Survival of Cast Gold and Ceramic Onlays Placed in a School of Dentistry: A Retrospective Study

Irusa, Karina; Al‐rawi, Bassam; Donovan, Terence E.; Alraheam, Islam Abd

doi:10.1111/jopr.13233

Cited by 6 publications

(8 citation statements)

References 32 publications

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“…The inter-rater reliability of the full-text screening between two independent researchers was rated as excellent, with a kappa statistic of 0.87 [ 24 ]. One eligible article could not be included due to the lack of detailed survival data [ 20 ]. Finally, 12 articles were included in the systematic review and meta-analyses (Fig.…”

Section: Resultsmentioning

confidence: 99%

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Clinical longevity of intracoronal restorations made of gold, lithium disilicate, leucite, and indirect resin composite: a systematic review and meta-analysis

Bresser,

Hofsteenge,

Wieringa

et al. 2023

Clin Oral Invest

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Objectives The aim of this systematic review and meta-analysis is to assess the comparative clinical success and survival of intracoronal indirect restorations using gold, lithium disilicate, leucite, and indirect composite materials. Material and methods This systematic review and meta-analysis were conducted following the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA guidelines. The protocol for this study was registered in PROSPERO (registration number: CRD42021233185). A comprehensive literature search was conducted across various databases and sources, including PubMed/Medline, Embase, Cochrane Library, Web of Science, ClinicalTrials.gov, and gray literature. A total of 7826 articles were screened on title and abstract. Articles were not excluded based on the vitality of teeth, the language of the study, or the observation period. The risk difference was utilized for the analyses, and a random-effects model was applied. All analyses were conducted with a 95% confidence interval (95% CI). The calculated risk differences were derived from the combined data on restoration survival and failures obtained from each individual article. The presence of heterogeneity was assessed using the I2 statistic, and if present, the heterogeneity of the data in the articles was evaluated using the non-parametric chi-squared statistic (p < 0.05). Results A total of 12 eligible studies were selected, which included 946 restorations evaluated over a minimum observation period of 1 year and a maximum observation period of 7 years. Results of the meta-analysis indicated that intracoronal indirect resin composite restorations have an 18% higher rate of failure when compared to intracoronal gold restorations over 5–7 years of clinical service (risk difference = − 0.18 [95% CI: − 0.27, − 0.09]; p = .0002; I2 = 0%). The meta-analysis examining the disparity in survival rates between intracoronal gold and leucite restorations could not be carried out due to methodological differences in the studies. Conclusions According to the currently available evidence, medium-quality data indicates that lithium disilicate and indirect composite materials demonstrate comparable survival rates in short-term follow-up. Furthermore, intracoronal gold restorations showed significantly higher survival rates, making them a preferred option over intracoronal indirect resin-composite restorations. Besides that, the analysis revealed no statistically significant difference in survival rates between leucite and indirect composite restorations. The short observation period, limited number of eligible articles, and low sample size of the included studies were significant limitations. Clinical significance Bearing in mind the limitations of the reviewed literature, this systematic review and meta-analysis help clinicians make evidence-based decisions on how to restore biomechanically compromised posterior teeth.

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Section: Resultsmentioning

confidence: 99%

“…Despite the declining patient acceptance of gold restorations [ 19 ], they are still widely used and the subject of ongoing clinical research [ 20 , 21 ]. However, increasing esthetic demands and changing indications among dentists have led to an increase in the use of tooth-colored materials instead of gold [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical longevity of intracoronal restorations made of gold, lithium disilicate, leucite, and indirect resin composite: a systematic review and meta-analysis

Bresser,

Hofsteenge,

Wieringa

et al. 2023

Clin Oral Invest

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“…The risk of bias in the studies included was assessed by two calibrated examiners (VN, AJ) using quality assessment. [ 10 11 ]…”

Section: Eligibility Criteria and Study Selectionmentioning

confidence: 99%

Comparative evaluation of clinical performance of ceramic and resin inlays, onlays, and overlays: A systematic review and meta analysis

Naik¹,

Jain²,

Rao³

et al. 2022

J Conserv Dent

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Background: Advances in adhesive technologies and escalation in esthetic demands have increased indications for tooth-colored, partial coverage restorations. Recently, material knowledge has evolved, new materials have been developed, and no systematic review has answered the question posed by practitioners: Is the clinical efficacy of resin or ceramic better, for inlay, onlay, and overlay in the long run? Aim: The aim of this systematic review and meta-analysis was to evaluate the clinical performance of ceramic and resin inlays, onlays, and overlays and to identify the complication types associated with the main clinical outcomes. Materials and Methods: Two reviewers (VN and AJ) searched PubMed, Embase, and Cochrane Central registry of controlled trials for published articles between 1983 and 2020 conforming to Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines for systematic reviews. Only clinical studies which met the following criteria were included (1) studies regarding ceramic and resin inlays, onlays, and overlays were included; (2) randomized controlled trials, retrospective or prospective studies conducted in humans; (3) studies with a dropout rate <50% 4) studies with a follow-up higher than 5 years. Results: Of 1718 articles, 21 articles were selected. At 5 years, the estimated survival rates for resin ( n = 129) was 86%, feldspathic porcelain ( n = 1048) was 90%, and glass ceramic ( n = 2218) was 92%; at 10 years, the survival of resin was 75% ( n = 115), feldspathic porcelain was 91% ( n = 1829), and glass ceramic was 89% ( n = 1075). Conclusion: The meta-regression indicated that ceramic partial coverage restorations (feldspathic porcelain and glass-ceramic) outperformed resin partial coverage restorations both at 5-year and 10-year follow-up. When compared between ceramic types, glass ceramics outperformed feldspathic porcelain at 5 years' follow-up and feldspathic porcelain outperformed glass ceramics at 10 years' follow-up. The failures were mostly due to fractures (6.2%), endodontic problems (3%), secondary caries (1.7%), and debonding which was 0.9%.

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“…Strasding evaluated the survival rate and the technical and biologic outcomes of all-ceramic onlay restorations in premolars and molars and indicated the overall 11-year survival rate of the onlay restorations was 80.0% [ 9 ]. And in study of Irusa showed the survival rate of ceramic onlay restorations were 81.1% for 6–22 years [ 10 ]. However, there is limited information available regarding the outcome and factors influencing the outcome of CAD/CAM onlay restorations [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Outcome of chairside CAD/CAM ceramic restorations on endodontically treated posterior teeth: a prospective study

Hu,

Li,

Zhang

et al. 2024

BMC Oral Health

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Objective The aim of this study was to evaluate the outcome and risk factors for chairside CAD/CAM full cusp coverage restorations on endodontically treated posterior teeth after 3 years of follow-up. Methods A total of 245 endodontically treated posterior teeth of 224 patients were included and restored with CAD/CAM full cusp coverage all-ceramic restorations according to a standardized protocol. Patients were recalled after treatments 1 to 3 years and underwent clinical and radiological examinations. At recall, modified FDI criteria were used to determine treatment outcomes by 2 evaluators. Success was determined when FDI scores were 1–2, and failure was indicated when FDI scores were 5. Logistic regression analysis was performed to evaluate potential risk factors. Results A total of 183 patients presented at recall, and the clinical outcomes of 201 teeth were analyzed with a recall rate of 82.0% for teeth and 81.7% for patients after 1–3 years of follow-up.185 of 201 teeth were found to have FDI scores of 1–2, and the success rate was 92%. No teeth were extracted during the follow-up period. Fourteen failed cases with an FDI score of 5 presented restoration dislocation, fracture of restoration or/and tooth. Logistic regression analysis revealed that oral parafunction (OR 2.281, 95% CI 2.2 ~ 47.5, P value 0.01) was a risk factor for success rate. Conclusion Chairside CAD/CAM all-ceramic full cusp coverage restoration was (could be) a promising alternative for restoring endodontically treated posterior teeth.

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Survival of Cast Gold and Ceramic Onlays Placed in a School of Dentistry: A Retrospective Study

Cited by 6 publications

References 32 publications

Clinical longevity of intracoronal restorations made of gold, lithium disilicate, leucite, and indirect resin composite: a systematic review and meta-analysis

Clinical longevity of intracoronal restorations made of gold, lithium disilicate, leucite, and indirect resin composite: a systematic review and meta-analysis

Comparative evaluation of clinical performance of ceramic and resin inlays, onlays, and overlays: A systematic review and meta analysis

Outcome of chairside CAD/CAM ceramic restorations on endodontically treated posterior teeth: a prospective study

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