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  • Polymer-infiltrated...

Polymer-infiltrated and lithium disilicate ceramic crowns have similar survival rates and clinical performance in oral rehabilitation

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 9 Oct 2023 2:30 PM  |  Updated On 9 Oct 2023 4:28 PM
Polymer-infiltrated and lithium disilicate ceramic crowns have similar survival rates and clinical performance in oral rehabilitation
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Polymer-infiltrated and lithium disilicate ceramic crowns have similar survival rates and clinical performance in oral rehabilitation suggests a new study published in the Journal Of Prosthetic Surgery.

The success rate of monolithic polymer-infiltrated ceramic posterior crowns after 1 year is unclear.

The purpose of this controlled, randomized, and double-blind clinical trial was to evaluate the performance of posterior complete crowns in polymer-infiltrated and lithium disilicate ceramics and to assess the impact of oral rehabilitation on esthetic satisfaction, quality of life, and periodontal health.

A total of 33 crowns were provided in 18 participants allocated to 2 groups: Control (Lithium disilicate—IPS e.max CAD; Ivoclar AG) and Experimental (Polymer-infiltrated ceramic—Vita Enamic; Vita Zahnfabrik). The crowns were evaluated before treatment (T0) and after 1 (T1), 6 (T2), and 12 (T3) months by using modified United States Public Health Service (USPHS) criteria, visual analog scales (VASs), oral impacts on daily performances (OIDP), and periodontal parameters. Survival analysis was performed by using Kaplan-Meier followed by the log-rank test (α=.05). The OIDP and USPHS data were analyzed descriptively while VASs for esthetic satisfaction and periodontal parameters were statistically evaluated by using the Mann-Whitney Friedman, and Wilcoxon post hoc tests.

Results

For 18 participants with a mean age of 47.2 years, 19 crowns were manufactured in lithium disilicate and 14 in polymer-infiltrated ceramic. The Kaplan-Meier test revealed similar survival rates of 92.5% for polymer-infiltrated ceramic and 94.7% for lithium disilicate (P>.05). The analysis of periodontal parameters revealed a significant increase in the bleeding on probing (BOP) for polymer-infiltrated ceramics (P=.032) but for lithium disilicate, it was not significant (P=.387).

Survival rates between the evaluated materials were not significantly different, with acceptable clinical performance after 1 year of follow-up.

Reference:

Clinical performance of monolithic polymer-infiltrated ceramic and lithium disilicate posterior crowns: A controlled, randomized, and double-blind clinical trial

Dayanne M.D. Moura, Gabriela M. de Araújo, Lidya N.M. de Araújo, Amanda M. de Oliveira Dal Piva, Mutlu Ozcan, Rodrigo O. de Assunção e Souza. Published:September 08, 2023DOI:https://doi.org/10.1016/j.prosdent.2023.07.016

Keywords:

Polymer-infiltrated, lithium, disilicate, ceramic, crowns, similar, survival, rates, clinical, performance, oral rehabilitation, Dayanne M.D. Moura, Gabriela M. de Araújo, Lidya N.M. de Araújo, Amanda M. de Oliveira Dal Piva, Mutlu Ozcan, Rodrigo O. de Assunção e Souza, Journal Of Prosthetic Surgery

Polymer-infiltratedlithiumdisilicateceramiccrownssimilarsurvivalratesclinicalperformanceoral rehabilitation
Source : The Journal Of prosthethic Surgery
Dr. Shravani Dali
Dr. Shravani Dali

    Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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