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The aim of the research is to study the mechanical behavior and clinical performance of veneers in posterior teeth. Clinical assessment and experimentation of two types of occlusal veneers will be conducted to evaluate their behavior.
Occlusal veneers are restorations that restore the occlusal surface without axial wall involvement, allowing restoration of form, function, and esthetics of compromised or destroyed occlusal tooth structure in a conservative way as part of their treatment plan and the restorative process. The performance of occlusal veneer restorations is of paramount importance, as it determines the outcome and behavior of the final restoration. No ideal study has been conducted to evaluate teeth restored with occlusal veneer restorations. Evaluation must include all aspects of clinical performance, as some of the materials used in their fabrication have not been fully studied and should be studied to evaluate their clinical behavior using modified USPHS (United States Public Health Service) criteria. Which includes surface texture, anatomical form/wear, marginal integrity, marginal discoloration, secondary caries, color match and post-operative hypersensitivity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Direct occlusal veneer ( Occlusal Veneer of Composite resin) | Experimental | Split-mouth design, (right/left posterior tooth) will be restored with an occlusal veneer composite resin (Direct occlusal veneer). Directly fabricated occlusal veneers are a conservative approach, however, it requires a great skill from the operator to assure good margins and occlusal anatomy. Direct veneers are fabricated from composite resin and can be finished in a single visit, but longer chair time is required, in addition to the low wear resistance compared to ceramics. However, direct occlusal veneers have the benefit of resiliency close to that of natural dental tissue. |
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| Indirect occlusal veneer (Occlusal veneer of lithium disilicate) | Active Comparator | Split-mouth design, (right/left posterior tooth) will be restored with an Indirect occlusal veneer (Occlusal veneer of lithium disilicate). Indirectly fabricated occlusal veneers of lithium disilicate allow better control and design of the occlusal anatomy and proximal contacts, in addition to possessing better mechanical properties and fracture strength when compared to direct occlusal veneers. However, indirect occlusal veneers are lab fabricated, consequently, more clinical visits are required. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Indirect occlusal veneer (Occlusal veneer of lithium disilicate) | Procedure | Split-mouth design, (right/left posterior tooth) will be restored with an Indirect occlusal veneer (Occlusal veneer of lithium disilicate). Indirectly fabricated occlusal veneers of lithium disilicate allow better control and design of the occlusal anatomy and proximal contacts, in addition to possessing better mechanical properties and fracture strength when compared to direct occlusal veneers. However, indirect occlusal veneers are lab fabricated, consequently, more clinical visits are required. |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical assessment | Clinical performance of each direct & indirect occlusal veneer using modified USPHS (United States Public Health Service) criteria. Each criterion will be graded as either Alpha, Bravo and Charlie.
The clinical performance will be evaluated by blinded evaluators, the data will be collected in a table for analysis. | 1 year follow up |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Ain Shams University | Cairo | Heliopolis | 4393005 | Egypt |
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Split-mouth design, one side (right/left posterior tooth) will be restored with a direct occlusal veneer (occlusal veneer of direct composite resin) and the other side (right/left posterior tooth) will restored with an indirect occlusal veneer (occlusal veneer of lithium disilicate).
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| Direct occlusal veneer ( Occlusal Veneer of Composite resin) | Procedure | Split-mouth design, (right/left posterior tooth) will be restored with an occlusal veneer composite resin (Direct occlusal veneer). Directly fabricated occlusal veneers are a conservative approach, however, it requires a great skill from the operator to assure good margins and occlusal anatomy. Direct veneers are fabricated from composite resin and can be finished in a single visit, but longer chair time is required, in addition to the low wear resistance compared to ceramics. However, direct occlusal veneers have the benefit of resiliency close to that of natural dental tissue. |
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