Clinical Evaluation Of Porcelain Lamina Restorations Designed With Traditional And Digital Method

Abstract

In prosthetic dentistry, foresight presentation to patients about final restoration is commonly used before treatment. Today digital technologies have been preferred much more according to traditional methods due to their practical and archiving for aesthetic treatments. The aim of the study is to examine the effects of traditional and digital design methods on patient pleasure about clinical final restoration.
In the study, traditional and digital smile designs were performed on two groups of patients. First of all, photographic records of the patients were taken. There were 52 porcelain laminates in each group. While 52 PLVs were designed digitally with the keynote program before starting the treatment the other 52 PLVs were traditionally designed as intraoral direct composite application manual. Patient consents were obtained, and after the designs were presented to the patients, the routine PLV restoration procedure was started and the treatments were completed. 1-month clinical follow-up of PLV restorations was performed. Evaluations were analyzed on patient satisfaction using a visual analog scale (VAS). In this study, the design of the laminates, patient satisfaction, determination of the number of anterior restorations, and the visibility of the contact areas of the porcelain laminates when viewed from the anterior were evaluated. Student’s t test, Shapiro-wilk test and Mann-Whitney U test were used in our study. There was no statistical difference between the traditional digital design method in terms of patient satisfaction (p=0.386). There was no statistical difference between the restoration satisfaction between the two design groups (p=0.893). There was no significant difference in the number of visible contacts between the groups. There was no significant difference in the number of anterior restorations between the groups.

This study will contribute to the literature in that it is a clinical research, that the PLV pre- restoration design technique has no effect on patient satisfaction in terms of final restoration, and that traditional design methods are very popular and give equivalent results to digital design methods.

Geleneksel ve Dijital Tasarlanmış Porselen Laminate Vener Restorasyonların Klinik Olarak Değerlendirilmesi

Abstract

Diş Hekimliği klinik uygulamalarında hastalara tedavi öncesi öngörü sunulması oldukça yaygın olarak kullanılmaktadır. Dijital teknolojiler ise özellikle estetik tedavilerde ön görü oluşturmak amacıyla daha pratik olmaları ve arşivlenebilmeleri nedeniyle geleneksel yöntemlere göre günümüzde daha fazla tercih edilmektedir. Araştırmada iki grup hasta üzerinde geleneksel ve dijital gülüş tasarımı yapıldı. Öncelikle hastaların fotoğraf kayıtları alındı. Her grupta 52 adet porselen laminate veneer (PLV) mevcuttu. 52 adet PLV tedaviye başlamadan önce dijital olarak keynote programı ile tasarlanırken 52 adet PLV geleneksel olarak intaroral direkt kompozit uygulaması şeklinde tasarlandı. Hasta onayları alındı, tasarımlar hastalara sunulduktan sonra rutin PLV restorasyon prosedürüne başlandı ve tedaviler bitirildi. PLV restorasyonların 1 aylık klinik takipleri yapıldı. Değerlendirmeler vizüel analog skala (VAS) kullanılarak hasta memnuniyeti üzerinden analiz edildi. Bu çalışmada, laminaların tasarımları, hasta memnuniyeti, anterior restorasyon sayısının belirlenmesi ve anteriordan görünür kontak sayısı değerlendirildi. Çalışmamızda Student’s t testi, Shapiro-wilk testi ve Mann-Whitney U testi kullanıldı. Geleneksel dijital tasarım yöntemi arasında hasta memnuniyeti açısından istatistiksel bir fark bulunmadı (p=0,386) Her iki tasarım grubu arasında restorasyon memnuniyeti arasında istatistiksel bir fark bulunmadı (p=0,893) Gruplar arasında görünen kontak sayısında anlamlı fark bulunmadı. Gruplar arasında anterior restorasyon sayısında anlamlı fark bulunmadı. Klinik bir araştırma olması, PLV restorasyon öncesi tasarım tekniğinin final restorasyon açısından hasta memnuniyetine bir etkisinin olmadığını, geleneksel tasarım yöntemlerinin çok popüler ve dijital tasarım yöntemleriyle eş değer sonuçlar vermiş olması yönüyle bu çalışma, klinik önem arz etmektedir.

Keywords

• Porselen Laminate veneer
• dijital tasarım
• gülüş tasarımı

References

1. Referans1 Garcia PP, Da Costa RG, Calgaro M, Ritter AV, Correr GM, Da Cunha LF, et al. Digital smile design and mock-up technique for esthetic treatment planning with porcelain laminate veneers. J Conserv Dent [Internet]. 2018 Jul 1 [cited 2021 Dec 10];21(4):455–8.
2. Referans2 Meereis CTW, De Souza GBF, Albino LGB, Ogliari FA, Piva E, Lima GS. Digital smile design for computerassisted esthetic rehabilitation: Two-year follow-up. Oper Dent. 2016;41(1):E13–22. Referans3 Omar D, Duarte C. The application of parameters for comprehensive smile esthetics by digital smile design programs: A review of literature. Saudi Dent J [Internet]. 2018;30(1):7–12.
3. Referans4 Peumans, M., Van Meerbeek, B., Lambrechts, P., Vanherle, G. (2000). Porcelain veneers: a review of the literature, Journal Dentistry, 28:163-. Referans5. The Academy of Dental Materials,Published by Elsevier Inc.All rights reserved.
4. Referans6. Please cite this article in press as: Demarco FF, et al. Anterior composite restorations: A systematic review on long-term survival and reasons for failure. Dent Mater (2015).
5. Referans7. Open Access Macedonian Journal of Medical Sciences. 2018 Dec 20; 6(12):2402-2408.
6. Referans8. Şeşen Uslu Y, Aykor AA. Kişiye özgü dijital gülüş tasarımı. Benderli Gökçe Y, editör. Restoratif Diş Hekimliği Kapsamındaki İndirekt Restorasyonlar ve Bu Alanda Dijital Uygulamaların Yeri ve Önemi. 1. Baskı. Ankara: Türkiye Klinikleri; 2020. p.30-7.
7. Referans9. (Elif Öncü, Ahmet Afşin Erbeyoğlu, Raif Alan Selcuk Dent J, 2017; 4: 6-9).
8. Referans10. Christensen GJ. Have porcelain veneers arrived? Journal of the American Dental Association 1991;122: 81.

9. Referans11. Shaini, FJ., Shortall, AC., Marquis, PM.: Clinical Performance of Porcelain Laminate Veneers: A Retrospective Evaluation Over a Period. J Oral Rehabil. 1997; 24: 553-559.
10. Referans12. Elledge, DA., Mixson, JM., Cowan, RD., Horvath, G.: Predicting Esthetics of Laminate Veneers Without Tooth Preparation. Quintessence Int, 1990; 21: 15-18.
11. Referans13. Brunton, PA., Aminian, A., Wilson, NHF.: Tooth Preparation Techniques For Porcelain Laminate Veneers. Br Dent J, 189: 260-26, 2000.
12. Referans14. Peumans M, Van Meerbeek B, Lambrechts P, Vanherle G. Porcelain veneers: a review of the literature. J Dent. 2000; 28: 163-177.
13. Referans15. Kihn, PW., Barnes, DM.: The Clinical Evaluation of Porcelain Veneers: A 48 Month Clinical Evaluation. JADA, 1998, p:129: 747.
14. Referans16. Fradeani, M.: Six Year Follow-up With Empress Veneers. Int J Periodontics Rest Dent. 1998; 18: 216-225.
15. Referans17. Rasetto, FH., Driscoll, CF., Prestipino, V., Masri, R., Fraunhofer, JA.: Light Transmission Through All Ceramic Dental Materials: A Pilot Study: J Prosthet Dent. 2004; 91: 441-446.
16. Referans18. Ermis, B.: Seramik Laminate Veneerlerin Klinik Değerlendirmesi: 1 Yıllık Sonuçlar. AÜ Diş Hek Fak Derg. 2003; 30: 115-123.
17. Referans19. Ferrari M, Patroni S, Balleri P. Measurement of enamel thickness in relation to reduction for etched laminate veneers. The International Journal of Periodontics and Restorative Dentistry 1992; 23:407–413.
18. Referans20. Ender A, Mehl A (2011) Full arch scans : conventional versus digital impressions – an in vitro study. Int J Comput Dent 14 (1) : 11-21.
19. Referans21. Samet N, Shohat M, Livny A, Weiss El (2005) A clinical evaluation of fixed partial denture impressions. J Prosthet Dent 94(2) : 112-117.
20. Referans22. Wismeijer D, Mans R, van Genuchten M, Reijers HA (2013) Patients‘ preferences when comparing analogue implant impressions using a polyether impression material versus digital impressions ( intraoral scan) of dental implants. Clin Oral Implants Res. Doi : .
21. Referans23. Yuzbasioglu E, Kurt H, Turunc R, Bilir H (2014) Comparison of digital and conventional impression techniques : evaluation of patients‘ perception , treatment comfort, effectiveness and clinical outcomes. BMC Oral Health 14: 10.
22. Referans24. Suarez MJ, Gonzalez de Villaumbroisa P, Pradies G, Lozano JF. Comparison of the marginal fit Procera AllCeram crowns with two finish lines. International Journal of Prosthodontics 2003 ; 16 : 229- 32.
23. Referans25. Raigrodski AJ. Contemporary materials and technologies for all- ceramic fixed partial dentures: a review of the literatüre. Journal of ProstheticDentistry 2004 ; 92 : 557- 62.
24. Referans26. Abdel-Azim T, Rogers K, Elathamna E, Zandinejad A, Metz M, Morton D. Comparison of the marginal fit of lithium disilicate crowns fabricated with CAD/CAM technology by using conventional impressions and two intraoral digital scanners.J Prosthet Dent. 2015 .
25. Referans27. Almeida, J.R., et al., Resin-based luting agents and color stability of bonded ceramic veneers. J Prosthet Dent, 2015. 114(2): p. 272-7.