之间的WebofScience和Cochrane图书馆。
    方法:纳入了2014年至2021年发表的17项研究,其中13项是基于体外实验室的研究;三项是体内临床研究和一项随机对照试验。
    方法:12项研究集中在边缘拟合上,五个侧重于边缘和内部配合。五项研究发现,使用数字技术,牙冠的边缘和内部拟合更准确。五项研究指出,使用这两种技术都没有差异,两项研究指出,传统方法具有更准确的边际拟合。
    结论:数字技术在准确性方面与常规方法相当,尽管没有足够的证据表明一种技术在二硅酸锂修复方面比另一种技术更准确。
    结论:与传统印模技术相比,使用二硅酸锂修复修复牙齿时,数字印模是临床医生可靠和可行的替代方法。
    OBJECTIVE: To assess and compare the accuracy of the marginal and internal fit of lithium disilicate crowns and onlays fabricated by conventional and digital methods.
    METHODS: An electronic search was carried out on MEDLINE, Embase, Web of Science and Cochrane Library between 2010 and 2021.
    METHODS: Seventeen studies published between 2014 & 2021 were included, of which thirteen were in vitro laboratory-based studies; three were in vivo clinical studies and one randomised controlled trial.
    METHODS: Twelve studies focused on the marginal fit, five focused on the marginal and internal fit. Five studies found that the marginal and internal fit of crowns were more accurate using digital techniques. Five studies noted that there was no difference using either technique and two noted that conventional methods had a more accurate marginal fit.
    CONCLUSIONS: Digital techniques were comparable to conventional methods in terms of accuracy although there was insufficient evidence to indicate that one technique was more accurate than the other with respect to Lithium Disilicate restorations.
    CONCLUSIONS: Digital impressions are reliable and viable alternatives for clinicians compared to conventional impression techniques when restoring teeth with lithium disilicate restorations.
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