Clinical Evaluation of Fracture Resistance and Color Changes of All Ceramic Laminate Veneers Prepared With Modified Gull Wing Versus Conventional Technique
试验速览
- 阶段
- 不适用
- 入组人数
- 20
- 主要终点
- fracture of restoration
研究概览
简要总结
Patient with discolored anterior teeth and need conservative restoration treated with all ceramic esthetic laminate veneers. The Patient will be satisfied with restoration mimic the surrounding natural teeth, but conventional preparation shows approximately 60% of veneer failure in form of color change and nearly 67% Fractures of laminate veneers so the modified gull wing preparation is a significant factor affecting the final esthetic especially in discolored teeth and improve fracture resistance of the restoration.
详细描述
This trial will be conducted on patient from the outpatient clinic in the fixed prosthodontics clinic, faculty of oral and dental medicine, Cairo University Adherence session will take place in the presence of the patients in the initial visit. This include that patient will be informed by Z Elshamy about the study steps and maintenance of oral hygiene instructions. Participants will be asked by Z Elshamy if they have any problems.
Motivation and enforcing the maintenance of oral hygiene measures by ZElshamy.
The visits will be designated as follow:
Visit 1: Preoperative records, face-to-face adherence reminder session, clinical, radiographic examination, intraoral photographs, and primary impression for diagnostic cast construction. Visit 2: teeth preparation, secondary impression using addition silicone rubber base material and temporary restoration. Visit 3: one week after the second visit, try in for the restoration will be done.
Visit 4: placement and permanent cementation of the final restoration. Visit 5: Every 2 months post operatively follow-up visit for one year. Sample size: Since no previously published effect size data regarding the effectiveness of neither the intervention nor the control exist, an estimated sample of (20 restorations) would be used with allocation ratio 1:1 Recruitment: The patients fulfilled the inclusion criteria will be selected from the outpatient clinic of the fixed prosthodontics department - Cairo University. Screening of patients will be carried out until the target population is reached.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Inclusion Criteria
- •age groups from 18-50-year-old
- •patients able to read and sign the informed consent.
- •patient without periodontal diseases
- •Patients indicated for laminate veneers.
- •patients Willing to return for follow -up
排除标准
- •Patients with poor oral hygiene
- •patients with endodontic ally treated teeth
- •patients with Psychiatric problems
研究组 & 干预措施
modified gull wing preparation
Gullwing preparation is the inciso - proximal extension of porcelain laminates veneer margin more palatally. The preparation finished at the gingival margin and extended towards the papilla to finish the interproximal elbow preparation
干预措施: modified gull wing preparation (Procedure)
conventional preparation
In conventional preparation of veneer it circumvents the contact areas and extends palatally in the incisal third of the tooth only. The preparation thickness is defined by a 0.5 mm facial and 1.5-2.0 mm incisal reduction with the proximal finish lines placed facially to the proximal contacts
Gull wing (dog leg) preparation is the inciso - proximal extension of porcelain laminates veneer margin more palatally. This preparation design helps to hide the restoration margin when viewed from an angle, especially in discoloration.
The preparation thickness is defined by a 0.5 mm facial and 1.5-2.0 mm incisal reduction with the proximal finish lines The preparation finished at the gingival margin and extended towards the papilla to finish the interproximal elbow preparation.
干预措施: modified gull wing preparation (Procedure)
结局指标
主要结局
fracture of restoration
时间窗: one year
The fracture of the restoration of the two groups will be assessed using the modified United States public health service ( USPHS) criteria
次要结局
- color changed(one year)
研究者
Zeinab Elshamy
Assistant lecturer
Cairo University
