Assessment Methods for Marginal and Internal Fit of Partial Crown Restorations: A Systematic Review

  • Adolfo Di Fiore
    Department of Neuroscience, Section of Prosthetic and Digital Dentistry, University of Padova, 35122 Padova, Italy
  • Andrea Zuccon
    Department of Neuroscience, Section of Prosthetic and Digital Dentistry, University of Padova, 35122 Padova, Italy
  • Filippo Carraro
    Department of Neuroscience, Section of Prosthetic and Digital Dentistry, University of Padova, 35122 Padova, Italy
  • Michele Basilicata
    Department of Systems Medicine, University of Rome Tor Vergata, 00133 Roma, Italy
  • Patrizio Bollero
    Department of Systems Medicine, University of Rome Tor Vergata, 00133 Roma, Italy
  • Giovanni Bruno
    Department of Neuroscience, Section of Prosthetic and Digital Dentistry, University of Padova, 35122 Padova, Italy
  • Edoardo Stellini
    Department of Neuroscience, Section of Prosthetic and Digital Dentistry, University of Padova, 35122 Padova, Italy

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<jats:p>Background: Different methods are used for the analysis of marginal and internal fit of partial crowns, but not all of them are applicable for in vivo studies. The aim of this review is to search the available methods, described in the current literature, to assess marginal and internal fit in partial crowns. Methods: an electronic search was performed on Pubmed and Web of Science databases to find studies published from 1 January 2017 up to 2 March 2023, following PRISMA guidelines and Cochrane handbook for systematic reviews. The search strategy applied was: “(marginal) AND (fit OR gap OR adaptation OR discrepancy) AND (inlay OR onlay OR partial crown)”. In vitro studies which evaluated marginal and internal fit on CAD CAM or 3D printed partial crowns were included in this review. Quality of the studies was assessed by using Quality Assessment Tool For In Vitro Studies (QUIN tool). Results: 22 studies were included. Among conventional methods, direct view with microscope, indirect view on resin replicas, and silicone replica technique (SRT) were used. Considering new digital methods, micro-CT, SRT 3D and triple scan technique (TST) were applied. Conclusions: Among 2D methods, direct view technique is the most used marginal fit analysis. For a more comprehensive evaluation, a 3D digital analysis is suggested. SRT and indirect view are the only 2D methods available for in vivo analysis. A protocol for the application of TST for assessment in vivo is now available, but no studies are reported in literature yet.</jats:p>

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