The flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysis
Abstract Background Three-dimensional (3D) printing technology has revolutionized dentistry, particularly in fabricating provisional restorations. This systematic review and meta-analysis aimed to thoroughly evaluate the flexural strength of provisional restorations produced using 3D printing while...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-01-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-023-03826-x |
| _version_ | 1797355428440440832 |
|---|---|
| author | Ravinder S. Saini Vishwanath Gurumurthy Syed Altafuddin Quadri Shashit Shetty Bavabeedu Khalid M. Abdelaziz Abdulmajeed Okshah Abdulkhaliq Ali F. Alshadidi Lazar Yessayan Seyed Ali Mosaddad Artak Heboyan |
| author_facet | Ravinder S. Saini Vishwanath Gurumurthy Syed Altafuddin Quadri Shashit Shetty Bavabeedu Khalid M. Abdelaziz Abdulmajeed Okshah Abdulkhaliq Ali F. Alshadidi Lazar Yessayan Seyed Ali Mosaddad Artak Heboyan |
| author_sort | Ravinder S. Saini |
| collection | DOAJ |
| description | Abstract Background Three-dimensional (3D) printing technology has revolutionized dentistry, particularly in fabricating provisional restorations. This systematic review and meta-analysis aimed to thoroughly evaluate the flexural strength of provisional restorations produced using 3D printing while considering the impact of different resin materials. Methods A systematic search was conducted across major databases (ScienceDirect, PubMed, Web of Sciences, Google Scholar, and Scopus) to identify relevant studies published to date. The inclusion criteria included studies evaluating the flexural strength of 3D-printed provisional restorations using different resins. Data extraction and quality assessment were performed using the CONSORT scale, and a meta-analysis was conducted using RevMan 5.4 to pool results. Results Of the 1914 initially identified research articles, only 13, published between January 2016 and November 2023, were included after screening. Notably, Digital Light Processing (DLP) has emerged as the predominant 3D printing technique, while stereolithography (SLA), Fused Deposition Modeling (FDM), and mono-liquid crystal displays (LCD) have also been recognized. Various printed resins have been utilized in different techniques, including acrylic, composite resins, and methacrylate oligomer-based materials. Regarding flexural strength, polymerization played a pivotal role for resins used in 3D or conventional/milled resins, revealing significant variations in the study. For instance, SLA-3D and DLP Acrylate photopolymers displayed distinct strengths, along with DLP bisacrylic, milled PMMA, and conventional PMMA. The subsequent meta-analysis indicated a significant difference in flexure strength, with a pooled Mean Difference (MD) of − 1.25 (95% CI − 16.98 - 14.47; P < 0.00001) and a high I 2 value of 99%, highlighting substantial heterogeneity among the studies. Conclusions This study provides a comprehensive overview of the flexural strength of 3D-printed provisional restorations fabricated using different resins. However, further research is recommended to explore additional factors influencing flexural strength and refine the recommendations for enhancing the performance of 3D-printed provisional restorations in clinical applications. |
| first_indexed | 2024-03-08T14:12:02Z |
| format | Article |
| id | doaj.art-4d99bdc18693430eab3e70df844ae479 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-08T14:12:02Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-4d99bdc18693430eab3e70df844ae4792024-01-14T12:40:56ZengBMCBMC Oral Health1472-68312024-01-0124111510.1186/s12903-023-03826-xThe flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysisRavinder S. Saini0Vishwanath Gurumurthy1Syed Altafuddin Quadri2Shashit Shetty Bavabeedu3Khalid M. Abdelaziz4Abdulmajeed Okshah5Abdulkhaliq Ali F. Alshadidi6Lazar Yessayan7Seyed Ali Mosaddad8Artak Heboyan9Department of Dental Technology, COAMS, King Khalid UniversityDepartment of Dental Technology, COAMS, King Khalid UniversityDepartment of Dental Technology, COAMS, King Khalid UniversityDepartment of Restorative Dental Sciences, College of Dentistry, King Khalid UniversityDepartment of Restorative Dental Sciences, College of Dentistry, King Khalid UniversityDepartment of Dental Technology, COAMS, King Khalid UniversityDepartment of Dental Technology, COAMS, King Khalid UniversityDepartment of Therapeutic Stomatology, Faculty of Stomatology, Yerevan State Medical University after Mkhitar HeratsiStudent Research Committee, School of Dentistry, Shiraz University of Medical SciencesDepartment of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar HeratsiAbstract Background Three-dimensional (3D) printing technology has revolutionized dentistry, particularly in fabricating provisional restorations. This systematic review and meta-analysis aimed to thoroughly evaluate the flexural strength of provisional restorations produced using 3D printing while considering the impact of different resin materials. Methods A systematic search was conducted across major databases (ScienceDirect, PubMed, Web of Sciences, Google Scholar, and Scopus) to identify relevant studies published to date. The inclusion criteria included studies evaluating the flexural strength of 3D-printed provisional restorations using different resins. Data extraction and quality assessment were performed using the CONSORT scale, and a meta-analysis was conducted using RevMan 5.4 to pool results. Results Of the 1914 initially identified research articles, only 13, published between January 2016 and November 2023, were included after screening. Notably, Digital Light Processing (DLP) has emerged as the predominant 3D printing technique, while stereolithography (SLA), Fused Deposition Modeling (FDM), and mono-liquid crystal displays (LCD) have also been recognized. Various printed resins have been utilized in different techniques, including acrylic, composite resins, and methacrylate oligomer-based materials. Regarding flexural strength, polymerization played a pivotal role for resins used in 3D or conventional/milled resins, revealing significant variations in the study. For instance, SLA-3D and DLP Acrylate photopolymers displayed distinct strengths, along with DLP bisacrylic, milled PMMA, and conventional PMMA. The subsequent meta-analysis indicated a significant difference in flexure strength, with a pooled Mean Difference (MD) of − 1.25 (95% CI − 16.98 - 14.47; P < 0.00001) and a high I 2 value of 99%, highlighting substantial heterogeneity among the studies. Conclusions This study provides a comprehensive overview of the flexural strength of 3D-printed provisional restorations fabricated using different resins. However, further research is recommended to explore additional factors influencing flexural strength and refine the recommendations for enhancing the performance of 3D-printed provisional restorations in clinical applications.https://doi.org/10.1186/s12903-023-03826-x3-dimensional printing; dental materialsFlexural strengthTemporary dental restorations |
| spellingShingle | Ravinder S. Saini Vishwanath Gurumurthy Syed Altafuddin Quadri Shashit Shetty Bavabeedu Khalid M. Abdelaziz Abdulmajeed Okshah Abdulkhaliq Ali F. Alshadidi Lazar Yessayan Seyed Ali Mosaddad Artak Heboyan The flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysis BMC Oral Health 3-dimensional printing; dental materials Flexural strength Temporary dental restorations |
| title | The flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysis |
| title_full | The flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysis |
| title_fullStr | The flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysis |
| title_full_unstemmed | The flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysis |
| title_short | The flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysis |
| title_sort | flexural strength of 3d printed provisional restorations fabricated with different resins a systematic review and meta analysis |
| topic | 3-dimensional printing; dental materials Flexural strength Temporary dental restorations |
| url | https://doi.org/10.1186/s12903-023-03826-x |
| work_keys_str_mv | AT ravinderssaini theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT vishwanathgurumurthy theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT syedaltafuddinquadri theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT shashitshettybavabeedu theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT khalidmabdelaziz theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT abdulmajeedokshah theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT abdulkhaliqalifalshadidi theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT lazaryessayan theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT seyedalimosaddad theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT artakheboyan theflexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT ravinderssaini flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT vishwanathgurumurthy flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT syedaltafuddinquadri flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT shashitshettybavabeedu flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT khalidmabdelaziz flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT abdulmajeedokshah flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT abdulkhaliqalifalshadidi flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT lazaryessayan flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT seyedalimosaddad flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis AT artakheboyan flexuralstrengthof3dprintedprovisionalrestorationsfabricatedwithdifferentresinsasystematicreviewandmetaanalysis |