Objectives: Evaluation of cumulative survival and complication rate of monolithic lithium disilicate inlays and partial crowns performed by supervised undergraduate students up to 8.3 years of clinical service.
Materials And Methods: In this retrospective clinical study 143 lithium disilicate posterior restorations (IPS e.max Press) were examined according to the FDI criteria. A standardised questionnaire was used to determine patient satisfaction. The aesthetic outcome was evaluated by dentists and dental technicians using intraoral photographs. Data were descriptively analysed. Cumulative survival and success rates were calculated using Kaplan-Meier estimation.
Results: The cumulative survival rate of lithium disilicate restorations was 97.5% after a mean service time of 5.9 years and 95.0% after 8.3 years. The cumulative success rate decreased from 94.4% after 5.9 years to 30.7% after 8.3 years. Repairs were required for 7 restorations (4.9%), and 5 (3.5%) were classified as failures. The results of the questionnaire indicate a high level of patient satisfaction. The subjective aesthetics were assessed more critically by dental technicians compared to dentists.
Conclusion: Lithium disilicate posterior restorations survived successfully up to 8.3 years when carried out by undergraduate students.
Clinical Relevance: Pressed lithium disilicate glass ceramic inlays and partial crowns are reliable treatment options in posterior teeth.
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http://dx.doi.org/10.1007/s00784-023-05328-0 | DOI Listing |
Med Sci Monit
January 2025
College of Dentistry, King Khalid University, Abha, Saudi Arabia.
BACKGROUND Indirect ceramic restorations often need multiple firings to match the shade of natural teeth or need after-correction and ceramic addition during the clinical trial stage. Many studies have examined how multiple firings affect the mechanical characteristics of zirconia-veneered prostheses. The effect of firing number on adhesion between these core and heat-pressed lithium disilicate veneering ceramics is unclear.
View Article and Find Full Text PDFBMC Oral Health
January 2025
Faculty of dentistry, Ain Shams University, Cairo, Egypt.
Objective: The purpose of this study was to evaluate the effect of different preparation depths (0, 2 and 4 mm) of different restoration designs (classic endocrown design versus overlay design) on marginal adaptation of restorations fabricated of two different restorative materials (lithium disilicate and PEEK).
Materials And Methods: Sixty mandibular natural molars were collected as abutments for the restorations of this study, and grouped in three main groups of different cavity depths (0, 2 and 4). Each group was divided into two subgroups according to material of fabrication to (L) for lithium disilicate (IPS emax CAD, Ivoclar vivadent, Switzarland) and (P) for PEEK (Bio-hpp, Bredent, Germany).
J Esthet Restor Dent
January 2025
Department of Prosthodontics, Tufts University School of Dental Medicine, Boston, Massachusetts, USA.
Objective: Minimally invasive dentistry is being widely practiced. The center stone is to be as conservative as possible to minimize unnecessary removal of healthy tooth structure. In prosthodontics the patients have generalized and combined nature of diseases.
View Article and Find Full Text PDFMaterials (Basel)
January 2025
Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology, Beijing 100101, China.
To assess the biomechanical behaviors of endodontically treated molars (ETMs) restored with endocrowns composed of different materials, forty mandibular molars were assigned to five groups (n = 8 each). Untreated molars constituted the control group (group C); the rest of the teeth that underwent root canal therapy were restored with endocrowns composed of polycrystalline ceramics (ST zirconia, UPCERA) in group ZR, lithium disilicate glass ceramics (UP.CAD, UPCERA) in group LD, resin-based nanoceramics (Hyramic, UPCERA) in group NC, and feldspathic ceramics (CEREC Blocs, Sirona) in group FC.
View Article and Find Full Text PDFDent J (Basel)
January 2025
Center for Advanced Technologies in Dental Prosthodontics, Department of Dental Prostheses Technology (Dental Technology), Faculty of Dental Medicine, "Victor Babeș" University of Medicine and Pharmacy Timișoara, Eftimie Murgu Square No. 2, 300041 Timișoara, Romania.
This study aimed to evaluate patients' satisfaction with the esthetic outcomes of combined endodontic and prosthetic treatments for devitalized or dyschromic teeth, a condition influenced by various intrinsic and extrinsic factors that present a growing concern in modern dentistry. A total of 104 patients, including 43 men and 61 women, underwent treatment using lithium disilicate restorations for esthetic zones and zirconium oxide restorations for regions with higher occlusal demands. Patient satisfaction was evaluated through a post-treatment questionnaire, classifying responses as either "satisfied" or "dissatisfied".
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