Performance of Bonded Lithium Disilicate Partial-coverage Crowns in the Restoration of Endodontically Treated Posterior Teeth: An Up to Seven-Year Retrospective Study.

IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Operative dentistry Pub Date : 2024-07-01 DOI:10.2341/23-107-C
Q Jiang, Z Wang, S Zhang, X Liu, B Fu
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Abstract

Objectives: To evaluate the clinical performance of adhesively bonded lithium disilicate glass-ceramic (LDG) partial-coverage crowns in restoring posterior endodontically treated teeth (ETT).

Methods and materials: A total of 121 morphologically compromised posterior ETT were restored with LDG partial-coverage crowns between October 2015 and January 2018. The restorations were fabricated in the laboratory or at the chairside. Two adhesive systems and resin cements were used to cement the restorations. Tooth and restoration survival rates were calculated. The restorations were evaluated clinically using the modified United States Public Health Service (USPHS) criteria for an observation period of 5-7 years. The Cox proportional hazards model was used to estimate relative failure risks such as tooth type, resin cements, gender, and sleep bruxism. The standard chi-squared test was used to compare the survival of different tooth types for significant differences (α=0.05). In addition, survival probability was calculated using the Kaplan-Meier algorithm.

Results: Among seven failed cases, one was a tooth fracture, and six were restoration fractures. According to the Kaplan-Meier analysis, the estimated survival rate of the teeth was 99% for seven years, while the estimated survival rate of the restorations was 94.8% for 5 years and 92.8% for 7 years. Tooth type and resin cements did not influence restoration survival rates (p>0.05), while sleep bruxism and male patients might increase the risk of failure (p<0.05).

Conclusions: The indirect adhesively bonded LDG partial-coverage crowns of posterior ETT exhibited favorable clinical outcomes. Ceramic fracture was the most common failure pattern.

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粘结二硅酸锂部分覆盖冠在根管治疗后牙修复中的性能:一项长达七年的回顾性研究。
目的评估粘接二硅酸锂玻璃陶瓷(LDG)部分覆盖冠修复后牙根管治疗牙(ETT)的临床表现:2015年10月至2018年1月期间,共使用LDG部分覆盖冠修复了121颗形态受损的后牙根管治疗牙(ETT)。修复体在技工室或椅旁制作。修复体粘接时使用了两种粘接系统和树脂水门汀。计算了牙齿和修复体的存活率。在 5-7 年的观察期内,采用修改后的美国公共卫生署 (USPHS) 标准对修复体进行临床评估。采用 Cox 比例危险模型估算相对失败风险,如牙齿类型、树脂粘结剂、性别和睡眠磨牙症。使用标准的卡方检验比较不同牙齿类型的存活率是否存在显著差异(α=0.05)。此外,还使用 Kaplan-Meier 算法计算了存活概率:七例失败病例中,一例为牙齿折断,六例为修复体折断。根据 Kaplan-Meier 分析,牙齿七年的存活率估计为 99%,修复体五年的存活率估计为 94.8%,七年的存活率估计为 92.8%。牙齿类型和树脂粘结剂对修复体的存活率没有影响(p>0.05),而睡眠磨牙症和男性患者可能会增加失败的风险(p结论:间接粘接的 LDG 后 ETT 部分覆盖冠具有良好的临床效果。陶瓷断裂是最常见的失败模式。
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来源期刊
Operative dentistry
Operative dentistry 医学-牙科与口腔外科
CiteScore
4.00
自引率
9.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: Operative Dentistry is a refereed, international journal published bi-monthly and distributed to subscribers in over 50 countries. In 2012, we printed 84 articles (672 pages). Papers were submitted by authors from 45 countries, in the categories of Clinical Research, Laboratory Research, Clinical Techniques/Case Presentations and Invited Papers, as well as Editorials and Abstracts. One of the strong points of our journal is that our current publication time for accepted manuscripts is 4 to 6 months from the date of submission. Clinical Techniques/Case Presentations have a very quick turnaround time, which allows for very rapid publication of clinical based concepts. We also provide color for those papers that would benefit from its use. The journal does not accept any advertising but you will find postings for faculty positions. Additionally, the journal also does not rent, sell or otherwise allow its subscriber list to be used by any other entity
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