Endodontically Treated Teeth, Mutilated Teeth
Conditions
Keywords
Shade match, patient satisfaction, Yttria stabilized multilayered zirconia, Lithium disilicate
Brief summary
The aim of the study is to determine whether Yttria stabilized multilayered zirconia restorations will differ from lithium disilicate restorations in shade matching and patient satisfaction in patients requiring full coverage restorations.
Detailed description
Steps in short: Single tooth in the esthetic zone requiring full coverage crown is prepared to receive an all-ceramic crown, The restorations will be divided into two groups: I: Teeth receiving restorations fabricated from Lithium disilicate II: Teeth receiving restorations fabricated from yttria stabilized multilayered zirconia. Shade will be measured using intraoral spectrophotometer and evaluated. The colour difference (ΔE) will be calculated for each sample using the following equation: ΔE =\[(ΔL) ²+(Δa) ² + (Δb) ²\] ½, ΔE (perceptibility threshold) will be evaluated for each group. Participant timeline the patient will be treated in visits designated as follows: Visit 1: Preoperative records, face-to-face adherence reminder session, clinical, radiographic for examination, intraoral photographs and primary impression (Alginate impression) diagnostic cast construction. Visit 2: teeth preparation and secondary impression using addition silicone rubber base material and temporary restoration. Visit 3: placement and permanent cementation of the final restoration using resin cement.
Interventions
OTHERYttria stabilized multilayered (YML) zirconia restorations
Yttria stabilized multilayered zirconia restorations were claimed to have high strength and esthetics at the same time but no clinical studies were conducted yet to prove its high esthetic properties
OTHERLithium disilicate restorations
Lithium disilicate reinforced glass ceramics are considered a gold standard for monolithic esthetic restorations.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Age range of the patients from 20-60 years old; able to read and sign the informed consent document, illiterate patient will be avoided. 2. Patients able physically and psychologically to tolerate conventional restorative procedures. 3. Patients with no active periodontal or pulpal diseases, having teeth with good restorations. 4. Patients with teeth problems indicated for full coverage restoration (coronal fracture where partial coverage would lack retention, malposed or malformed teeth). 5. Patients with root canal treated teeth requiring full coverage restorations. 6. Patients willing to return for follow-up examinations and evaluation.
Exclusion criteria
1. Patients in the growth stage with partially erupted teeth. 2. Patients with poor oral hygiene and motivation. 3. Patients with psychiatric problems or unrealistic expectations (patient that has phobia from dental treatments or needle bunch). 4. Patients suffer from parafunctional habits.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Color difference | immediate after cementation | By Intraoral Spectrophotometer, color difference between the restoration and the adjacent or contralateral natural tooth will be measured by the unit (ΔE), (ΔE) will be measured for each sample. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | immediate after cementation | By Visual Analogue Scale, with score range from 1 to 10 , where 1 is the worst (lowest satisfaction) and 10 is the best (highest satisfaction). |
Contacts
Primary ContactYasmin Mohamed ElFiky
Outcome results
None listed