Clinical Evaluation of Lithium Disilicate (e.Max) and Hybrid Nano-ceramic (Grandio) CAD/CAM Endocrowns
Study Details
Study Description
Brief Summary
The purpose of this study is to compare marginal adaptation, fracture, retention, shade matching and patient satisfaction between lithium disilicate (e.max) and hybrid nano-ceramic (Grandio) CAD/CAM endocrowns.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Lithium disilicate The intervention will be: Prosthetic endocrown |
Procedure: Endocrown
Endocrown
|
Active Comparator: Hybrid nanoceramic The intervention will be: Prosthetic endocrown |
Procedure: Endocrown
Endocrown
|
Outcome Measures
Primary Outcome Measures
- Patient satisfaction [2 years]
Using Binary Visual Analogue scale (Satisfied/ not satisfied)
Secondary Outcome Measures
- Shade matching [2 years]
Using the modified United States Public Health Service criteria (Modified USPHS)- categorical
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with good oral hygiene
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Patients having one or more endodontically treated molars that need prosthetic restoration.
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Molars should have enough tooth structure for endocrown restoration with minimum 3 walls with thickness not less than 1.5 mm and gingival step placed supragingival
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Fully erupted molars
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Molars free of developmental defect
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Healthy periodontium
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Absence of periapical pathosis
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Acceptable endodontic treatment and proper bone support
Exclusion Criteria:
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Patients with bad oral hygiene
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Patients with active periodontal disease
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Patients with missing teeth opposing to the area intended for restoration
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Patients with parafunctional habits or psychiatric problems or unrealistic expectation.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Cairo University | Cairo | Egypt |
Sponsors and Collaborators
- Cairo University
Investigators
- Principal Investigator: Sameh Sh Abou-steit, PhD, Lecturer of Fixed Prosthodontics
Study Documents (Full-Text)
None provided.More Information
Publications
- Belleflamme MM, Geerts SO, Louwette MM, Grenade CF, Vanheusden AJ, Mainjot AK. No post-no core approach to restore severely damaged posterior teeth: An up to 10-year retrospective study of documented endocrown cases. J Dent. 2017 Aug;63:1-7. doi: 10.1016/j.jdent.2017.04.009. Epub 2017 Apr 27.
- da Cunha LF, Gonzaga CC, Pissaia JF, Correr GM. Lithium silicate endocrown fabricated with a CAD-CAM system: A functional and esthetic protocol. J Prosthet Dent. 2017 Aug;118(2):131-134. doi: 10.1016/j.prosdent.2016.10.006. Epub 2017 Jan 13.
- da Fonseca GF, Dal Piva AM, Tribst JP, Borges AL. Influence of Restoration Height and Masticatory Load Orientation on Ceramic Endocrowns. J Contemp Dent Pract. 2018 Sep 1;19(9):1052-1057.
- Furtado de Mendonca A, Shahmoradi M, Gouvêa CVD, De Souza GM, Ellakwa A. Microstructural and Mechanical Characterization of CAD/CAM Materials for Monolithic Dental Restorations. J Prosthodont. 2019 Feb;28(2):e587-e594. doi: 10.1111/jopr.12964. Epub 2018 Aug 18.
- Otto T, Mörmann WH. Clinical performance of chairside CAD/CAM feldspathic ceramic posterior shoulder crowns and endocrowns up to 12 years. Int J Comput Dent. 2015;18(2):147-61. English, German.
- Rosentritt M, Preis V, Behr M, Hahnel S. Influence of preparation, fitting, and cementation on the vitro performance and fracture resistance of CAD/CAM crowns. J Dent. 2017 Oct;65:70-75. doi: 10.1016/j.jdent.2017.07.006. Epub 2017 Jul 19.
- Schaefer O, Watts DC, Sigusch BW, Kuepper H, Guentsch A. Marginal and internal fit of pressed lithium disilicate partial crowns in vitro: a three-dimensional analysis of accuracy and reproducibility. Dent Mater. 2012 Mar;28(3):320-6. doi: 10.1016/j.dental.2011.12.008. Epub 2012 Jan 21.
- Sedrez-Porto JA, Rosa WL, da Silva AF, Münchow EA, Pereira-Cenci T. Endocrown restorations: A systematic review and meta-analysis. J Dent. 2016 Sep;52:8-14. doi: 10.1016/j.jdent.2016.07.005. Epub 2016 Jul 12. Review.
- Shamseddine L, Mortada R, Rifai K, Chidiac JJ. Marginal and internal fit of pressed ceramic crowns made from conventional and computer-aided design and computer-aided manufacturing wax patterns: An in vitro comparison. J Prosthet Dent. 2016 Aug;116(2):242-8. doi: 10.1016/j.prosdent.2015.12.005. Epub 2016 Mar 3.
- Tribst JPM, Dal Piva AMO, Madruga CFL, Valera MC, Borges ALS, Bresciani E, de Melo RM. Endocrown restorations: Influence of dental remnant and restorative material on stress distribution. Dent Mater. 2018 Oct;34(10):1466-1473. doi: 10.1016/j.dental.2018.06.012. Epub 2018 Jun 21.
- Tzimas K, Tsiafitsa M, Gerasimou P, Tsitrou E. Endocrown restorations for extensively damaged posterior teeth: clinical performance of three cases. Restor Dent Endod. 2018 Aug 22;43(4):e38. doi: 10.5395/rde.2018.43.e38. eCollection 2018 Nov.
- Wang F, Yu T, Chen J. Biaxial flexural strength and translucent characteristics of dental lithium disilicate glass ceramics with different translucencies. J Prosthodont Res. 2020 Jan;64(1):71-77. doi: 10.1016/j.jpor.2019.04.007. Epub 2019 May 11.
- CEBD-2019-1-110