Clinical Evaluation of Laminate Veneers With Coronal Post Versus Post and Core Foundation Restoration With Single Crown for Restoration of Endodontically Treated Anterior Teeth (Randomized Controlled Trial) "In-vivo Study"

Not Applicable

• Conditions: Anterior Teeth; Teeth, Endodontically-Treated
• Interventions: Procedure: laminate veneer with coronal post; Procedure: post,core and crown

• Registration Number: NCT03314545
• Lead Sponsor: Cairo University

Brief Summary

Clinical evaluation of Laminate veneers with coronal post versus post and core foundation restoration with single crown for restoration of endodontically treated anterior teeth (Randomized Controlled Trial) "In-vivo Study"

Detailed Description

Not available

Study Timeline

• Status Verified: 2017-10
• Study First Submitted: 2017-10-15
• Study First Submitted QC: 2017-10-15
• Last Update Submitted: 2017-10-15
• Study First Posted: 2017-10-19
• Last Update Posted: 2017-10-19
• Study Start: 2017-12
• Primary Completion: 2019-12
• Study Completion: 2020-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

1. From 18-60 years old, should be able to read and sign the consent document.

2. Ability to tolerate the restorative procedures (physical and psychological).

3. Patients with anterior endodontically treated teeth indicated for coronal restoration:

   1. Good oral hygiene
   2. Minimum remaining coronal tooth height of 4 mm
   3. Normal functional occlusal stresses within physiological limits.
   4. Adequate crown/root ratio
   5. No signs and symptoms related to active periapical pathosis or endodontic failure.

4. With no active periodontal or pulpal problems.

5. Willing to return for follow-up visits.

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Exclusion Criteria

1. Teeth not fully erupted as in young patients.
2. Poor oral hygiene and lack of motivation
3. Vital teeth
4. Psychiatric problems or unrealistic expectations
5. Excessive parafunctional stresses and bad habits like nail biting. 11
6. The absence of sound enamel margins for the preparation
7. Abnormally small teeth or with structural defects in enamel. 12
8. Tooth mobility or inadequate crown/root ratio.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
laminate veneers with coronal posts	laminate veneer with coronal post	anterior endodontically treated teeth restored with laminate veneers with coronal posts
post, core and crown	post,core and crown	anterior endodontically treated teeth restored with post, core and crown

Primary Outcome Measures

Name	Time	Method
Gross Fracture	one year	: Alpha (A),Restoration is intact and fully retained. Bravo (B), Restoration is partially retained with some portion of the restoration still intact.; Charlie (C), Restoration is completely missing.

Secondary Outcome Measures

Name	Time	Method
marginal integrity	one year	Alpha (A), Visual inspection and explorer, the explorer does not catch when drawn across the surface of the restoration toward the tooth, or, if the explorer does not catch, there is no visible crevice along the periphery of the restoration. Bravo (B), Visual inspection and explorer, the explorer catches and there is visible evidence of a crevice, which the explorer penetrates, indicating that the edge of the restoration does not adapt closely to the tooth structure. The dentin and/or the base is not exposed, and the restoration is not mobile. Charlie (C), Explorer, the explorer penetrates crevice defect extended to the dentino-enamel junction.
caries	one year	Alpha (A) Visual inspection, the restoration is a continuation of existing anatomic form adjacent to the restoration. Bravo (B), Visual inspection, there is visual evidence of dark deep discoloration adjacent to the restoration (but not directly associated with cavosurface margins).
marginal discoloration	one year	Alpha (A) Visual inspection, There is no visual evidence of marginal discoloration different from the color of the restorative material and from the color of the adjacent tooth structure. Bravo (B), Visual inspection, There is visual evidence of marginal discoloration at the junction of the tooth structure and the restoration, but the discoloration has not penetrated along the restoration in a pulpal direction. Charlie (C), Visual inspection, there is visual evidence of marginal discoloration at the junction of the tooth structure and the restoration that has penetrated along the restoration in a pulpal direction.
color match	one year	Alpha (A) Visual inspection The restoration appears to match the shade and translucency of adjacent tooth tissues. Bravo (B), Visual inspection, the restoration does not match the shade and translucency of adjacent tooth tissues, but the mismatch is within the normal range of tooth shades. (Within normal range: Similar to silicate cement restorations for which the dentist did not quite succeed in matching tooth color by his choice among available silicate cement shades.) Charlie (C), visual inspection , the restoration does not match the shade and translucency of the adjacent tooth structure, and the mismatch is outside the normal range of tooth shades and translucency.