Abstract

Background: Scientific information about the effects of implant therapy following a precise workflow and patient and operators’ preferences should be considered to choose which implant treatment protocol to use, and to achieve patient’s satisfaction and functional results. The aim of this study was to analyze implant rehabilitations with a fully digital workflow and compare this approach with a conventional one. Methods: This study comprises 64 patients treated with a fully digital approach and 58 patients treated using a conventional protocol. Patient and operator centered outcomes were assessed through two visual analogue scale (VAS) questionnaires. Results: The VAS questionnaire demonstrated better results for the digital workflow concerning anxiety, convenience, taste, nausea sensation, pain and breathing difficulties (p < 0.0001). The VAS questionnaire administered to the operators showed better scores for the digital approach in relation to anxiety, convenience, difficulties of the impression procedure and the workflow (p < 0.0001). A significant reduced mean time for the digital workflow as well as a reduced number of required visits were recorded. Conclusion: The analysis of a fully digital and a conventional protocol showed better results according to patient and operators’ preferences when a fully digital approach was used.

Highlights

  • Dentistry has changed significantly thanks to the introduction of new digital technologies and materials such as computer-aided design and computer-aided manufacturing (CAD/CAM), laser-sintering/melting and 3D printing in the daily clinical practice [1]

  • There is some variability in impressions and the resulting master casts, depending on the technique and material used by the operator [8]

  • De Angelis et al reported that monolithic lithium disilicate and zirconia screw-retained single crowns fabricated using CAD/CAM and a fully digital workflow proved to be reliable and valuable clinical options for the implant-supported restoration of a posterior missing tooth [20]

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Summary

Introduction

Dentistry has changed significantly thanks to the introduction of new digital technologies and materials such as computer-aided design and computer-aided manufacturing (CAD/CAM), laser-sintering/melting and 3D printing in the daily clinical practice [1]. Patient- and operator-centered outcomes concerning implant treatment protocols are rare and mostly focused on the patient’s satisfaction with the functional results obtained at the end of the treatment [6]. Scientific information about the effects of an implant therapy following a precise workflow as well as patient and operators’ preferences should be considered to choose adequately which protocol to use. Scientific information about the effects of implant therapy following a precise workflow and patient and operators’ preferences should be considered to choose which implant treatment protocol to use, and to achieve patient’s satisfaction and functional results. The aim of this study was to analyze implant rehabilitations with a fully digital workflow and compare this approach with a conventional one. Methods: This study comprises 64 patients treated with a fully digital approach and 58 patients treated using a conventional protocol. Patient and operator centered outcomes were assessed through two visual analogue scale (VAS) questionnaires

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