Evidence map›Paper›PMID 38664749›Full record

Trial reportBMC oral health2024

A comparative study of the use of digital technology in the anterior smile experience.

Jiayi Liu, Maihepireti Maihemaiti, Lijuan Ren, Mierzhati Maimaiti, Nan Yang, Yuan Wang, Minxiang Wang, Xiaoping Wang, Yating Fu, Zhenhua Wang

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Achieving Functional and Aesthetic Harmony Through a Fully Digital Workflow for Lateral Agenesis Rehabilitation: A 12-Month Follow-Up.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Jiayi Liu *Prosthodontics Department of Urumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China.
Maihepireti Maihemaiti *Urumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China.
Lijuan RenProsthodontics Department of Urumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China.
Mierzhati MaimaitiXinjiang Key Laboratory of Traditional Chinese Medicine Ethnic Medicine, Pharmaceutical Common Key Technology Research, Urumqi, 830011, Xinjiang, China.
Nan YangProsthodontics Department of Urumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China.
Yuan WangProsthodontics Department of Urumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China.
Minxiang WangProsthodontics Department of Urumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China.
Xiaoping WangProsthodontics Department of Urumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China.
Yating FuUrumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China. 409506666@qq.com.
Zhenhua WangProsthodontics Department of Urumqi Stomatological Hospital, Urumqi, 830002, Xinjiang, China. 670952885@qq.com.
Urumqi General Hospital of PLA · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesthis study aims to compare the clinical outcomes of traditional and digital crown extension guides in the aesthetic restoration of anterior teeth. Additionally, the study will analyze the differences in the results of various digital crown extension guides in anterior aesthetic restorations.

methodsSixty-two patients who required aesthetic restoration of their anterior teeth were selected for this study. The patients had a total of 230 anterior teeth and were randomly divided into three groups: a control group of 22 cases who received diagnostic wax-up with pressure film, an experimental group 1 of 20 cases who received 3D printed digital models with pressure film, and an experimental group 2 of 20 patients who received digital dual-positioning guides. The control group had a total of 84 anterior teeth, experimental group 1 had 72 anterior teeth, and experimental group 2 had 74 anterior teeth. The study compared three methods for fabricating crown extension guides: the control group used the diagnostic wax-up plus compression film method, while experimental group 1 used compression film on 3D printed models and experimental group 2 used 3D printed digital dual-positioning crown extension guides. After the crown lengthening surgery, the control group patients wore DMG resin temporary crown material for gingival contouring, while the experimental group patients wore 3D printed resin temporary crowns for the same purpose. The patients were followed up in the outpatient clinic after wearing temporary crowns for 1 month, 3 months, and 6 months, respectively. The clinical results were evaluated in terms of marginal fit, red aesthetic index, and white aesthetic index.

resultsBased on the statistical analysis, the experimental group required significantly fewer follow-up visits and less time for guide design and fabrication compared to the control group. Additionally, the surgical time for the experimental group was significantly shorter than that of the control group. During the postoperative period between the 1st and 3rd month, the PES index scores for the marginal gingival level, proximal, and distal mesiodistal gingival papillae of the experimental group showed a trend of superiority over those of the control group. By the 6th month, the marginal gingival level exhibited a significant difference between the experimental and control groups. The experimental group demonstrated superior results to the control group in terms of shape, contour, and volume of the teeth, color, surface texture, and transparency of the restorations, and features during the 1st and 3rd postoperative months. In the 6th month, the comparative results indicated that the experimental group continued to exhibit superior outcomes to the control group in terms of the shape, color, surface texture, and transparency of the restorations, as well as the characteristics of the teeth. Additionally, the experimental group demonstrated significantly fewer gingival alterations than the control group at 1 month, 3 months, and 6 months post-procedure, with this difference being statistically significant. Furthermore, the combination of 3D printing technology and restorative techniques was utilized, resulting in consistent patient satisfaction.

conclusionDigitalisation plays an important role in anterior aesthetic restorations. The use of digital technology to manage the entire process of anterior cosmetic restorations can improve restorative results, reduce the number of follow-up appointments, shorten consultation time, and achieve better patient satisfaction.

Indexed as

CrownsEsthetics, DentalSmilingAdultComputer-Aided DesignCrown LengtheningDental Prosthesis DesignDigital TechnologyFemaleHumansIncisorMaleMiddle AgedPrinting, Three-DimensionalYoung Adult3D printingCrown lengtheningDigital dual positioning guidesDigital smile design (DSD)Gingivoplasty

Identifiers

PMID38664749
PMCPMC11046787
OpenAlexW4395467325

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.