title: Digital versus conventional impressions for fixed prosthodontics: A systematic review and meta-analysis.
abstract: BACKGROUND
  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.
  
  
  OBJECTIVE
  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.
  
  
  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.
authors.affiliation: Assistant Professor, Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY. Electronic address: kchochlidakis@URMC.Rochester.edu.
authors.forename: Konstantinos M
authors.initials: KM
authors.lastname: Chochlidakis
authors.affiliation: Assistant Professor, Division of Postgraduate Prosthodontics, Tufts University School of Dental Medicine, Boston, Mass.
authors.forename: Panos
authors.initials: P
authors.lastname: Papaspyridakos
authors.affiliation: Private practice, Rochester, NY.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Geminiani
authors.affiliation: Instructor, Department of Dentistry, Chi Mei Medical Center, Tainan, Taiwan.
authors.forename: Chun-Jung
authors.initials: CJ
authors.lastname: Chen
authors.affiliation: Assistant Research Fellow, Department of Medical Research, Chi Mei Medical Center, Tainan, Taiwan.
authors.forename: I Jung
authors.initials: IJ
authors.lastname: Feng
authors.affiliation: Professor, Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY.
authors.forename: Carlo
authors.initials: C
authors.lastname: Ercoli
mesh_terms: D017076:Computer-Aided Design; D003761:Dental Impression Technique; D018772:Dental Marginal Adaptation; D017266:Dental Prosthesis; D003793:Dental Restoration, Permanent; D006801:Humans; D011476:Prosthodontics