Biomaterial Database

Marginal and internal fit of porcelain laminate veneers: A systematic review and meta-analysis. 2024

Mirza Rustum Baig, and Sayed Saad Bin Qasim, and Jagan Kumar Baskaradoss

Associate Professor, Department of Restorative Sciences (Prosthodontics), Faculty of Dentistry, Kuwait University, Kuwait City, Kuwait. Electronic address: mirza.baig@ku.edu.kw.

BACKGROUND Marginal integrity and internal adaptation are key to the long-term success of porcelain laminate veneers. Evidence for their marginal and internal fit is unclear, and the factors affecting such fit have not been identified. OBJECTIVE The purpose of this systematic review and meta-analysis was to summarize the scientific literature assessing the effects of various parameters on the marginal and internal fit of porcelain laminate veneers. METHODS An electronic search was conducted to identify all relevant published articles on the fit accuracy of ceramic veneers between January 2000 and June 2021 in the PubMed-MEDLINE, Scopus, Embase, Google Scholar, and Web of Science databases. Information, including the study outcomes, in terms of the mean marginal gap, internal gap, and absolute marginal discrepancies of porcelain laminate veneers, was extracted from the selected studies. The inverse-variance random effects model was used to analyze the pooled results and estimate the overall effect based on the heterogeneity of studies (α=.05). RESULTS Twenty-one studies were selected for analysis, 2 clinical and 19 in vitro. The risk of bias was "medium" for most studies (19 of 21), and only 2 studies were classified as "high risk." A mean difference of -4.53 μm (95% CI: -21.46 to 12.41) was found, with no statistically significant difference in marginal gap between the pressed and milled fabrication modes (P=.600). As for the internal gap, significant differences were found (mean difference=-40.56 μm; 95% CI: -76.54 to -4.58), with pressed veneers performing better (P=.030). Butt joint preparation design produced significantly (P=.002) lower marginal gaps than the palatal chamfer (mean difference=-14.02 μm; 95% CI: -23.07 to -4.98). CONCLUSIONS No significant differences were found between the pressed and milled porcelain laminate veneers for marginal gap, but for the internal gap, the differences were significantly in favor of the pressed type. The butt joint veneer preparation design was significantly better than the palatal chamfer design in terms of marginal fit.

UI	MeSH Term	Description	Entries
D002516	Ceramics	Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed)	Ceramic
D003776	Dental Porcelain	A type of porcelain used in dental restorations, either jacket crowns or inlays, artificial teeth, or metal-ceramic crowns. It is essentially a mixture of particles of feldspar and quartz, the feldspar melting first and providing a glass matrix for the quartz. Dental porcelain is produced by mixing ceramic powder (a mixture of quartz, kaolin, pigments, opacifiers, a suitable flux, and other substances) with distilled water. (From Jablonski's Dictionary of Dentistry, 1992)	Porcelain,Porcelain, Dental,Dental Porcelains,Porcelains,Porcelains, Dental
D003801	Dental Veneers	The use of a layer of tooth-colored material, usually porcelain or acrylic resin, applied to the surface of natural teeth, crowns, or pontics by fusion, cementation, or mechanical retention.	Dental Laminates,Dental Laminate,Dental Veneer,Laminate, Dental,Laminates, Dental,Veneer, Dental,Veneers, Dental
D017076	Computer-Aided Design	The use of computers for designing and/or manufacturing of anything, including drugs, surgical procedures, orthotics, and prosthetics.	CAD-CAM,Computer-Aided Manufacturing,Computer-Assisted Design,Computer-Assisted Manufacturing,Computer Aided Design,Computer Aided Manufacturing,Computer Assisted Design,Computer Assisted Manufacturing,Computer-Aided Designs,Computer-Assisted Designs,Design, Computer-Aided,Design, Computer-Assisted,Designs, Computer-Aided,Designs, Computer-Assisted,Manufacturing, Computer-Aided,Manufacturing, Computer-Assisted
D018772	Dental Marginal Adaptation	The degree of approximation or fit of filling material or dental prosthetic to the tooth surface. A close marginal adaptation and seal at the interface is important for successful dental restorations.	Adaptation, Marginal, Dental,Marginal Adaptation, Dental,Dental Internal Adaptation,Dental Internal Fit,Adaptation, Dental Internal,Adaptation, Dental Marginal,Adaptations, Dental Internal,Adaptations, Dental Marginal,Dental Internal Adaptations,Dental Internal Fits,Dental Marginal Adaptations,Fit, Dental Internal,Fits, Dental Internal,Internal Adaptation, Dental,Internal Adaptations, Dental,Internal Fit, Dental,Internal Fits, Dental,Marginal Adaptations, Dental