Aim: This systematic review and meta-analysis were conducted to assess and compare the accuracy of conventional and digital implant impressions. The review was registered on the PROSPERO register (registration number: CRD42016050730). Material and Methods:A systematic literature search was conducted adhering to PRISMA guidelines to identify studies on implant impressions published between 2012 and 2017. Experimental and clinical studies at all levels of evidence published in peer-reviewed journals were included, excluding expert opinions. Data extraction was performed along defined parameters for studied specimens, digital and conventional impression specifications and outcome assessment. Results: Seventy-nine studies were included for the systematic review, thereof 77 experimental studies, one RCT and one retrospective study. The study setting was in vitro for most of the included studies (75 studies) and in vivo for four studies. Accuracy of conventional impressions was examined in 59 studies, whereas digital impressions were examined in 11 studies. Nine studies compared the accuracy of conventional and digital implant impressions. Reported measurements for the accuracy include the following: (a) linear and angular deviations between reference models and test models fabricated with each impression technique; (b) threedimensional deviations between impression posts and scan bodies respectively; and (c) fit of implant-supported frameworks, assessed by measuring marginal discrepancy along implant abutments.) Meta-analysis was performed of 62 studies. The results of conventional and digital implant impressions exhibited high values for heterogeneity. Conclusions: The available data for accuracy of digital and conventional implant impressions have a low evidence level and do not include sufficient data on in vivo application to derive clinical recommendations. K E Y W O R D S computer-aided design, digital implant impressions, implant impressions, intraoral scanningThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Diagnosis of root fractures is generally based on clinical and radiographic presentations. This case report aims to detect horizontal/oblique root fractures in posterior teeth using a combination of conventional radiographs and cone-beam computed tomography (CBCT). Three maxillary first molars with horizontal/oblique root fractures in the palatal roots are presented. More detailed information on root fractures can be obtained using CBCT compared with conventional radiography. As such, CBCT might be a useful complementary diagnostic method to conventional radiography in cases of suspected horizontal/oblique root fractures.

AimThe purpose of the study is to compare the labial frenectomy between the laser surgery (erbium yttrium aluminum garnet and neodymium-doped yttrium aluminum garnet (Er:YAG and Nd:YAG)) and the scalpel method.MethodsThe trial was a randomized controlled test. Thirty four patients aged from 5 to 10 years requiring the frenectomy were included in this study. Patients were randomly divided into two groups: group A: Er:YAG and Nd:YAG laser group and group B: scalpel group. In addition, this comparison considered the following factors: surgical time and Visual Analog Scale (VAS) pain score, which includes intraoperative pain, postoperative pain and complications, such as speaking and chewing, for 1 day and 7 days following labial frenectomy. After 3 months, we recorded the healing outcome by photos.ResultsThere was a statistically significant difference in mean surgical time between laser surgery (mean=224±59 s) and scalpel surgery (mean=740±168 s). According to VAS scores of the intraoperative period (3 hours after the operation and 1st postoperative day of pain), chewing and speaking were statistically higher in group B than those in group A; but in the 7th postoperative day of pain, there was no significant difference in speaking and chewing. After 1 month, all of the patient results were recorded, including the healing of wound and scar. Except for one patient in group B who had a scar, all patients achieved good results.ConclusionBased on the results of this study, it can be concluded that Nd:YAG laser is an efficient and more comfortable alternative to the scalpel for a frenectomy in upper lip frenulum.

Dentinogenesis imperfecta type II (DI-II) is an inherited mesodermal condition affecting the primary and permanent dentition. There is often cracking and loss of enamel and the subsequent rapid attrition of exposed dentin. This report presents a 14-year-old boy with DI-II, specifically with an unusual case of cracked bilateral maxillary and mandibular first molars. Fractures involved enamel, dentin, and cementum. to chip away from the dentine abnormally fast, leading to rapid wear and attrition of the teeth. The severity of discoloration and enamel fracturing in all DI types is highly variable, even within the same family. If left untreated, it is not uncommon to see the entire DI-affected dentition worn to the gingival 5). However, it is rare for fractures to occur in the enamel, dentin, and cementum. This paper aims to report the diagnosis and treatment of an unusual case of cracked bilateral maxillary and mandibular first molars of a 14-year-old boy with DI-II.