Impact of CAD/CAM Material and Bonding Protocol on the Bond Strength Between Denture Bases and Artificial Teeth: A Systematic Review and Meta- analysis

Purpose: To identify the most effective protocol for bonding denture bases and artificial teeth made with different computer-aided design and manufacturing (CAD/CAM) materials (milled and 3D-printed) and conventional heat-polymerized resins. Materials and Methods: This review was performed according to the Preferred Reporting Items for Systematic and Meta-Analysis (PRISMA) criteria and registered in the International Prospective Registry of Systematic Reviews PROSPERO (CRD42021276084). An electronic search was performed independently by two examiners in PubMed/MEDLINE, Cochrane Library, Scopus, Web of Science, ProQuest, and OpenGrey databases for articles published up to and including December 2021. Results: The electronic search returned 806 articles, and after duplicates were removed, 589 articles remained. Four articles met the eligibility criteria to be included in this study. After evaluating the different combinations of denture base materials and artificial teeth, it was found that IvoBase CAD Bond (Ivoclar Vivadent) was effective for bonding CAD/CAM denture bases to prefabricated acrylic resin teeth, which showed no differences compared to the heat-polymerized resin denture base bonded to prefabricated acrylic resin teeth (.2: 68.56; I2: 96%; P <.001). Conclusions: The IvoBase CAD Bond bonding system can be used for the fabrication of CAD/CAM denture bases with prefabricated acrylic resin teeth.