Marginal Accuracy of Lithium Disilicate Full-Coverage Single Crowns Made by Direct and Indirect Digital or Conventional Workflows: A Systematic Review and Meta-Analysis

Abstract

PURPOSE: Several studies have compared digital intraoral scanners and conventional impressions. The accuracy of these two methods in terms of marginal accuracy of lithium disilicate crowns is not well-established, yet. The purpose of this study was to systematically review available publications on marginal fit of single-unit, full-coverage, tooth-supported lithium disilicate restorations. METHODS: Pubmed, Web of Science, Cochrane, EMBASE, and Scopus were electronically searched along with a manual search. After critical appraisal, data from selected studies were extracted and mean marginal difference with a 95 confidence interval was calculated. Meta-analysis of the collected data was conducted using STATA software. RESULTS: The meta-analysis revealed similar marginal gap values in intraoral scanners with conventional groups (p>0.05) and in intraoral scanners with extraoral canners (p>0.05). CONCLUSION: No significant difference was seen between digital and conventional impressions or intra- and extraoral scanners for marginal accuracy of lithium disilicate crowns.