Clinical Evaluation of Ultrathin Occlusal Veneers for the Treatment of Severe Dental Erosion

NCT03112278 | Unknown DMC

• 1 other identifier: E-26/112.046
• Study Type: interventional
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

Ultra-thin bonded posterior occlusal veneers represent a conservative alternative to traditional onlays and complete coverage crowns for the treatment of severe erosive lesions. Therefore, the purpose of this study is to determine whether ceramic and composite resin ultrathin occlusal veneers (0.6 - 1.0 mm thick) are effective in the rehabilitation of patients affected by moderate and severe dental erosion.

Conditions

Tooth Erosion; Teeth Erosion Due to Vomiting; Teeth Erosion Limited to the Enamel; Teeth Erosion Extending Into the Dentine

Keywords

tooth erosion; Computer-Aided Design; occlusal veneers; dental veneers

Outcome Measures

Primary Outcomes (1)

• Survival of ultrathin occlusal veneers (ceramic and composite resin) for the restorative treatment of severe dental erosion.

  1Year

Study Arms (2)

Ceramic restorations

ACTIVE COMPARATOR

Ceramic ultrathin occlusal veneers

Procedure: Ceramic ultrathin occlusal veneers

Composite resin restorations

ACTIVE COMPARATOR

Composite resin ultrathin occlusal veneers

Procedure: Composite resin ultrathin occlusal veneers

Interventions

Ceramic ultrathin occlusal veneers PROCEDURE

Severely eroded teeth will be restored with ultrathin occlusal veneers made of ceramic (e.max CAD/Ivoclar Vivadent) by technology CAD-CAM bonded to the teeth (0.6 - 1.2 mm thick).

Ceramic restorations

Composite resin ultrathin occlusal veneers PROCEDURE

Severely eroded teeth will be restored ultrathin occlusal veneers made of composite resin (Lava Ultimate/3M Espe) by technology CAD-CAM bonded to the teeth (0.6 - 1.2 mm thick).

Composite resin restorations

Eligibility Criteria

• Age: 14 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients presenting advanced erosive lesions ( cumulative score in all sextants greater than or equal 14, according to classification of BARLETT; GANSS; LUSSI, 2008).
• Absence of pain from the tooth to be restored (excluding expected sensitivity due to dentin exposure due to severe erosion).
• Application of rubber dam possible
• High level of oral hygiene.
• Absence of any active periodontal and pulpal disease.
• Willingness to wear a nightguard to protect the restorations in case of associated bruxism.

You may not qualify if:

• patients with low level of oral hygiene after all the attempts to improve it failed.

Sponsors & Collaborators

• Universidade Federal do Rio de Janeiro: lead

Related Publications (17)

• Bindl A, Mormann WH. Survival rate of mono-ceramic and ceramic-core CAD/CAM-generated anterior crowns over 2-5 years. Eur J Oral Sci. 2004 Apr;112(2):197-204. doi: 10.1111/j.1600-0722.2004.00119.x.

  PMID: 15056119 BACKGROUND

• Burke FJ. Maximising the fracture resistance of dentine-bonded all-ceramic crowns. J Dent. 1999 Mar;27(3):169-73. doi: 10.1016/s0300-5712(98)00050-5.

  PMID: 10079622 BACKGROUND

• Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for posterior teeth. Int J Periodontics Restorative Dent. 2002 Jun;22(3):241-9.

  PMID: 12186346 BACKGROUND

• Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002 May;87(5):503-9. doi: 10.1067/mpr.2002.124094.

  PMID: 12070513 BACKGROUND

• Fennis WM, Kuijs RH, Kreulen CM, Verdonschot N, Creugers NH. Fatigue resistance of teeth restored with cuspal-coverage composite restorations. Int J Prosthodont. 2004 May-Jun;17(3):313-7.

  PMID: 15237878 BACKGROUND

• Jaeggi T, Lussi A. Prevalence, incidence and distribution of erosion. Monogr Oral Sci. 2006;20:44-65. doi: 10.1159/000093350.

  PMID: 16687884 BACKGROUND

• Kunzelmann KH, Jelen B, Mehl A, Hickel R. Wear evaluation of MZ100 compared to ceramic CAD/CAM materials. Int J Comput Dent. 2001 Jul;4(3):171-84. English, German.

  PMID: 11862884 BACKGROUND

• Leinfelder KF. Ask the expert. Will ceramic restorations be challenged in the future? J Am Dent Assoc. 2001 Jan;132(1):46-7. doi: 10.14219/jada.archive.2001.0024. No abstract available.

  PMID: 11194398 BACKGROUND

• Lussi A, Hellwig E, Ganss C, Jaeggi T. Buonocore Memorial Lecture. Dental erosion. Oper Dent. 2009 May-Jun;34(3):251-62. doi: 10.2341/09-BL.

  PMID: 19544813 BACKGROUND

• Magne P. Composite resins and bonded porcelain: the postamalgam era? J Calif Dent Assoc. 2006 Feb;34(2):135-47.

  PMID: 16724469 BACKGROUND

• Magne P, Schlichting LH, Maia HP, Baratieri LN. In vitro fatigue resistance of CAD/CAM composite resin and ceramic posterior occlusal veneers. J Prosthet Dent. 2010 Sep;104(3):149-57. doi: 10.1016/S0022-3913(10)60111-4.

  PMID: 20813228 BACKGROUND

• Manhart J, Chen H, Hamm G, Hickel R. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent. 2004 Sep-Oct;29(5):481-508.

  PMID: 15470871 BACKGROUND

• Magne P, Stanley K, Schlichting LH. Modeling of ultrathin occlusal veneers. Dent Mater. 2012 Jul;28(7):777-82. doi: 10.1016/j.dental.2012.04.002. Epub 2012 May 9.

  PMID: 22575740 BACKGROUND

• Schlichting LH, Maia HP, Baratieri LN, Magne P. Novel-design ultra-thin CAD/CAM composite resin and ceramic occlusal veneers for the treatment of severe dental erosion. J Prosthet Dent. 2011 Apr;105(4):217-26. doi: 10.1016/S0022-3913(11)60035-8.

  PMID: 21458646 BACKGROUND

• Tsitrou EA, van Noort R. Minimal preparation designs for single posterior indirect prostheses with the use of the Cerec system. Int J Comput Dent. 2008;11(3-4):227-40. English, German.

  PMID: 19216314 BACKGROUND

• Vailati F, Belser UC. Full-mouth adhesive rehabilitation of a severely eroded dentition: the three-step technique. Part 1. Eur J Esthet Dent. 2008 Spring;3(1):30-44.

  PMID: 19655557 BACKGROUND

• Schlichting LH, Resende TH, Reis KR, Magne P. Simplified treatment of severe dental erosion with ultrathin CAD-CAM composite occlusal veneers and anterior bilaminar veneers. J Prosthet Dent. 2016 Oct;116(4):474-482. doi: 10.1016/j.prosdent.2016.02.013. Epub 2016 Apr 29.

  PMID: 27132785 RESULT

MeSH Terms

Conditions

Tooth Erosion

Condition Hierarchy (Ancestors)

Tooth Demineralization; Tooth Diseases; Stomatognathic Diseases; Tooth Wear

Study Officials

• Luis H Schlichting, PhD

  Federal University of Rio de Janeiro and East Carolina University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: Both patient and the evaluators that will asses the performance of the restorations are unaware about the type of material used to fabricate the occlusal veneers
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: April 4, 2017
• First Posted: April 13, 2017
• Study Start: November 1, 2015
• Primary Completion: April 14, 2017
• Study Completion: April 2, 2021
• Last Updated: October 26, 2017

Record last verified: 2017-10

Data Sharing

• IPD Sharing: Will not share