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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Yttria stabilized multilayered (YML) zirconia restorations | Experimental | Full coverage Yttria stabilized multilayered (YML) zirconia restorations will be fabricated on a tooth requiring full coverage in the esthetic zone. |
|
| Lithium disilicate restorations | Experimental | Full coverage Lithium disilicate restorations will be fabricated on a tooth requiring full coverage in the esthetic zone. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Yttria stabilized multilayered (YML) zirconia restorations | Other | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Color difference | 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. | immediate after cementation |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | 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). | immediate after cementation |
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Inclusion criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yasmin Mohamed ElFiky | Contact | 1000298446 | 20 | Yasmin_mohamed@dentistry.cu.edu.eg |
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| Lithium disilicate restorations | Other | Lithium disilicate reinforced glass ceramics are considered a gold standard for monolithic esthetic restorations. |
|
| ID | Term |
|---|---|
| D019553 | Tooth, Nonvital |
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D003788 | Dental Pulp Diseases |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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