About this trial
This investigation will be a randomized, prospective, longitudinal clinical trial to study the clinical performance of a new monolithic, zirconia material with shade, translucency and material graduation for chairside CAD/CAM crowns. The restorations will be luted either with a self-adhesive luting material or a conventional cement. The crowns will be evaluated for a period of two years.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
at least 18 years of age
at least one carious lesion, defective restoration, or fractured portion of the tooth to be restored on a maxillary or mandibular premolar or molar tooth - Each lesion, fracture, or defective restoration should exhibit sufficient size or loss of tooth structure requiring a full crown restoration.
tooth should have at least one opposing tooth in occlusion and one adjacent tooth with an intact proximal contact
No more than ten teeth that are endodontically treated may be included in the study, equally divided between the two groups of crowns. All remaining teeth in the study will test vital and be asymptomatic at the beginning of treatment.
Disqualifiers
Sensitive teeth
Teeth with a history of direct or indirect pulp capping procedures
Patients with significant untreated dental disease to include periodontitis and/or rampant caries
Women who self-report that they are possibly pregnant, pregnant, or lactating, as elective dental treatment is not indicated at these times
Trial design
Parallel
Treatments tested in this trial
Crowns self-adhesively luted
DeviceAfter cavity preparation, the zirconia chairside crown will be placed using SpeedCEM Plus. The excess will be light cured with Bluephase G4 in PreCure mode (950 mW/cm\^2). After removal of the excess, the luting material margins will be light-cured again for 20s (1200 mW/cm\^2).
Crowns conventionally cemented
DeviceAfter cavity preparation, the zirconia chairside crown will be placed using ZirCAD Cement. The excess cement will be removed in the gel phase, either following light curing (5 - 10 seconds per segment) or following self-curing (approximately 2 min after placement). The restoration will be held in position during final curing that is complete 4 min 30 s after placement.
Treatment groups
Trial outcomes
Primary outcomes
Short-term Post-operative Sensitivity
assessed by patient's weekly feedback for 4 weeks after the treatment rating sensitivity from 1 "no sensitivity" to 4 "severe discomfort noted routinely with cold or pressure stimulation"
Secondary outcomes
Quality Criteria (modified FDI criteria)
assessed following the FDI criteria on a scale from 1 "very good" to 5 "unacceptable" (e.g. post-operative hypersensitivity, surface lustre, Staining, fracture of material, retension, occlusal contour and wear, and colour match of restorations)
Sponsors and contacts
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Ivoclar Vivadent AG
Lead sponsor
University of Michigan
Collaborator