Enamel Wear Evaluation in Patients With Different Ceramic Restorations

NCT ID: NCT04963530

Last Updated: 2022-06-01

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2024-05-31

Brief Summary

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The aim of this study is to evaluate the wear produced in the short and medium term by monolithic zirconia, metal-ceramic and lithium disilicate restorations on the antagonist natural enamel in patients with fixed prostheses, assessing the factors that may influence this wear.

The investigators will also analyse whether the wear of the tooth antagonistic to the different restorations differs significantly with respect to the wear of the natural tooth (control group). The null hypothesis is that there are no significant differences.

Detailed Description

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The study will be carried out on patients who will be candidates for treatment with full coverage restorations on teeth (single crowns). These crowns will be made of one of the following materials: monolithic zirconia, lithium disilicate or metal-ceramic, which will be cemented according to the guidelines defined in the scientific literature.

Inclusion criteria will be: patients in need of full coverage crowns on a first or second premolar or first or second molar in any arch, over 18 years of age, no contraindications for dental treatment, good oral hygiene, no periodontal disease or treated periodontal disease, absence of temporomandibular disorder and/or untreated habits or parafunctions.

The aim of this study is to evaluate the wear produced in the short and medium term by monolithic zirconia, metal-ceramic and lithium disilicate restorations on the antagonist tooth in patients with fixed prostheses, assessing the factors that may influence this wear.

The investigators will also analyse whether the wear of the tooth antagonistic to the different restorations differs significantly with respect to the wear of the natural tooth (control group). The null hypothesis is that there are no significant differences.

Once the treatment has been completed, the patient must attend routine check-ups in which a complete intraoral exploration, a scan and data collection for both arches will be carried out in order to analyse the following variables: wear of the antagonist tooth to ceramic restorations, wear of the restoration itself and physiological wear of the natural tooth. The same intervention will be carried out for the duration of the project, at the following time intervals: baseline (day of cementation of the restoration), 1 month, 6 months and annually. If an intraoral scanner is not available, silicone impressions will be made, which will be cast with plaster and scanned extraorally.

The investigators will work with a sample "n" of 75 patients, collected over the next two years. Depending on the material used to fabricate the restoration, 4 different groups will be differentiated: monolithic zirconia (group 1), metal-ceramic (group 2), lithium disilicate (group 3) and natural tooth (control group). The patients will be randomly distributed into the different groups using the online randomisation software www.alazarinfo.es.

Conditions

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Wear, Tooth Dental Wear Prosthetic Outcome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

This prospective study will include a sample "n" of 75 patients. Patients will be treated with single-tooth restorations with partial or complete veneering on the tooth. Depending on the material used to fabricate the restoration, 4 different groups will be differentiated: monolithic zirconia (group 1), metal-ceramic (group 2), lithium disilicate (group 3) and natural tooth (control group).

The sample will be randomised into one of the different groups using the online randomisation software www.alazarinfo.es. All patients will be pseudonymised, assigning each patient a number from 1 to 75 according to the chronology of incorporation into the study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Wear of antagonist teeth to monolithic zirconia restorations

Evaluate enamel wear antagonist to monolithic zirconia restorations monitoring the short and medium-term volume loss and assessing the factors that may influence this wear.

Group Type EXPERIMENTAL

Treatment with monolithic zirconia restorations

Intervention Type PROCEDURE

Treatment with monolithic zirconia restorations on teeth (single crowns). The sample (75 patients) will be divided into three groups according to the ceramic material used: monolithic zirconia, lithium disilicate and metal ceramic.

Wear of antagonist teeth to lithium disilicate restorations

Evaluate enamel wear antagonist to lithium disilicate restorations monitoring the short and medium-term volume loss and assessing the factors that may influence this wear.

Group Type EXPERIMENTAL

Treatment with lithium disilicate restorations

Intervention Type PROCEDURE

Treatment with lithium disilicate restorations on teeth (single crowns). The sample (75 patients) will be divided into three groups according to the ceramic material used: monolithic zirconia, lithium disilicate and metal ceramic.

Wear of antagonist teeth to metalceramic restorations

Evaluate enamel wear antagonist to metal ceramic restorations monitoring the short and medium-term volume loss and assessing the factors that may influence this wear.

Group Type EXPERIMENTAL

Treatment with metal ceramic restorations

Intervention Type PROCEDURE

Treatment with metal ceramic restorations on teeth (single crowns). The sample (75 patients) will be divided into three groups according to the ceramic material used: monolithic zirconia, lithium disilicate and metal ceramic.

Wear of natural enamel

Evaluate physiological enamel wear (control group) monitoring the short short and medium-term volume loss and assessing the factors that may influence this wear.

Group Type EXPERIMENTAL

No intervention

Intervention Type PROCEDURE

No intervention.

Interventions

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Treatment with monolithic zirconia restorations

Treatment with monolithic zirconia restorations on teeth (single crowns). The sample (75 patients) will be divided into three groups according to the ceramic material used: monolithic zirconia, lithium disilicate and metal ceramic.

Intervention Type PROCEDURE

Treatment with lithium disilicate restorations

Treatment with lithium disilicate restorations on teeth (single crowns). The sample (75 patients) will be divided into three groups according to the ceramic material used: monolithic zirconia, lithium disilicate and metal ceramic.

Intervention Type PROCEDURE

Treatment with metal ceramic restorations

Treatment with metal ceramic restorations on teeth (single crowns). The sample (75 patients) will be divided into three groups according to the ceramic material used: monolithic zirconia, lithium disilicate and metal ceramic.

Intervention Type PROCEDURE

No intervention

No intervention.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients in need of single tooth restorations on posterior teeth.
* Age range: between 18 years of age.
* No contraindications for dental treatment.
* Good oral hygiene.
* No periodontal disease or treated periodontal disease.
* Absence of temporomandibular disorder and/or untreated habits or parafunctions.


1. Posterior tooth requiring placement of a single tooth restoration. Restorability: with a crown:root ratio of at least 1:1.
2. The presence of an unrestored or minimally restored natural antagonist tooth (teeth with no more than a Class II restoration), in the same quadrant as the treated tooth (G1,2,3).
3. The presence of two unrestored or minimally restored antagonist teeth (in the same quadrants or on the contralateral side) (G4 or control).
4. Minimum height of the dental stump: 3mm.

Exclusion Criteria

1. Antagonist tooth with a full coverage restoration.
2. Opposing arch with fixed or removable partial denture.
3. Lack of occlusal contact points in the enamel of the control teeth.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Valencia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mª Fernanda Solá Ruiz, Dentistry

Role: PRINCIPAL_INVESTIGATOR

University of Valencia

Locations

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Mª Fernanda Solá Ruiz

Valencia, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Mª Fernanda Solá Ruiz, Dentistry

Role: CONTACT

609048198 ext. +34

Facility Contacts

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Mª Fernanda Solá Ruiz, Dentistry

Role: primary

609048198 ext. +34

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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186205

Identifier Type: -

Identifier Source: org_study_id

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