Despite the significant environmental impact of the healthcare sector, with Germany’s system accounting for a large proportion of national emissions, quantitative sustainability research on specific medical procedures, such as those in dentistry, is critically scarce. This study aimed to address this issue by conducting a Life Cycle Assessment to quantify and compare the Global Warming Potential of the conventional analog and the digital (intraoral scanner) impression techniques for the manufacturing of single-tooth crowns in a German dental practice. The methodology employed a cradle-to-grave approach, defining a positive dental model as the functional unit and focusing on material consumption, waste streams, and equipment usage while excluding patient travel and facility energy. The results revealed that the digital impression procedure offers significant environmental advantages, with its average carbon footprint (approx. 550 CO2-eq) being nearly threefold lower than the analog impression (approx. 1620 g CO2-eq). This difference is primarily driven by the analog impression technique’s intensive use of disposable materials and the generation of contaminated waste requiring incineration. In contrast, the digital impression’s burden shifts to the manufacturing of the intraoral scanner, highlighting the importance of high clinical utilization to achieve the ecological benefit. This work concludes that the adoption of digital impression taking is a critical step towards more sustainable dentistry by promoting material avoidance and waste reduction, provided that high equipment utilization rates can be ensured. It should be noted that these results are specific to the regional context, particularly the German energy mix and national waste management standards, and may vary in different geographical settings
Daum et al. (Mon,) studied this question.