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Clinical performance of bonded partial lithium disilicate restorations: The influence of preparation characteristics on survival and success.
Hofsteenge, Jelte W; Bresser, Rijkje A; Buijs, Gerrit J; van der Made, Stephan Am; Özcan, Mutlu; Cune, Marco S; Gresnigt, Marco Mm.
Afiliación
  • Hofsteenge JW; Center for Dentistry and Oral Hygiene, Department of Restorative Dentistry, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, AV 9713, the Netherlands. Electronic address: j.w.hofsteenge@umcg.nl.
  • Bresser RA; Center for Dentistry and Oral Hygiene, Department of Restorative Dentistry, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, AV 9713, the Netherlands.
  • Buijs GJ; Private Practice Buijs Tandartsen, Groningen, the Netherlands.
  • van der Made SA; Dental Laboratory Kwalident, Beilen, the Netherlands.
  • Özcan M; Center for Dentistry and Oral Hygiene, Department of Restorative Dentistry, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, AV 9713, the Netherlands; Center of Dental Medicine, Division of Dental Biomaterials, Clinic for Reconstructive Dentistry, Univ
  • Cune MS; Center for Dentistry and Oral Hygiene, Department of Restorative Dentistry, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, AV 9713, the Netherlands; Department of Oral Maxillofacial Surgery, Prosthodontics and Special Dental Care, St. Antonius Hospit
  • Gresnigt MM; Center for Dentistry and Oral Hygiene, Department of Restorative Dentistry, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, AV 9713, the Netherlands; Department of Special Dental Care, Martini Hospital, Groningen, the Netherlands.
J Dent ; 142: 104828, 2024 03.
Article en En | MEDLINE | ID: mdl-38159900
ABSTRACT

OBJECTIVES:

The aim of this study was to investigate the influence of preparation characteristics on the survival, success, and clinical performance of partial indirect lithium disilicate restorations with immediate dentin sealing.

METHODS:

This retrospective clinical study evaluated partial indirect lithium disilicate restorations placed in conjunction with Immediate Dentin Sealing (IDS) in (pre)molar teeth between March 2018 and May 2021. The restorations were luted using pre-heated composite. The study focused on survival, success, and clinical performance, which was evaluated using the modified United States Public Health Service (USPHS) criteria. Results were analyzed using the Kaplan-Meier estimates, log-rank tests, and Fisher exact tests.

RESULTS:

Partial indirect lithium disilicate restorations (N = 454) were evaluated in 214 patients. The mean evaluation time was 37 months, with a cumulative survival rate of 99.2 % and a cumulative success rate of 97.6 %. Fourteen failures occurred, with endodontic pathology as the predominant failure mode, followed by secondary caries, debonding, and tooth fracture. No statistically significant influence of the preparation variables on survival and success was observed (p > .05). The short-term clinical performance was clinically acceptable in > 90 % of the evaluations.

CONCLUSIONS:

This retrospective study on partial indirect lithium disilicate restorations in conjunction with IDS demonstrates survival and success rates of 99.2 and 96.7 % over a mean evaluation period of 37 months. A marked influence of the studied preparation characteristics on the survival, success and clinical performance of lithium disilicate partial restorations could not be demonstrated. Partial lithium disilicate restorations exhibit good clinical performance in >90 % of the cases. CLINICAL

SIGNIFICANCE:

The results of this study suggest that preparation characteristics had no significant impact on the survival, success, and clinical performance of partial lithium disilicate restorations in conjunction with IDS. Results show good clinical performance and high survival and success rates, regardless of preparation characteristics.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracaso de la Restauración Dental / Porcelana Dental Límite: Humans Idioma: En Revista: J Dent Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracaso de la Restauración Dental / Porcelana Dental Límite: Humans Idioma: En Revista: J Dent Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido