Long-term survival of monolithic tooth-supported lithium disilicate crowns fabricated using a chairside approach: 15-year results

Rauch, Angelika and Lorenz, Lea and Reich, Sven and Hahnel, Sebastian and Schmutzler, Anne and Schierz, Oliver (2023) Long-term survival of monolithic tooth-supported lithium disilicate crowns fabricated using a chairside approach: 15-year results. CLINICAL ORAL INVESTIGATIONS, 27 (7). pp. 3983-3989. ISSN 1432-6981, 1436-3771

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Abstract

ObjectivesTo investigate the clinical performance of chairside fabricated tooth-supported posterior single crowns from lithium disilicate ceramic.Materials and methodsThirty-four crowns (IPS e.max CAD, Ivoclar Vivadent, Schaan, Liechtenstein) were inserted between 2006 and 2007 and again evaluated after 15 years. Survival and success rates were calculated according to Kaplan-Meier, and the quality of the crowns was evaluated by using modified United States Public Health (USPHS) criteria.ResultsTwenty-two crowns were available for recall; six patients were defined as dropouts. The mean observation period was 15.2 years (+/- 0.2). Six failures occurred (1 technical/5 biological) resulting in a survival rate of 80.1%. The success rate was 64.2%. The roughness of the crowns increased (p = 0.021) and the majority of adhesive gaps were discolored (p = 0.001) in comparison to baseline. The color, tooth, and crown integrity remained stable over the follow-up period (p >= 0.317).ConclusionThe fabrication of tooth-supported lithium disilicate crowns using a chairside approach yielded acceptable long-term survival and success rates. Due to discoloration, the long-term use of dual-cure self-adhesive resin cements might result in unpleasing esthetic results.

Item Type: Article
Uncontrolled Keywords: WITHIN-SUBJECT EVALUATION; CONVENTIONAL WORKFLOWS; CLINICAL SURVIVAL; CAD; CAM; Clinical trial; Dental ceramic; Lithium disilicate; Milling; Self-adhesive resin cement; Single crown
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Zahnärztliche Prothetik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Mar 2024 10:14
Last Modified: 13 Mar 2024 10:14
URI: https://pred.uni-regensburg.de/id/eprint/59905

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