The Clinical Performance of Inlay Zirconia Bridges

NCT ID: NCT02995876

Last Updated: 2018-09-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2018-08-15

Brief Summary

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When missing tooth structure or teeth are replaced, minimal biologic risk should be involved to re-establish function and esthetics. The increased use of the adhesive technique and preservation of dental tissues have greatly impacted conservative tooth preparation design. The development use of zirconia technology and all-ceramic systems has opened the potential for fabrication inlays zirconia bridges with durability and good aesthetics.

The purpose of this study is to clinically evaluate the placement of inlay bridge made of a Y-TZP framework veneered with a pressed ceramic and bonded with a completely adhesive approach in the replacement of a single missing tooth.

Detailed Description

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This study evaluates the use of inlay bridge made of Zirconia and all ceramic systems with three designs in the replacement process of one single tooth (i.e. a missing premolar or molar.) The first design is going to be fabricated with CAD/CAM Zirconia and the occlusal surface from e-max press.

The second design is going to be fabricated with CAD/CAM Zirconia and the occlusal surface from e-max press and the internal surface coated with glaze layer to improve the adhesion.

The third design is going to be fabricated with CAD/CAM Zirconia and the occlusal surface from e-max press and the internal surface coated with a layer of e-max ceramic press to improve the adhesion.

Conditions

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Dental Crowns

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Zirconia and E-max Press

The first design is going to be fabricated with CAD/CAM Zirconia and the occlusal surface from E-max Press.

Group Type NO_INTERVENTION

No interventions assigned to this group

Zirconia and E-max Press and Glaze

The second design is going to be fabricated with CAD/CAM Zirconia and the occlusal surface from E-max Press and the internal surface coated with a glaze layer to improve adhesion.

Group Type EXPERIMENTAL

Glaze layer

Intervention Type PROCEDURE

A coating of a glaze layer will be used at the inner surface of the bridge to improve adhesion

Zirconia and E-max Press twice

The third design is going to be fabricated with CAD/CAM Zirconia and the occlusal surface from E-max Press and the internal surface coated with an E-max Press layer to improve adhesion.

Group Type EXPERIMENTAL

E-max Press layer

Intervention Type PROCEDURE

A coating of E-max Press layer will be used at the inner surface of the bridge to improve adhesion

Interventions

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Glaze layer

A coating of a glaze layer will be used at the inner surface of the bridge to improve adhesion

Intervention Type PROCEDURE

E-max Press layer

A coating of E-max Press layer will be used at the inner surface of the bridge to improve adhesion

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Good oral hygiene
2. Low susceptibility to caries
3. Parallel alignment of abutment teeth
4. Immobility of the abutment teeth
5. Minimum height of abutment teeth ≥ 5 mm (connector thickness)
6. Maximum mesio-distal extension of the inter-dental gap of 9 mm (width of premolar) or 12 mm (width of molar)

Exclusion Criteria

* Severe para-functional habits.
* Short clinical crowns (\<5 mm)
* Extensive defects of the clinical crown,
* Loosening of teeth because of factors related to the periodontal tissues.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Damascus University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mansour Abo Alkasab, DDS MSc

Role: PRINCIPAL_INVESTIGATOR

PhD student in Fixed Prosthodontics, University of Damascus Dental School, Damascus, Syria

Jihad Abo Nassar, DDS MSc PhD

Role: STUDY_DIRECTOR

Associate Professor of Fixed Prosthodontics, University of Damascus Dental School, Damascus, Syria

Locations

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Department of Fixed Prosthodontics, University of Damascus Dental School, Damascus, Syria

Damascus, , Syria

Site Status

Countries

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Syria

References

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Coelho PG, Bonfante EA, Silva NR, Rekow ED, Thompson VP. Laboratory simulation of Y-TZP all-ceramic crown clinical failures. J Dent Res. 2009 Apr;88(4):382-6. doi: 10.1177/0022034509333968.

Reference Type BACKGROUND
PMID: 19407162 (View on PubMed)

Cura C, Ozcan M, Isik G, Saracoglu A. Comparison of alternative adhesive cementation concepts for zirconia ceramic: glaze layer vs zirconia primer. J Adhes Dent. 2012 Feb;14(1):75-82. doi: 10.3290/j.jad.a21493.

Reference Type BACKGROUND
PMID: 21594233 (View on PubMed)

Monaco C, Ferrari M, Caldari M, Baldissara P, Scotti R. Comparison of 2 bonding systems and survival of fiber-reinforced composite inlay fixed partial dentures. Int J Prosthodont. 2006 Nov-Dec;19(6):577-85.

Reference Type BACKGROUND
PMID: 17165297 (View on PubMed)

Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S, Mercante DE. The efficacy of posterior three-unit zirconium-oxide-based ceramic fixed partial dental prostheses: a prospective clinical pilot study. J Prosthet Dent. 2006 Oct;96(4):237-44. doi: 10.1016/j.prosdent.2006.08.010.

Reference Type BACKGROUND
PMID: 17052467 (View on PubMed)

Sanli S, Comlekoglu MD, Comlekoglu E, Sonugelen M, Pamir T, Darvell BW. Influence of surface treatment on the resin-bonding of zirconia. Dent Mater. 2015 Jun;31(6):657-68. doi: 10.1016/j.dental.2015.03.004. Epub 2015 Apr 7.

Reference Type BACKGROUND
PMID: 25862408 (View on PubMed)

Valentino TA, Borges GA, Borges LH, Platt JA, Correr-Sobrinho L. Influence of glazed zirconia on dual-cure luting agent bond strength. Oper Dent. 2012 Mar-Apr;37(2):181-7. doi: 10.2341/10-220-L. Epub 2011 Dec 14.

Reference Type BACKGROUND
PMID: 22166107 (View on PubMed)

Chaar MS, Kern M. Five-year clinical outcome of posterior zirconia ceramic inlay-retained FDPs with a modified design. J Dent. 2015 Dec;43(12):1411-5. doi: 10.1016/j.jdent.2015.11.001. Epub 2015 Nov 10.

Reference Type BACKGROUND
PMID: 26561926 (View on PubMed)

Monaco C, Cardelli P, Ozcan M. Inlay-retained zirconia fixed dental prostheses: modified designs for a completely adhesive approach. J Can Dent Assoc. 2011;77:b86.

Reference Type RESULT
PMID: 21736862 (View on PubMed)

Other Identifiers

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UDDS-FixPro-02-2016

Identifier Type: -

Identifier Source: org_study_id

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