Stomatológ 2023, 33(2):10-14 | DOI: 10.69658/sto.2023.010
The success rate of indirect adhesive restorations in the distal dentition fabricated with chairside CAD/CAM system
- 1 Katedra zubného lekárstva LF SZU v Bratislave
- 2 Klinika stomatológie a maxilofaciálnej chirurgie UPJŠ LF a Akadémia Košice, n.o., Báčikova 7, Košice
With the knowledge of current adhesive systems, indirect adhesive restorations are an adequate alternative to crowns in terms of sparing hard tooth tissues and preserving them as a cornerstone for future prosthetic restorations. They are also an alternative to extensive restorations where, in terms of adhesion and polymerization contraction, C-factor, and V-factor, they are a more appropriate restorative therapy.
This study aims to evaluate the success rate of adhesive therapy with indirect restorations after 3 and 5 years, respectively, and to analyze failed therapy cases.
Methods: Indirect adhesive restorations (256) in the distal dentition were evaluated using a chairside CAD/CAM system. Molars (199) and premolars (57) were treated this way. The total deliveries group consisted of 7 endocrowns, 16 inlays, 70 overlays, and 163 onlays. The percentage of failures for the years 2017-2020 was evaluated. Subsequently, the percentage representation of the causes of failure, namely debonding, rupture of the restoration material, and breakage of the retained cusp, was assessed. The data obtained were evaluated using descriptive statistics.
Results: The number of failed replacements for 2017-2020 is 10, which is 3.9%. The causes of failure were rupture of the restoration material in 20% of the cases, breakage of the retained cusp in 40%, and debonding of the indirect restoration in 40% of the cases. The success rate of restorations evaluated at three years and five years after fabrication of the restoration is 96%.
Keywords: indirect adhesive restoration, CAD/CAM system, inlay, onlay, overlay, the success rate of indirect adhesive restorations
Published: December 15, 2023 Show citation
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References
- Fathy, Hamdi H. Hamama, Noha El-Wassefy, Salah H. Mahmoud: Clinical performance of resin-matrix ceramic partial coverage restorations: a systematic review, Clinical Oral Investigations (2022) 26:3807-3822
Go to original source... 
Go to PubMed... - Valentin Vervack, Peter De Coster and Stefan Vandeweghe: Clinical Evaluation of Resin Composite CAD/CAM Restorations Placed by Undergraduate Students J. Clin. Med. 2021, 10, 3269. https://doi.org/10.3390/jcm10153269 Go to original source... Go to PubMed...
- Warattama Suksaphar, Danuchit Banomyong, Titalee Jirathanyanatt, Yaowaluk Ngoenwiwatkul: Survival rates against fracture of endodontically treated posterior teeth restored with full-coverage crowns or resin composite restorations: a systematic review, Restor Dent Endod. 2017 Aug;42(3):157-167 https://doi.org/10.5395/rde.2017.42.3.157 pISSN 2234-7658.eISSN 2234-7666 Go to original source... Go to PubMed...
- Juergen Manhart, Hongyan Chen, Gerald Hamm, Reinhard Hickel: Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition, Oper Dent 2004 Sep-Oct;29(5):481-508
- Hood JAA. Methods to improve fracture resistance of teeth. In: Vanherle G, Smith DC (eds). Posterior Composite Resin Dental Restorative Materials. Utrecht, The Netherlands: Peter Szule Publishing, 1985:443-450.
- Lei Zhang, Xiao-Xia Hou, Maihefuzi Aishan, Meng-Ting Tian, Hui-YuHe: A 3-Year Clinical Evaluation of Endodontically Treated Posterior Teeth Restored with Resin Nanoceramic Computer-Aided Design/Computer-Aided Manufacture (CAD/CAM)-Fabricated Partial Crowns, https://www.medscimonit.com/abstract/index/idArt/937331
- Zimmermann M, Koller C, Reymus M et al (2018): Clinical evaluation of indirect particle-filled composite resin CAD/CAM partial crowns after 24 months. J Prothodont 27:694-699. https://doi.org/10.1111/jopr.12582 Go to original source... Go to PubMed...
- Frankenbergera R, Hartmannb V, Krechc M et al (2015): Adhesive luting of new CAD/CAM materials. Int J Comput Dent 18:9-20
- Šestáková, M. a kol.: Propedeutika. Protetické zubné lekárstvo a čeľustná ortopédia. Rotaprint, s.r.o., 2. vydanie, 2018, s 78, ISBN 978-80-972254-9-0
- Čečetková Adriana, Petrášová Adriana: Zásaditné účinky dočasných medikamentov v konzervačnej stomatológii. Stomatológ : časopis Slovenskej komory zubných lekárov. - Roč. 17, č. 1 (2007), s. 30-31.
- Tomčo, M. [et al.]: In vitro and in vivo study of microporous ceramics using MC3T3 cells, CAM assay and a pig animal model. Anatomical Science International. - ISSN 1447-6959. - Roč. 92, č. 4 (2017), s. 569-580. [TOMČO Marek, PETROVOVÁ Eva, GIRETOVÁ Mária, ALMÁŠIOVÁ Viera, HOLOVSKÁ Katarína, CIGÁNKOVÁ Viera, JENČA Andrej ml., JENČOVÁ Janka, JENČA Andrej, BOLDIŽÁR Martin, BALAZS Kosa, MEDVECKÝ Ľubomír] Go to original source... Go to PubMed...
- Reinhard Hickel, Sabine Mesinger, Niek Opdam, Bas Loomans, Roland Frankenberger, Milena Cadenaro, John Burgess, Arnd Peschke, Siegward D Heintze, Jan Kühnisch : Revised FDI criteria for evaluating direct and indirect dental restorations-recommendations for its clinical use, interpretation, and reporting. 2023 Jun;27(6):2573-2592. doi: 10.1007/s00784-022-04814-1. Epub 2022 Dec 12. Go to original source... Go to PubMed...
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