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The aim of the present study is to evaluate clinical behavior and patient satisfaction of Zirconia-reinforced lithium disilicate press ceramic crowns when used in a conservative marginal design(0.6mm chamfer finish line). Comparison with Ultratranslucent multilayered monolithic zirconiacrowns will also be carried out in terms of marginal integrity, fracture, color stability and gingival health for 12 month
Select and examine patients based on inclusion/exclusion criteria, then obtain consent.
Diagnose chief complaint, assess teeth in the esthetic zone, and perform scaling/polishing.
Take primary impressions for study casts.
Instruct patients to brush three times daily for good oral hygiene.
Capture pre-op photos and radiographs.
Choose the appropriate shade.
Tooth Preparation:
Perform tissue retraction and take impressions with IOS.
Create provisional crowns.
Fabricate crowns (AMBRIA or KATANA zirconia) per manufacturer guidelines.
Conduct try-in.
Cement using light-cured resin adhesive.
Assess restoration at 3, 6, 9 and 12 months for clinical behavior and patient satisfaction
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| UTML (KATANA) crowns arm | Active Comparator | Patients will receive ultra-translucent multilayered monolithic zirconia crowns ( KATANA UTML) fabricated using CAD/CAM with conservative marginal design (0.6 mm). |
|
| ZLS crowns arm | Experimental | Patients will receive zirconia-reinforced lithium silicate press ceramic crowns ( VITA Ambria) with conservative marginal design (0.6 mm). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| UTML (KATANA) crowns with conservative marginal design | Device | Monolithic zirconia (KATANA UTML) crown fabricated with CAD/CAM and a conservative 0.6 mm marginal design. |
|
| Measure | Description | Time Frame |
|---|---|---|
| clinical behavior | Marginal integrity: Measuring device: Modified USPHS criteria. Measuring unit: Discrete (scores). | 12 months follow-up interval |
| Fracture: | Description: Measuring device: Modified USPHS criteria Measuring unit: Discrete (scores). | Time Frame: 12 months follow-up interval. |
| Color stability: | Description: Measuring device: Spectrophotometer Measuring unit: ΔE. | Time Frame: 12 months follow-up interval |
| Gingival health: | Measuring device: Gingival index & Bleeding on probing (BOP) Measuring unit: (scores). | 12 months follow-up interval |
| Measure | Description | Time Frame |
|---|---|---|
| patient satisfaction by Visual analogue Scale (VAS) | Numerical (0) unsatisfied (10) satisfied | 12 months follow-up interval |
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Inclusion Criteria:
moderate to severe discoloration, coronal chipping where partial coverage would lack retention, malposed or malformed teeth). 6. Patients willing to return for follow-up examinations and evaluation. 7. Patients that care for good oral hygiene Maintenance.
Exclusion Criteria:
1 Patients with poor oral hygiene and motivation. 2. high caries rate. 3. Patients with psychiatric problems or unrealistic expectations (patient that has phobia from dental treatments or needle bunch). 4. Patients suffering from parafunctional habits or temporomandibular disorders.
7. Patients with teeth have extensive tooth structure loss, even if one wall is missing.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hanan Ibrahim AL-Mudahka | Contact | 00201044511118/ 0097455466442 | hanan.almudahka@dentistry.cu.edu.eg |
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| ZLS (AMBRIA) crowns with conservative marginal design | Device | Zirconia-reinforced lithium silicate press ceramic (Ambria) crown with conservative 0.6 mm marginal design. |
|
| ID | Term |
|---|---|
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D003442 | Crowns |
| ID | Term |
|---|---|
| D017266 | Dental Prosthesis |
| D011476 | Prosthodontics |
| D003813 | Dentistry |
| D019736 | Prostheses and Implants |
| D004864 | Equipment and Supplies |
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