Top

Clinical Oral Investigations

Published in:

01-05-2018 | Original Article

Clinical survival of chair-side generated monolithic lithium disilicate crowns:10-year results

Authors: Angelika Rauch, Sven Reich, Luise Dalchau, Oliver Schierz

Published in: Clinical Oral Investigations | Issue 4/2018

Abstract

Objectives

Nowadays, all-ceramic materials are routinely used within the treatment of patients in dentistry. The objective of this prospective clinical trial was the evaluation of chair-side generated monolithic lithium disilicate crowns after 10 years.

Materials and methods

Forty-one posterior full contour crowns made of lithium disilicate ceramics were inserted with a self-adhesive resin cement in 34 patients (20 university/14 private practice) using a chair-side CAD/CAM technique. One crown per patient was randomly selected for evaluation according to the modified US Public Health Service criteria.

Results

After a mean examination time of 10.1 years, 26 crowns were available for re-examination. Within the observation period, five failures occurred due to one crown fracture after 2.9 years, an abutment fracture after 6.0 years, one severe endodontic problem after 6.1 years, a root fracture after 7.0 years, and a replacement of one crown caused by a carious lesion after 10 years. Complications occurred as retention loss of one crown, two carious lesions, and a change in sensibility perception of two abutment teeth. All events were associated with molars. The Kaplan-Meier analysis revealed a survival rate of 83.5% and a complication-free rate of 71.0% after 10 years.

Conclusion

Due to the small amount of technical complications and failures, the clinical performance of monolithic lithium disilicate crowns was completely satisfying.

Clinical relevance

The insertion of chair-side fabricated monolithic lithium disilicate crowns can be recommended for long-term use in the posterior region.

Hendrie CA, Brewer G (2012) Evidence to suggest that teeth act as human ornament displays signalling mate quality. PLoS One 7:e42178. https://doi.org/10.1371/journal.pone.0042178 CrossRefPubMedPubMedCentral

American Academy of Cosmetic Dentistry (2015) Cosmeticdentistry: state of the industry. Survey 2015. http://www.aacd.com/proxy/files/Publications%20and%20Resources/AACD%20State%20of%20the%20Cosmetic%20Dentistry%20Industry%202015.pdf. Accessed 18 August 2017

Walton TR (2013) The up to 25-year survival and clinical performance of 2,340 high gold-based metal-ceramic single crowns. Int J Prosthodont 26:151–160. https://doi.org/10.11607/ijp.3136 CrossRefPubMed

Behr M, Zeman F, Baitinger T et al (2014) The clinical performance of porcelain-fused-to-metal precious alloy single crowns: chipping, recurrent caries, periodontitis, and loss of retention. Int J Prosthodont 27:153–160. https://doi.org/10.11607/ijp.3440 CrossRefPubMed

Sailer I, Makarov NA, Thoma DS et al (2015) All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs). Dent Mater 31:603–623. https://doi.org/10.1016/j.dental.2015.02.011 CrossRefPubMed

Heintze SD, Rousson V (2010) Fracture rates of IPS Empress all-ceramic crowns—a systematic review. Int J Prosthodont 23:129–133PubMed

Kassardjian V, Varma S, Andiappan M et al (2016) A systematic review and meta analysis of the longevity of anterior and posterior all-ceramic crowns. J Dent 55:1–6. https://doi.org/10.1016/j.jdent.2016.08.009 CrossRefPubMed

Pjetursson BE, Sailer I, Zwahlen M et al (2007) A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part I: Single crowns. Clin Oral Implants Res 18(Suppl 3):73–85. https://doi.org/10.1111/j.1600-0501.2007.01467.x CrossRefPubMed

Rinke S, Tsigaras A, Huels A et al (2011) An 18-year retrospective evaluation of glass-infiltrated alumina crowns. Quintessence Int 42:625–633PubMed

10.

Schmitz JH, Cortellini D, Granata S et al (2017) Monolithic lithium disilicate complete single crowns with feather-edge preparation design in the posterior region: a multicentric retrospective study up to 12 years. Quintessence Int 20:601–608. https://doi.org/10.3290/j.qi.a38678

11.

Otto T, Mörmann WH (2015) Clinical performance of chairside CAD/CAM feldspathic ceramic posterior shoulder crowns and endocrowns up to 12 years. Int J Comput Dent 18:147–161PubMed

12.

Kern M, Sasse M, Wolfart S (2012) Ten-year outcome of three-unit fixed dental prostheses made from monolithic lithium disilicate ceramic. J Am Dent Assoc 143:234–240CrossRefPubMed

13.

Valenti M, Valenti A (2009) Retrospective survival analysis of 261 lithium disilicate crowns in a private general practice. Quintessence Int 40:573–579PubMed

14.

Toman M, Toksavul S (2015) Clinical evaluation of 121 lithium disilicate all-ceramic crowns up to 9 years. Quintessence Int 46:189–197. https://doi.org/10.3290/j.qi.a33267 PubMed

15.

Teichmann M, Gockler F, Weber V et al (2017) Ten-year survival and complication rates of lithium-disilicate (Empress 2) tooth-supported crowns, implant-supported crowns, and fixed dental prostheses. J Dent 56:65–77. https://doi.org/10.1016/j.jdent.2016.10.017 CrossRefPubMed

16.

Gehrt M, Wolfart S, Rafai N et al (2013) Clinical results of lithium-disilicate crowns after up to 9 years of service. Clin Oral Investig 17:275–284. https://doi.org/10.1007/s00784-012-0700-x CrossRefPubMed

17.

Simeone P, Gracis S (2015) Eleven-year retrospective survival study of 275 veneered lithium disilicate single crowns. Int J Periodontics Restor Dent 35:685–694. https://doi.org/10.11607/prd.2150 CrossRef

18.

Fradeani M, Redemagni M (2002) An 11-year clinical evaluation of leucite-reinforced glass-ceramic crowns: a retrospective study. Quintessence Int 33:503–510PubMed

19.

Galindo ML, Sendi P, Marinello CP (2011) Estimating long-term survival of densely sintered alumina crowns: a cohort study over 10 years. J Prosthet Dent 106:23–28. https://doi.org/10.1016/S0022-3913(11)60089-9 CrossRefPubMed

20.

Wiedhahn K (2007) From blue to white: new high-strength material for Cerec-IPS e.max CAD LT. Int J Comput Dent 10:79–91PubMed

21.

KernM, ThompsonVP, BeuerF et al (2017) All-ceramics at a glance: an introduction to the indications, material selection, preparation and insertion techniques for all-ceramic restorations, 3rd English edition. AG Keramik, Ettlingen

22.

Makhija SK, Lawson NC, Gilbert GH et al (2016) Dentist material selection for single-unit crowns: findings from the National Dental Practice-Based Research Network. J Dent 55:40–47. https://doi.org/10.1016/j.jdent.2016.09.010 CrossRefPubMedPubMedCentral

23.

Hickel R, Roulet J-F, Bayne S et al (2007) Recommendations for conducting controlled clinical studies of dental restorative materials. Clin Oral Invest 11:5–33. https://doi.org/10.1007/s00784-006-0095-7 CrossRef

24.

Reich S, Schierz O (2013) Chair-side generated posterior lithium disilicate crowns after 4 years. Clin Oral Investig 17:1765–1772. https://doi.org/10.1007/s00784-012-0868-0 CrossRefPubMed

25.

Rauch A, Reich S, Schierz O (2017) Chair-side generated posterior monolithic lithium disilicate crowns: clinical survival after 6 years. Clin Oral Investig 21:2083–2089. https://doi.org/10.1007/s00784-016-1998-6 CrossRefPubMed

26.

Ivoclar VivadentAG IPS e.max CAD for PrograMill. http://www.ivoclarvivadent.de/de-de/zahnarzt/material/ips-emax-cad-for-programill. Accessed 18 Aug 2017

27.

Zhang Z, Yi Y, Wang X et al (2017) A comparative study of progressive wear of four dental monolithic, veneered glass-ceramics. J Mech Behav Biomed Mater 74:111–117. https://doi.org/10.1016/j.jmbbm.2017.05.035 CrossRefPubMed

28.

Lawson NC, Bansal R, Burgess JO (2016) Wear, strength, modulus and hardness of CAD/CAM restorative materials. Dent Mater 32:e275–e283. https://doi.org/10.1016/j.dental.2016.08.222 CrossRefPubMed

29.

Belli R, Pelka M, Petschelt A et al (2009) In vitro wear gap formation of self-adhesive resin cements: a CLSM evaluation. J Dent 37:984–993. https://doi.org/10.1016/j.jdent.2009.08.006 CrossRefPubMed

30.

Peumans M, Voet M, de MJ et al (2013) Four-year clinical evaluation of a self-adhesive luting agent for ceramic inlays. Clin Oral Investig 17:739–750. https://doi.org/10.1007/s00784-012-0762-9 CrossRefPubMed

31.

Federlin M, Hiller K-A, Schmalz G (2014) Effect of selective enamel etching on clinical performance of CAD/CAM partial ceramic crowns luted with a self-adhesive resin cement. Clin Oral Investig 18:1975–1984. https://doi.org/10.1007/s00784-013-1173-2 CrossRefPubMed

Title: Clinical survival of chair-side generated monolithic lithium disilicate crowns:10-year results
Authors: Angelika Rauch
Sven Reich
Luise Dalchau
Oliver Schierz
Publication date: 01-05-2018
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 4/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2271-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Clinical survival of chair-side generated monolithic lithium disilicate crowns:10-year results

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

Please log in to get access to this content

Other articles of this Issue 4/2018

Autotransplantation of teeth with incomplete root formation: a systematic review and meta-analysis

Blood flow changes using a 3D xenogeneic collagen matrix or a subepithelial connective tissue graft for root coverage procedures: a pilot study

Effects of single- and double-layered resorbable membranes and platelet-rich fibrin on bone healing

Clinical and microbiological effectiveness of photodynamic therapy on primary endodontic infections: a 6-month randomized clinical trial

Change in reimbursement and costs in German oncological head and neck surgery over the last decade: ablative tongue cancer surgery and reconstruction with split-thickness skin graft vs. microvascular radial forearm flap

Effect of bleaching agent extracts on murine macrophages