Survival Rate of Adhesively Luted Veneers, an In-vivo Study
试验速览
- 阶段
- 不适用
- 入组人数
- 70
- 试验地点
- 2
- 主要终点
- survival rate of laminate veneers
研究概览
简要总结
The aims of this clinical study are:
To evaluate the clinical performance between indirect composite and ceramic laminate veneers:
Main interests are:
- colour stability of the restoration (digital measurement in follow up)
- failure mode of the restoration
- wear of the restoration and antagonist
Hypothesis:
- The colour stability of indirect composite restorations will not be different from the ceramic restorations.
- The indirect composite restorations will not be more prone to failure than the ceramic restorations.
- Antagonist wear and restorative material wear will be similar for both ceramic and composite.
Material and Methods The laminates will be fabricated according to a specified protocol. In order to avoid possible noticeable differences in case of distinct levels of possible discoloration, a modified split mouth design is employed where the central incisors and the symmetric other teeth receive the same type of restoration. Randomization is based on the paired teeth and it is performed using the flip of a coin for the choice of material. Evaluation will be performed at baseline and at follow-up visits annually up to 2 years.
详细描述
Patient recruitment: Patients will be recruited from the university clinic.
Intake: If the patient is included in the study following the inclusion and exclusion criteria, the patient will be evaluated using the evaluation form. All the data will be collected and impressions will be made. Using the impressions, a wax up will be made on stone models indicating the restorations to be fabricated. With a transparent mould, the situation will be duplicated in the mouth with spot etching and composite. By using this protocol minimal loss of tooth material is guaranteed.
Tooth Preparation: After prophylaxis, the teeth will be prepared in a controlled manner using special depth cutting laminate preparation burs (Intensive, Switzerland). The margins will extend to half the way to the inter-proximal contact area. The shape of the cervical margins will be maintained in chamfer form. The incisal edge will be prepared 1.5 mm to create an overlap to the palatinal region for the translucency area in the laminate veneers.
Conditioning the tooth surface: Rubberdam will be placed. The preparation surfaces will be etched with 35% phosphoric acid, rinsed thoroughly and dried followed by the application of primer and the bonding agent.
Conditioning the existing restorations: The existing composite restaurations will be conditioned using tribochemical silicacoating (CoJet, 30µm SiOx, 3M ESPE) in a Dentoprep (Ronvig, Denmark) intraoral sandblaster. Following this the restauration will be conditioned by silanisation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The veneers will be placed on central incisors, lateral incisors, canines in the maxilla. Indications will involve replacing worn, discoloured composite restorations and existing veneers, or correcting discoloured, malformed and/or misaligned teeth.
- •An indication for closure of the open space (diastema)
- •No obvious untreated caries, dental health problems (regularly checked by a dentist).
- •No untreated periodontal disease (allowed are DPSI 1, 2, 3-)
- •Good or moderate oral hygiene (plaque score of less than 30% in anterior region before treatment).
- •Endodontic treatment with good outcome (root canal densely filled with gutta-percha 0.5-1.5 mm from apex) with only a restoration on palatinal side.
- •The patient agrees with the research protocol (signing of an agreement form, appendix 4)
- •18 Year and older.
排除标准
- •Patients with only one tooth to restore, or two central incisors.
- •Considerable horizontal and/or vertical mobility of abutment teeth: tooth mobility index score 2 or
- •Considerable periodontal disease without treatment (DPSI 3+ and 4)
- •Endodontic treatment with extensive loss of tooth tissue (more than 2/3 of crown is restored with restoration material).
- •Restoration of whole crown, more than 2/3 of coronal part of the teeth is restored.
- •Patients that still want to bleach their teeth or bleached teeth less than 3 weeks before the treatment.
研究组 & 干预措施
Laminate veneer of composite
Laminate veneer of composite (Estenia, Kuraray Dental), composite laminate veneer, 2-4-6 veneers per patient will be made.
干预措施: Laminate veneer of composite (Device)
Laminate veneer of ceramic
laminate of ceramic (Empress Esthetic, Ivoclar Vivadent), ceramic laminate veneer, 2-4-6 veneers per patient will be made.
干预措施: Laminate veneer of ceramic (Device)
结局指标
主要结局
survival rate of laminate veneers
时间窗: up to 24 months
fracture of teeth
次要结局
未报告次要终点
研究者
Marco Gresnigt
dr.
University Medical Center Groningen