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Clinical Oral Investigations

Published in:

01-04-2013 | Original Article

Clinical longevity of ceramic laminate veneers bonded to teeth with and without existing composite restorations up to 40 months

Authors: Marco M. M. Gresnigt, Warner Kalk, Mutlu Özcan

Published in: Clinical Oral Investigations | Issue 3/2013

Abstract

Objectives

This study evaluated the survival rate of ceramic laminate veneers bonded to teeth with and without existing composite restorations (ECR).

Materials and methods

Twenty patients (mean age: 49.7 years) received 92 feldspathic ceramic laminate veneers (Shofu Vintage AL) on the maxillary teeth (intact teeth: n = 26; teeth with ECR: n = 66). Preparations with incisal overlap were made, and ECR of good quality were not removed but conditioned using silica coating (CoJet) and silanization (ESPE-Sil). Enamel and dentin were etched with 38 % H₃PO₄ for 15–30 s and rinsed 30 s; adhesive resin (Excite) was applied, and laminate veneers were then cemented (Variolink Veneer). Restorations were evaluated at baseline and thereafter every 6 months using modified United States Public Health Service criteria.

Results

Mean observation period was 21.6 months. Overall, five absolute failures were encountered (fractures: n = 3; chipping: n = 1; debonding: n = 1), resulting in a survival rate of 94.6 % (Kaplan–Meier). Survival rates of the laminates bonded to teeth without (96 %) and with ECR (93.5 %) did not show significant differences (p > 0.05). Slight marginal defects (16 of 87 laminates) and slight marginal discoloration at the margins were noted (12 of 87 laminates) until the final recall. Secondary caries and endodontic complications were not detected in any of the teeth.

Conclusion

The clinical survival of ceramic laminate veneers up to 40 months was not significantly influenced when they were bonded onto intact teeth or onto teeth with ECR.

Clinical relevance

When no caries is present, it may not be necessary to replace existing composite restorations prior to cementation of ceramic laminate veneers.

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Title: Clinical longevity of ceramic laminate veneers bonded to teeth with and without existing composite restorations up to 40 months
Authors: Marco M. M. Gresnigt
Warner Kalk
Mutlu Özcan
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 3/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-012-0790-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical longevity of ceramic laminate veneers bonded to teeth with and without existing composite restorations up to 40 months

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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