Marco Farronato, Lucia Giannini, Davide Farronato, Giada di Iasio, Cinzia Maspero
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引用次数: 0
Abstract
Objectives: To synthesize review-level evidence on static digital articulation, computerized occlusal analysis, jaw-motion tracking and dynamic (4D) digital virtual patient integration, while distinguishing the specific claims each technology can support.
Data: Review characteristics, technical accuracy, repeatability, validity, clinical outcomes, primary-study overlap and review-level risk of bias.
Sources: PubMed/MEDLINE, Europe PMC, Crossref, OpenAlex, the Cochrane Library and Epistemonikos were searched or checked through 10 July 2026. Reference-list and citation searching supplemented database retrieval.
Study selection: Thirty-four reports were included: 29 systematic reviews, four scoping reviews and one structured evidence map, representing 663 review-study occurrences. Of the 29 ROBIS-rated reviews, two were at low risk, 15 at unclear risk and 12 at high risk of bias. Static digital articulation was conditionally accurate in dentate, stable-contact and short-span settings. Contact location was more defensible than intensity, area or absolute force. Jaw tracking and digital virtual patient integration were technically feasible, but heterogeneous reference frames, small studies and sparse clinical outcomes constrained inference.
Conclusions: Digital occlusion is not a single validated construct. Maxillomandibular relationship transfer, contact location, relative force/timing, movement trajectory and integrated clinical decisions require distinct validation. Technical accuracy, precision, repeatability and feasibility should not be interpreted as evidence of clinical effectiveness or patient benefit. Current systems are best used as calibrated, clinician-verified adjuncts.
Clinical significance: Static digital articulation can support selected restorative workflows, whereas complex spans, edentulous arches, force interpretation, dynamic simulation and diagnostic use require independent verification. Reliable upstream registration does not establish downstream patient benefit.
期刊介绍：
The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis.
Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research.
The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.
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