Clinical Evaluation of Laminate Veneers With Coronal Post Versus Post and Core Foundation Restoration With Single Crown for Restoration of Endodontically Treated Anterior Teeth (Randomized Controlled Trial) "In-vivo Study"

Cairo University35 enrolled

Overview

Clinical evaluation of Laminate veneers with coronal post versus post and core foundation restoration with single crown for restoration of endodontically treated anterior teeth (Randomized Controlled Trial) "In-vivo Study"

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Teeth, Endodontically-Treated Anterior Teeth

Interventions

laminate veneer with coronal postPROCEDURE

laminate veneer with coronal post

post,core and crownPROCEDURE

post,core and crown

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. From 18-60 years old, should be able to read and sign the consent document. 2. Ability to tolerate the restorative procedures (physical and psychological). 3. Patients with anterior endodontically treated teeth indicated for coronal restoration: 1. Good oral hygiene 2. Minimum remaining coronal tooth height of 4 mm 3. Normal functional occlusal stresses within physiological limits. 4. Adequate crown/root ratio 5. No signs and symptoms related to active periapical pathosis or endodontic failure. 4. With no active periodontal or pulpal problems. 5. Willing to return for follow-up visits. Exclusion Criteria: 1. Teeth not fully erupted as in young patients. 2. Poor oral hygiene and lack of motivation 3. Vital teeth 4. Psychiatric problems or unrealistic expectations 5. Excessive parafunctional stresses and bad habits like nail biting. 11 6. The absence of sound enamel margins for the preparation 7. Abnormally small teeth or with structural defects in enamel. 12 8. Tooth mobility or inadequate crown/root ratio.

Outcomes

Primary Outcomes

Gross Fracture

: Alpha (A),Restoration is intact and fully retained. Bravo (B), Restoration is partially retained with some portion of the restoration still intact. Charlie (C), Restoration is completely missing.

Time frame: one year

Secondary Outcomes

marginal integrity

Alpha (A), Visual inspection and explorer, the explorer does not catch when drawn across the surface of the restoration toward the tooth, or, if the explorer does not catch, there is no visible crevice along the periphery of the restoration. Bravo (B), Visual inspection and explorer, the explorer catches and there is visible evidence of a crevice, which the explorer penetrates, indicating that the edge of the restoration does not adapt closely to the tooth structure. The dentin and/or the base is not exposed, and the restoration is not mobile. Charlie (C), Explorer, the explorer penetrates crevice defect extended to the dentino-enamel junction.

Time frame: one year

marginal discoloration

Alpha (A) Visual inspection, There is no visual evidence of marginal discoloration different from the color of the restorative material and from the color of the adjacent tooth structure. Bravo (B), Visual inspection, There is visual evidence of marginal discoloration at the junction of the tooth structure and the restoration, but the discoloration has not penetrated along the restoration in a pulpal direction. Charlie (C), Visual inspection, there is visual evidence of marginal discoloration at the junction of the tooth structure and the restoration that has penetrated along the restoration in a pulpal direction.

Time frame: one year

color match

Alpha (A) Visual inspection The restoration appears to match the shade and translucency of adjacent tooth tissues. Bravo (B), Visual inspection, the restoration does not match the shade and translucency of adjacent tooth tissues, but the mismatch is within the normal range of tooth shades. (Within normal range: Similar to silicate cement restorations for which the dentist did not quite succeed in matching tooth color by his choice among available silicate cement shades.) Charlie (C), visual inspection , the restoration does not match the shade and translucency of the adjacent tooth structure, and the mismatch is outside the normal range of tooth shades and translucency.

Central Contacts

mohamed Elsadek, MDS

CONTACT

002010052992472 m.elsadek@dentistry.cu.edu.eg

Data from ClinicalTrials.gov

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