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| Name | Class |
|---|---|
| Malmö University | OTHER |
| Kuraray Noritake Dental Inc. | UNKNOWN |
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AIM: To determine the most effective cementation method and resin cement material for long term success of esthetical restorations TASKS: 1. Compare Panavia Veneer LC (Kuraray Noritake) cement with universal Panavia V5 (Kuraray Noritake) cement for porcelain veneer cementation in terms of marginal defects and discolouration; 2. Evaluating direct vs indirect restorations after 1-year and 3-year follow up periods in terms of patient satisfaction (evaluated by OES scale).
MATERIAL AND METHODS: Participants: Patients attending the Department of Prosthodontics at the RSU Institute of Stomatology, and willing to improve the aesthetics of front teeth with porcelain veneers. Approx. 30 patients. Inclusion criteria: healthy periodontium, needs 4 veneers, stable occlusion. Exclusion criteria: heavy bruxism, poor oral hygiene, active periodontal inflammation.
Veneer preparations will be done for maxillary anterior teeth approximately 0.5mm deep, involving the whole facial surface and keeping enamel around all borders. For digital impressions of preparations intra-oral scans with intraoral scanner (3Shape TRIOS 5 WIRELESS, Denmark) will be taken. Veneers will be fabricated according to the CAD/CAM technique. This will be a prospective paired design study, i.e., two different composite cements (Panavia V5 and Panavia Veneer LC) will be used for each patient, cementing two veneers with each of the cements.
Data on following variables will be collected:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Porcelain veneers | Active Comparator | Patients receiving porcelain veneers as an aesthetic treatment option |
|
| Direct composite restoration | Active Comparator | Patients receiving direct composite injection moulding as an aesthetic treatment option |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Porcelain veneers | Procedure | Teeth preparation, laboratory made porcelain restoration cementation with 2 different cements |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction with porcelain veneers vs direct composite restorations using OES (orofacial aesthetic scale) | OES is a questionnaire with 8 questions regarding orofacial appearance. The higher the score, the more satisfied the patient is. 7 questions evaluate specific items, and number 8 is an overall assessment. | 6 months, 1 year, 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of 2 veneer cements in terms of complications and discolouration | Data on following variables will be collected for all abutment teeth: Restoration condition (defects related to restoration - ceramic fractures, cracks, loss of retention, discolouration; if present, calculated as a percentage from total restorations); Condition of the abutment teeth (secondary caries, endodontic complications; if present, calculated as a percentage from total restorations); Periodontal condition (probing depth in mm, bleeding on probing present or no; gum recessions in mm); |
| Measure | Description | Time Frame |
|---|---|---|
| Success and survival of porcelain veneers | Success - veneer is present with no biological, technical or aesthetic complications. It is functional, stable, and free from disease. Calculated in percentage from the total count of cemented veneers. Survival - restoration that remains in the mouth and is functional at the end of a specific observation period, regardless of its health status or complications. Calculated in percentage from the total count of the veneers. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mara Gaile, DDS | Contact | +37126010210 | mara.gaile@rsu.lv | |
| Una Soboleva, Professor | Contact | +37129441268 | una.soboleva@rsu.lv |
| Name | Affiliation | Role |
|---|---|---|
| Christel Larsson, Professor | Malmo University | Study Director |
| Una Soboleva, Professor | Riga Stradins University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riga Stradins University | Recruiting | Riga | LV-1007 | Latvia |
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| ID | Term |
|---|---|
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D003801 | Dental Veneers |
| ID | Term |
|---|---|
| D017266 | Dental Prosthesis |
| D011476 | Prosthodontics |
| D003813 | Dentistry |
| D019736 | Prostheses and Implants |
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| Direct composite | Procedure | Digital modelling of teeth shapes, restoration with injectable composite directly |
|
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| 6 months, 1 year, 3 years |
| 6 months, 1 year, 3 years |
| D004864 |
| Equipment and Supplies |