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Patients need Endocrowns for their teeth usually use Emax as an etchable ceramic. Yet they have disadvantages that may influence the outcome of the endocrowns, among which is the high stiffness and rigidity owing to the higher modulus of elasticity (67.2 GPa)( compared to natural dentin (18.6 GPa) which may affect the marginal adaptation.so a less rigid material is needed. PEEKs (polyetheretherketones) are presented as alternative materials to metal and glass ceramics, Their elastic modulus comparable to those of cortical bone and dentin so the polymer could exhibit good stress distribution. Also they have high fracture resistance, and low abrasion to the antagonist enamel.
.but the investigators have to know clinically it is performance , so the investigators are going to have Parallel groups in a randomized clinical trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PEEK | Experimental | PEEKs (polyetheretherketones) are presented as alternative materials to metal and glass ceramics,1 Their elastic modulus comparable to those of cortical bone and dentin so the polymer could exhibit good stress distribution. Also they have high fracture resistance, and low abrasion to the antagonist enamel. Yet clinical studies are needed to evaluate their clinical performance. |
|
| Emax | Active Comparator | lithium disilicate glass-ceramic which is etchable and proved to have good success rate if used for Endocrowns |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PEEK | Other | New polyetheretherketones material |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of marginal gap | Marginal gap of the restorations assessed by Silicon replica technique using digital microscope | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical evaluation of marginal adaptation | Marginal adaptation of the restorations assessed clinically using dental mirror and probe according to the modified united states public health service criteria (USPHS) | 1 Year |
| Clinical evaluation of fracture resistance |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical evaluation of Retention | Retention of the restorations assessed clinically using dental mirror and probe according to the modified united states public health service criteria (USPHS) | 1 Year |
Inclusion Criteria:
All subjects are required to be:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed Youssef, M.D.S | Contact | 01064019439 | Ahmedmohamedosman90@gmail.com | |
| Omaima Elmahlawy | Contact |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26110927 | Background | Otto T, Mormann WH. Clinical performance of chairside CAD/CAM feldspathic ceramic posterior shoulder crowns and endocrowns up to 12 years. Int J Comput Dent. 2015;18(2):147-61. English, German. | |
| 27692583 | Background | Zoidis P, Bakiri E, Polyzois G. Using modified polyetheretherketone (PEEK) as an alternative material for endocrown restorations: A short-term clinical report. J Prosthet Dent. 2017 Mar;117(3):335-339. doi: 10.1016/j.prosdent.2016.08.009. Epub 2016 Sep 28. |
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| ID | Term |
|---|---|
| D019553 | Tooth, Nonvital |
| ID | Term |
|---|---|
| D003788 | Dental Pulp Diseases |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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| ID | Term |
|---|---|
| C063834 | polyetheretherketone |
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| Emax | Other | standard etchable glass ceramic used for Endocrowns |
|
|
Fracture resistance of the restorations assessed clinically using dental mirror and probe according to the modified united states public health service criteria (USPHS) |
| 1 Year |
| 28955538 | Background | Sevimli G, Cengiz S, Oruc MS. Endocrowns: review. J Istanb Univ Fac Dent. 2015 Apr 29;49(2):57-63. doi: 10.17096/jiufd.71363. eCollection 2015. |