Posterior partial crowns out of lithium disilicate (LS2) with or without posts: A randomized controlled prospective clinical trial with a 3-year follow up

The objective of this randomized controlled trial was to assess the influence of use of posts as well as the type of posterior tooth (premolars vs molars) for the treatment with lithium disilicate (LS2) partial crowns. A total of 60 patients were treated with posterior LS2 partial crowns. Two groups...

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Veröffentlicht in:Journal of dentistry 2019-04, Vol.83, p.12-17
Hauptverfasser: Ferrari, M., Ferrari Cagidiaco, E., Goracci, C., Sorrentino, R., Zarone, F., Grandini, S., Joda, Tim
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container_issue
container_start_page 12
container_title Journal of dentistry
container_volume 83
creator Ferrari, M.
Ferrari Cagidiaco, E.
Goracci, C.
Sorrentino, R.
Zarone, F.
Grandini, S.
Joda, Tim
description The objective of this randomized controlled trial was to assess the influence of use of posts as well as the type of posterior tooth (premolars vs molars) for the treatment with lithium disilicate (LS2) partial crowns. A total of 60 patients were treated with posterior LS2 partial crowns. Two groups (n = 60) were made based on the type of restored tooth: Group 1, premolars and Group 2, molars. The samples of each group were divided into 2 subgroups (n = 30): Subgroup A restored with fiber posts and Subgroup B without them. Clinical and intraoral radiographic examinations were assessed during each recall (6 months and, 1, 2, and 3 years). Kaplan-Meier log-rank test and Cox regression analysis (Pp < 0.05) were applied. Three subgroups showed 100% of survival while group 2 A exhibited the lowest performance (93.3%). The Cox regression analysis showed that the presence of the post was not a significant factor for survival time (Hazard Ratio HR = 0388; CI95% Confidence Interval for H R = 0,1- to 1,5; pp = 017). Tooth type had an influence on survival time that was at the limit of statistical significance (Hazard Ratio HR = 0123; CI95% Confidence Interval for HR = 0 0015- to 0997; p = 005). Particularly, failure risk was greater for premolars. ‘Post by tooth type’ interactions were not statistically significant (p = 0126). over a 3-year observation period, the clinical performance of endodontically treated teeth restored with lithium disilicate partial crowns was not significantly affected by the use of a fiber post and by the type of tooth (premolars or molars).
doi_str_mv 10.1016/j.jdent.2019.01.004
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Clinical trial
Clinical trials
Confidence intervals
Crowns
Dental bonding
Dental crowns
Dental Porcelain
Dental prosthesis
Dental Prosthesis Design
Dental Restoration Failure
Dental surgery
Dentistry
Endodontics
Follow-Up Studies
Humans
Lithium
Molars
Post and Core Technique
Premolars
Prospective Studies
Prosthetic dentistry/prosthodontics
Prosthodontics
Randomization
Rank tests
Regression analysis
Statistical analysis
Statistical methods
Statistical significance
Subgroups
Survival
Teeth
Tooth, Nonvital
title Posterior partial crowns out of lithium disilicate (LS2) with or without posts: A randomized controlled prospective clinical trial with a 3-year follow up
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