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Evaluation the clinical performance of premolars restored with ceramic vonlays versus onlays using modified USPHS criteria after follow-up period of 0,3,6,9,12 months
two groups of patients with vital premolars indicated for fixed restorations will be selected according to special inclusion criteria (n=13) in each group (total of 26). one group will receive minimally invasive cavity preparations for posterior indirect restorations either vonlay or onlay according to each group the patient will be assessed using Modified USPHS Criteria at 0,3,6,9,12 months regarding fracture, marginal integrity and marginal discoloration
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vonlay lithium disilicate ceramic restorations | Experimental | Vonlay is a hybrid of an onlay with an extended buccal veneer surface for use in bicuspid regions where there is mostly enamel to bond to. The vonlay is less invasive, more readily repairable, less technique-sensitive to attain adequate bonding, and will leave sounder tooth structure remaining if further treatment is required in the future |
|
| Onlay lithium disilicate ceramic restorations | Active Comparator | Onlays are used to restore large areas of decay and also used to replace old restorations, whether they are defective amalgam fillings, old cast-gold onlays, or fabricated from some other material |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vonlay Ceramic restorations | Procedure | vonlay is a hybrid of an onlay with an extended buccal veneer surface for use in bicuspid regions where there is mostly enamel to bond to. The vonlay is less invasive, more readily repairable, less technique-sensitive to attain adequate bonding, and will leave sounder tooth structure remaining if further treatment is required in the future |
| Measure | Description | Time Frame |
|---|---|---|
| Fracture | assessed according to modified USPHS criteria (Alpha, Bravo) | change from baseline at 3,6,9,12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Marginal integrity | assessed according to modified USPHS criteria (Alpha, Bravo, Charlie and Delta) | 0,3,6,9,12 months |
| Marginal discoloration | assessed according to modified USPHS criteria (Alpha, Bravo and Charlie) |
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Inclusion Criteria:
Age range of the patients from 25-44 years old, who could read understand and write to sign the consent by himself /herself
Have no active periodontal or pulpal diseases, have teeth with good restorations.(19)
Psychologically and physically able to withstand conventional dental procedures
Patients with teeth problems indicated for onlay and vonlay (premolars).
Able to return for follow-up examinations and evaluation.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed Abdel Aziz Hazzaa, PHD | Contact | 00201066599505 | mohamed.hazzaa@dentistry.cu.edu.eg | |
| Mohamed Abdel Aziz Hazzaa, PHD | Contact | 00201116545475 | mohazza3@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Cairo University, 11 El-Saraya St. El Manial | Recruiting | Cairo | El Manial | Egypt |
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| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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Double blinding
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| Onlay Ceramic restorations | Procedure | Onlays are used to restore large areas of decay and also used to replace old restorations, whether they are defective amalgam fillings, old cast-gold onlays, or fabricated from some other material |
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| 0,3,6,9,12 months |