Dimensional Accuracy of Intraoral Scanners in Recording Digital Impressions of Post and Core Preparations: A Systematic Review.

BACKGROUND

This study aims to perform a review by selecting, analyzing, and evaluating articles that discuss the accuracy of intraoral scanners (IOSs) in recording post space compared to conventional impression-making techniques.

METHODS

The review question framed using the PITR framework (participant, index test, targeted condition, and reference standard) is as follows: What is the dimensional accuracy (T) of impressions made using intraoral scanners (I) for post space (P) compared to impressions made using conventional techniques and digitalized using extraoral scanners (R)? Four electronic databases were searched using pre-set keywords. The guidelines and strategies recommended by PRISMA formed the basis for planning, executing, and documenting this systematic review. QUADAS-2 was used to critically analyze the quality of all the selected articles.

RESULTS

After excluding ineligible articles, the end synthesis has nine studies ( = 9) for qualitative analysis. All nine evaluated studies were found to be at risk of bias, with high or unclear risk in one or more domains. Three out of nine evaluated studies had unclear concerns regarding the applicability, and the remaining six had low concerns. In all the included studies, the IOSs were reported to have deviations in accuracy compared to the conventional techniques for making digital impressions of post space.

CONCLUSIONS

The accuracy of IOSs was found to be inversely proportional to the length of post space and directly proportional to the diameter of post space. IOSs, when used adequately in short post spaces, can be an alternative to conventional impression-making for making custom posts and cores.