One Year Clinical Evaluation of E-max CAD Versus Cerasmart Endocrowns in Anterior Endodontically Treated Teeth

NCT03298152 | Unknown DMC

• 1 other identifier: CEBD-CU-2017-09-29
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Nowadays Endocrowns are classified as conservative treatment modality for restoration of Endodontically treated teeth in which pulp chamber is used as a retentive resource. With the advancement in technology in the field of adhesive dentistry its use is increasing day by day in clinical practice. Acid Etchable ceramics such as lithium Disilicate based ceramics are the gold standard ceramic material used for Endocrowns. The Etchable property and the translucent character of lithium Disilicate enhance strength and esthetic property. A new material CERASMART (Force Absorbing Flexible nano ceramic CAD/CAM block) contain high density of ultrafine glass particles with 71 wt% filled nano-composite. It combines high strength and unique aesthetics. full homogeneous and even distribution of nano ceramic network lead to unique physical properties for cerasmart . Uniform scuttle (very short inter-particle distance) of silanated and bonded particles is key to delivering CERASMART's™ with high strength and acceptable level of marginal adaptation. So, it can perfectly use in posterior, anterior, inlay, onlay, and implant restorations and also enables minimum tooth reduction for more conservative restoration. Awad et al (1) found that Cerasmart showed significantly higher flexural strength and modulus of elasticity, with lower flexural modulus values compared to other groups. Also, result in smoother margins compared with other types of ceramic. So, present research will evaluate patient satisfaction, bonding properties and marginal adaptation

Conditions

Endodontically Treated Teeth

Keywords

lithium disilicate endocrowns; cerasmart endocrowns

Outcome Measures

Primary Outcomes (1)

• Gross Fracture

  Categorical Alpha (A): Restoration is intact and fully retained. Bravo (B): Restoration is partially retained with some parts of the restoration still intact. Charlie (C): Restoration is completely missing

  one year

Secondary Outcomes (2)

• Patient satisfaction

  one year

• Marginal Integrity

  one year

Study Arms (2)

Emax CAD Endocrowns

ACTIVE COMPARATOR

Using lithium disilicate e.max restorations is documented in literature as a successful restoration. Two different ceramic crowns systems were investigated clinically for three-years and howed that patient was satisfied with the final restoration

Procedure: Emax Endocrown

Cerasmart Endocrowns

EXPERIMENTAL

A new material CERASMART (Force Absorbing Flexible nano ceramic CAD/CAM block) with high density of ultrafine glass particles with 71 wt% filled nano-composite. It combines high strength and unique aesthetics. full homogeneous and even distribution nano ceramic network lead to unique physical properties for cerasmart . Uniform scuttle (very short inter-particle distance) of silanated and bonded particles is key to delivering CERASMART's™ with exceptional strength, retention, acceptable level of marginal adaptation

Procedure: CERASMART Endocrown

Interventions

CERASMART Endocrown PROCEDURE

Endocrown fixed restoration used to restore endodontically treated anterior teeth using CERASMART blocks

Cerasmart Endocrowns

Emax Endocrown PROCEDURE

Endocrown fixed restoration used to restore endodontically treated anterior teeth using Emax material

Emax CAD Endocrowns

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- 1. Age range of the patients from 20-60 years old who can read and sign informed consent document.
• \. Medically free patients or with controlled systemic disease. 3. No active periodontal disease.

You may not qualify if:

• \- 1. Patients under 20 years old. 2. Patients with bad oral hygiene and motivation. 3. Patients with psychiatric problems or unrealistic expectation (patient have phobia from dental treatments or needle bricks).
• \. Patients with parafunctional habits (clencing/bruxism).

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Dentistry

Cairo, Egypt

Location

MeSH Terms

Conditions

Tooth, Nonvital

Condition Hierarchy (Ancestors)

Dental Pulp Diseases; Tooth Diseases; Stomatognathic Diseases

Central Study Contacts

Norhan Abd El Haliem, MDs

CONTACT

002; norhan.naief@dentistry.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer

Study Record Dates

• First Submitted: September 27, 2017
• First Posted: October 2, 2017
• Study Start: December 1, 2017
• Primary Completion: February 1, 2018
• Study Completion: April 1, 2019
• Last Updated: October 12, 2017

Record last verified: 2017-10

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)