Prospective clinical evaluation of 765 partial glass-ceramic posterior restorations luted using photo-polymerized resin composite in conjunction with immediate dentin sealing

Carline R G Van den Breemer; Gerrit J Buijs; Marco S Cune; Mutlu Özcan; Wouter Kerdijk; Stephan Van der Made; Marco M M Gresnigt

doi:10.1007/s00784-020-03454-7

Prospective clinical evaluation of 765 partial glass-ceramic posterior restorations luted using photo-polymerized resin composite in conjunction with immediate dentin sealing

Carline R G Van den Breemer^*, Gerrit J Buijs, Marco S Cune, Mutlu Özcan, Wouter Kerdijk, Stephan Van der Made, Marco M M Gresnigt

^*Corresponding author for this work

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Abstract

OBJECTIVES: To evaluate the clinical performance of partial glass-ceramic (IPS e.max Press) posterior restorations.

MATERIALS AND METHODS: A total of 765 restorations in 158 patients were placed between 2008 and 2018 and evaluated in a prospective study during regular dental care visits between 2015 and 2018. The restorations were luted with a conventional photo-polymerized resin composite (HFO) in conjunction with an Immediate Dentin Sealing procedure (IDS). Intra-oral photographs and radiographs were made and evaluated using USPHS criteria.

RESULTS: The mean observation time was 53.3 months (range 3-113 months). Three absolute failures occurred (tooth fractures, n = 2; apical re-infection, n = 1) all leading to the loss of the restored tooth. Repairable and salvageable failures occurred in 9 teeth (endodontic complications, n = 7; secondary caries, n = 1; debonding, n = 1). The survival and success rates according to Kaplan-Meier after 5 years cumulated to 99.6% and 98.6%, respectively. Location (premolar/molar and mandibula/maxilla), pre-restorative endodontic status (vital/devitalised) and extension of the indirect ceramic restoration (number of sides and cusps involved) did not significantly affect the cumulative success rate (log rank test, p > 0.05). The condition of the vast majority of the restorations remained unaffected for 5 years.

CONCLUSIONS: Partial glass-ceramic posterior restorations (pressed lithium disilicate (IPS e.max press, Ivoclar Vivadent) luted by means of a conventional photo-polymerized resin composite in conjunction with the use of an IDS procedure have an excellent medium-term prognosis.

CLINICAL RELEVANCE: Partial glass-ceramic posterior restorations can be considered as a highly reliable treatment option. Location and extension of the restoration and pre-restorative endodontic status do not affect success rate.

Original language	English
Pages (from-to)	1463–1473
Number of pages	11
Journal	Clinical Oral Investigations
Volume	25
Early online date	12-Aug-2020
DOIs	https://doi.org/10.1007/s00784-020-03454-7
Publication status	Published - Mar-2021

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Van den Breemer, C. R. G., Buijs, G. J., Cune, M. S., Özcan, M., Kerdijk, W., Van der Made, S., & Gresnigt, M. M. M. (2021). Prospective clinical evaluation of 765 partial glass-ceramic posterior restorations luted using photo-polymerized resin composite in conjunction with immediate dentin sealing. Clinical Oral Investigations, 25, 1463–1473. https://doi.org/10.1007/s00784-020-03454-7

@article{33772aec22574f779d3ad6b7044fb2f3,

title = "Prospective clinical evaluation of 765 partial glass-ceramic posterior restorations luted using photo-polymerized resin composite in conjunction with immediate dentin sealing",

abstract = "OBJECTIVES: To evaluate the clinical performance of partial glass-ceramic (IPS e.max Press) posterior restorations.MATERIALS AND METHODS: A total of 765 restorations in 158 patients were placed between 2008 and 2018 and evaluated in a prospective study during regular dental care visits between 2015 and 2018. The restorations were luted with a conventional photo-polymerized resin composite (HFO) in conjunction with an Immediate Dentin Sealing procedure (IDS). Intra-oral photographs and radiographs were made and evaluated using USPHS criteria.RESULTS: The mean observation time was 53.3 months (range 3-113 months). Three absolute failures occurred (tooth fractures, n = 2; apical re-infection, n = 1) all leading to the loss of the restored tooth. Repairable and salvageable failures occurred in 9 teeth (endodontic complications, n = 7; secondary caries, n = 1; debonding, n = 1). The survival and success rates according to Kaplan-Meier after 5 years cumulated to 99.6% and 98.6%, respectively. Location (premolar/molar and mandibula/maxilla), pre-restorative endodontic status (vital/devitalised) and extension of the indirect ceramic restoration (number of sides and cusps involved) did not significantly affect the cumulative success rate (log rank test, p > 0.05). The condition of the vast majority of the restorations remained unaffected for 5 years.CONCLUSIONS: Partial glass-ceramic posterior restorations (pressed lithium disilicate (IPS e.max press, Ivoclar Vivadent) luted by means of a conventional photo-polymerized resin composite in conjunction with the use of an IDS procedure have an excellent medium-term prognosis.CLINICAL RELEVANCE: Partial glass-ceramic posterior restorations can be considered as a highly reliable treatment option. Location and extension of the restoration and pre-restorative endodontic status do not affect success rate.",

author = "{Van den Breemer}, {Carline R G} and Buijs, {Gerrit J} and Cune, {Marco S} and Mutlu {\"O}zcan and Wouter Kerdijk and {Van der Made}, Stephan and Gresnigt, {Marco M M}",

year = "2021",

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doi = "10.1007/s00784-020-03454-7",

language = "English",

volume = "25",

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Van den Breemer, CRG, Buijs, GJ, Cune, MS , Özcan, M, Kerdijk, W, Van der Made, S & Gresnigt, MMM 2021, 'Prospective clinical evaluation of 765 partial glass-ceramic posterior restorations luted using photo-polymerized resin composite in conjunction with immediate dentin sealing', Clinical Oral Investigations, vol. 25, pp. 1463–1473. https://doi.org/10.1007/s00784-020-03454-7

Prospective clinical evaluation of 765 partial glass-ceramic posterior restorations luted using photo-polymerized resin composite in conjunction with immediate dentin sealing. / Van den Breemer, Carline R G; Buijs, Gerrit J; Cune, Marco S et al.

In: Clinical Oral Investigations, Vol. 25, 03.2021, p. 1463–1473.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Prospective clinical evaluation of 765 partial glass-ceramic posterior restorations luted using photo-polymerized resin composite in conjunction with immediate dentin sealing

AU - Van den Breemer, Carline R G

AU - Buijs, Gerrit J

AU - Cune, Marco S

AU - Özcan, Mutlu

AU - Kerdijk, Wouter

AU - Van der Made, Stephan

AU - Gresnigt, Marco M M

PY - 2021/3

Y1 - 2021/3

N2 - OBJECTIVES: To evaluate the clinical performance of partial glass-ceramic (IPS e.max Press) posterior restorations.MATERIALS AND METHODS: A total of 765 restorations in 158 patients were placed between 2008 and 2018 and evaluated in a prospective study during regular dental care visits between 2015 and 2018. The restorations were luted with a conventional photo-polymerized resin composite (HFO) in conjunction with an Immediate Dentin Sealing procedure (IDS). Intra-oral photographs and radiographs were made and evaluated using USPHS criteria.RESULTS: The mean observation time was 53.3 months (range 3-113 months). Three absolute failures occurred (tooth fractures, n = 2; apical re-infection, n = 1) all leading to the loss of the restored tooth. Repairable and salvageable failures occurred in 9 teeth (endodontic complications, n = 7; secondary caries, n = 1; debonding, n = 1). The survival and success rates according to Kaplan-Meier after 5 years cumulated to 99.6% and 98.6%, respectively. Location (premolar/molar and mandibula/maxilla), pre-restorative endodontic status (vital/devitalised) and extension of the indirect ceramic restoration (number of sides and cusps involved) did not significantly affect the cumulative success rate (log rank test, p > 0.05). The condition of the vast majority of the restorations remained unaffected for 5 years.CONCLUSIONS: Partial glass-ceramic posterior restorations (pressed lithium disilicate (IPS e.max press, Ivoclar Vivadent) luted by means of a conventional photo-polymerized resin composite in conjunction with the use of an IDS procedure have an excellent medium-term prognosis.CLINICAL RELEVANCE: Partial glass-ceramic posterior restorations can be considered as a highly reliable treatment option. Location and extension of the restoration and pre-restorative endodontic status do not affect success rate.

AB - OBJECTIVES: To evaluate the clinical performance of partial glass-ceramic (IPS e.max Press) posterior restorations.MATERIALS AND METHODS: A total of 765 restorations in 158 patients were placed between 2008 and 2018 and evaluated in a prospective study during regular dental care visits between 2015 and 2018. The restorations were luted with a conventional photo-polymerized resin composite (HFO) in conjunction with an Immediate Dentin Sealing procedure (IDS). Intra-oral photographs and radiographs were made and evaluated using USPHS criteria.RESULTS: The mean observation time was 53.3 months (range 3-113 months). Three absolute failures occurred (tooth fractures, n = 2; apical re-infection, n = 1) all leading to the loss of the restored tooth. Repairable and salvageable failures occurred in 9 teeth (endodontic complications, n = 7; secondary caries, n = 1; debonding, n = 1). The survival and success rates according to Kaplan-Meier after 5 years cumulated to 99.6% and 98.6%, respectively. Location (premolar/molar and mandibula/maxilla), pre-restorative endodontic status (vital/devitalised) and extension of the indirect ceramic restoration (number of sides and cusps involved) did not significantly affect the cumulative success rate (log rank test, p > 0.05). The condition of the vast majority of the restorations remained unaffected for 5 years.CONCLUSIONS: Partial glass-ceramic posterior restorations (pressed lithium disilicate (IPS e.max press, Ivoclar Vivadent) luted by means of a conventional photo-polymerized resin composite in conjunction with the use of an IDS procedure have an excellent medium-term prognosis.CLINICAL RELEVANCE: Partial glass-ceramic posterior restorations can be considered as a highly reliable treatment option. Location and extension of the restoration and pre-restorative endodontic status do not affect success rate.

U2 - 10.1007/s00784-020-03454-7

DO - 10.1007/s00784-020-03454-7

M3 - Article

C2 - 32785851

SN - 1436-3771

VL - 25

SP - 1463

EP - 1473

JO - Clinical Oral Investigations

JF - Clinical Oral Investigations

ER -