TY - JOUR
T1 - Clinical performance of bonded partial lithium disilicate restorations
T2 - the influence of preparation characteristics on survival and success
AU - Hofsteenge, Jelte W
AU - Bresser, Rijkje A
AU - Buijs, Gerrit J
AU - van der Made, Stephan Am
AU - Özcan, Mutlu
AU - Cune, Marco S
AU - Gresnigt, Marco M M
N1 - Copyright © 2023. Published by Elsevier Ltd.
PY - 2024/3
Y1 - 2024/3
N2 - OBJECTIVES: The aim of this study was to investigate the influence of preparation characteristics on the survival, success, and clinical performance of partial indirect lithium disilicate restorations with immediate dentin sealing.METHODS: This retrospective clinical study evaluated partial indirect lithium disilicate restorations placed in conjunction with Immediate Dentin Sealing (IDS) in (pre)molar teeth between March 2018 and May 2021. The restorations were luted using pre-heated composite. The study focused on survival, success, and clinical performance, which was evaluated using the modified United States Public Health Service (USPHS) criteria. Results were analyzed using the Kaplan-Meier estimates, log-rank tests, and Fisher exact tests.RESULTS: Partial indirect lithium disilicate restorations (N=454) were evaluated in 214 patients. The mean evaluation time was 37 months, with a cumulative survival rate of 99.2% and a cumulative success rate of 97.6%. Fourteen failures occurred, with endodontic pathology as the predominant failure mode, followed by secondary caries, debonding, and tooth fracture. No statistically significant influence of the preparation variables on survival and success was observed (p>.05). The short-term clinical performance was clinically acceptable in > 90% of the evaluations.CONCLUSIONS: This retrospective study on partial indirect lithium disilicate restorations in conjunction with IDS demonstrates survival and success rates of 99.2 and 96.7% over a mean evaluation period of 37 months. A marked influence of the studied preparation characteristics on the survival, success and clinical performance of lithium disilicate partial restorations could not be demonstrated. Partial lithium disilicate restorations exhibit good clinical performance in >90% of the cases.CLINICAL SIGNIFICANCE: The results of this study suggest that preparation characteristics had no significant impact on the survival, success, and clinical performance of partial lithium disilicate restorations in conjunction with IDS. Results show good clinical performance and high survival and success rates, regardless of preparation characteristics.
AB - OBJECTIVES: The aim of this study was to investigate the influence of preparation characteristics on the survival, success, and clinical performance of partial indirect lithium disilicate restorations with immediate dentin sealing.METHODS: This retrospective clinical study evaluated partial indirect lithium disilicate restorations placed in conjunction with Immediate Dentin Sealing (IDS) in (pre)molar teeth between March 2018 and May 2021. The restorations were luted using pre-heated composite. The study focused on survival, success, and clinical performance, which was evaluated using the modified United States Public Health Service (USPHS) criteria. Results were analyzed using the Kaplan-Meier estimates, log-rank tests, and Fisher exact tests.RESULTS: Partial indirect lithium disilicate restorations (N=454) were evaluated in 214 patients. The mean evaluation time was 37 months, with a cumulative survival rate of 99.2% and a cumulative success rate of 97.6%. Fourteen failures occurred, with endodontic pathology as the predominant failure mode, followed by secondary caries, debonding, and tooth fracture. No statistically significant influence of the preparation variables on survival and success was observed (p>.05). The short-term clinical performance was clinically acceptable in > 90% of the evaluations.CONCLUSIONS: This retrospective study on partial indirect lithium disilicate restorations in conjunction with IDS demonstrates survival and success rates of 99.2 and 96.7% over a mean evaluation period of 37 months. A marked influence of the studied preparation characteristics on the survival, success and clinical performance of lithium disilicate partial restorations could not be demonstrated. Partial lithium disilicate restorations exhibit good clinical performance in >90% of the cases.CLINICAL SIGNIFICANCE: The results of this study suggest that preparation characteristics had no significant impact on the survival, success, and clinical performance of partial lithium disilicate restorations in conjunction with IDS. Results show good clinical performance and high survival and success rates, regardless of preparation characteristics.
KW - Adhesive
KW - Dental materials
KW - IDS
KW - Lithium disilicate
KW - Partial indirect restoration
KW - Posterior
KW - Preparation
KW - Prosthodontics
UR - http://www.scopus.com/inward/record.url?scp=85183954243&partnerID=8YFLogxK
U2 - 10.1016/j.jdent.2023.104828
DO - 10.1016/j.jdent.2023.104828
M3 - Article
C2 - 38159900
SN - 0300-5712
VL - 142
JO - Journal of Dentistry
JF - Journal of Dentistry
M1 - 104828
ER -