Procedure time and patient perception for ceramic endocrowns or partial coverage ceramic restorations: a double-blind randomized clinical trial
DOI:
https://doi.org/10.21270/archi.v10i4.5189Keywords:
Dental Cavity Preparation, Patient Reported Outcome Measures, Patient Satisfaction, Ceramic, Operative TimeAbstract
Objetive: This study aimed to compare procedure time and patient discomfort and satisfaction between endocrowns or partial coverage ceramic restorations with fiber post and filling (PCCR+Post). Materials and Methods: A double-blind RCT was carried out according to eligibility criteria: 1) Endodontic treatment; 2) Molars or premolars; 3) Minimum of one cusp with 3-mm thick; 4) Dental antagonists; 5) Supragingival margins; 6) Good oral hygiene; and 7) Minimum of 18 years. Patients were allocated to two groups: Endocrown or PCCR+Post. Each session was timed; discomfort and satisfaction were assessed. Poisson regression analysis and two-way repeated-measures analysis of variance were performed. Results: Forty patients were selected (20 per group). 90% and 82.5% of participants in the PCCR+Post and Endocrown group, respectively, reported little or no discomfort. There was no association between the explanatory variables and the discomfort reported by patients. The level of satisfaction was 100%. Procedure time in the Endocrown (129.7 min±29.78) was similar to PCCR+Post (134.1 min±29.64). Endocrown and PCCR+Post had similar procedure time and patient perception, however, endocrowns allow less clinical steps. Conclusions: Endocrown and PCCR+Post had similar procedure time and patient perception, however, endocrowns allow less clinical steps. Trial registration- clinicaltrials.gov (NCT03064516). Funding- Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP-2017/24153-1).
Downloads
References
Calvert M, Blazeby J, Altman DG, Revicki DA, Moher D, Brundage MD. Reporting of patient-reported outcomes in randomized trials. JAMA. 2013;309(8):814-22.
Hujoel PP. Levels of clinical significance. J Evid Based Dent Pract. 2004;4(1):32–6.
John MT. Health Outcomes reported by dental patients. J Evid Based Dent Pract 2018;18(4):332–5.
Ladewig NM, Camargo LB, Tedesco TK, Floriano I, Gimenez T, Imparato JCP et al. Management of dental caries among children: a look at the cost-effectiveness. Expert Rev Pharmacoecon Outcomes Res. 2018;18(2):127-34.
Griffin SO, Jones K. Quality of reporting in economic evaluations of interventions to prevent dental caries needs improvement. J Evid Based Dent Pract. 2013;13(3):109–10.
Haddadi Y, Bahrami G, Isidor F. Evaluation of operating time and patient perception using conventional impression taking and intraoral scanning for crown manufacture: a split-mouth randomized clinical study. Int J Prosthodont. 2018;31(1):55-9.
Bernhart J, Bräuning A, Altenburger M, Wrbas K. Cerec3D endocrowns- two-year clinical examination of CAD/CAM crowns for restoring endodontically treated molars. Int J Comput Dent. 2010;13(2):141-54.
Bindl A, Mormann WH. Clinical evaluation of adhesively placed Cerec endo-crowns after 2 years- preliminary results. J Adhes Dent. 1999; 1(3):255-65.
Decerle N, Bessadet M, Munoz-Sanchez ML, Eschevins C, Veyrune J NE. Evaluation of Cerec endocrowns: a preliminary cohort study. Eur J Prosthodont Restor Dent. 2014;22(2): 89-95.
Fokkinga WA, Kreulen CM, Bronkhorst EM, Creugers NHJ. Up to 17-year controlled clinical study on post-and-cores and covering crowns. J Dent. 2007;35(10):778-86.
Otto T, De Nisco S. Computer-aided direct ceramic restorations: a 10-year prospective clinical study of Cerec CAD/CAM inlays and onlays. Int J Prosthodont. 2002;15(2):122-28.
Ozyoney G, Yan Koğlu F, Tağtekin D, Hayran O. The efficacy of glass-ceramic onlays in the restoration of morphologically compromised and endodontically treated molars. Int J Prosthodont. 2013;26(3):230-34.
Peumans M, De Munck J, Van Landuyt K, Poitevin A, Lambrechts P, Van Meerbeek B. Two-year clinical evaluation of a self-adhesive luting agent for ceramic inlays. J Adhes Dent. 2010;12(2):151-61.
Sedrez-Porto JA, Rosa WL, da Silva AF, Münchow EA, Pereira-Cenci T. Endocrown restorations: A systematic review and meta-analysis. J Dent. 2016;52:8-14.
Moher D, Hopewell S, Schulz KF, Montori V, Gøtzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG; CONSORT. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. Int J Surg. 2012;10(1):28-55.
Mattos-Silveira J, Floriano I, Ferreira FR, Viganó ME, Mendes FM, Braga MM. Children's discomfort may vary among different treatments for initial approximal caries lesions: preliminary findings of a randomized controlled clinical trial. Int J Paediatr Dent. 2015;25(4):300-4.
Fennis WM, Kuijs RH, Kreulen CM, Roeters FJ, Creugers NH, Burgersdijk RC. A survey of cusp fractures in a population of general dental practices. Int J Prosthodont. 2002;15(6):559-63.
Walsh LJ, Brostek AM. Minimum intervention dentistry principles and objectives. Aust Dent J. 2013;58 Suppl 1:3-16.
