CAD-CAM İnley Onley Restorasyonların Klinik Takibi

Yıl 2018, Cilt: 2 Sayı: 2, 53 - 61, 30.12.2018

Can Metiner Sebnem Begüm Türker Yasemin Kulak Özkan

Öz

Amaç: Çalışmamızda CAD-CAM teknolojisi üretilmiş inley ve
onley restorasyonların klinik takibini içeren makaleler sistematik
olarak değerlendirilmiştir. Pubmed veritabanındaki 2000-2017
yılları arasında yayınlanmış makaleler restorasyonların klinik
başarı ve başarısızlık nedenleri, sağ kalım oranları ve hasta
memnuniyeti açısından incelenmek istenmiştir.
Materyal Metod: Çalışmamızda Pubmed veri tabanında “CADCAM in-vivo” (n=40), “CAD-CAM clinical survival” (n=110),
“CAD-CAM follow up” (n=186), “CAD-CAM prospective”
(n=100), “CAD-CAM cohort” (n=171) anahtar kelimeleri
girilerek arama yapılmıştır. 2000 yılından 2018 yılına kadar
SCI kapsamındaki tüm çalışmalar belirlenmiştir. Duplikatlar, in
vitro çalışmalar, 1 yıldan kısa takip süresi olan vaka çalışmaları
çıkarıldıktan sonra toplamda 18 tane inley onley klinik takip
çalışması değerlendirilmiştir
Sonuç:. CAD/CAM sistemlerinin klinikte doğru endikasyonla
kullanımı, uzun dönemde yüksek sağ kalım oranı ile klinik olarak
başarılı restorasyonların üretilmesine olanak sağlamaktadır. CAD/
CAM sistemlerle üretilen restorasyonların hasta memnuniyetinin
tedavinin tek seansta tamamlanmasından ötürü yüksek olduğu
görülmüştür. Ancak seramiğin yapısına bağlı başarısızlıkların
ve marjinal kenar problemlerinin CAD/CAM sistemlerde de
görüldüğü ve bu sorunların giderilmesine yönelik çalışmaların
yapılmasının gerektiği sonucuna varılmıştır.

Anahtar Kelimeler

cad cam, inley, onley, klinik takip, sağ kalım, in-vivo

Clinical Follow-up of the CAD-CAM produced Inlay and Onlay Restorations: A Review

Öz

Objectives: The aim of this study is to systematically review
articles related to the clinical follow-up of CAD-CAM-produced
inlay and onlay restorations. The articles published in Pubmed
database between the years 2000-2017 were examined in terms
of patient satisfaction,clinical success, failure and survival rates.
Materials and Methods: In our study, we generated searches
in the Pubmed database, by entering the keywords “CAD-CAM
in-vivo” (n=40), “CAD-CAM clinical survival” (n=110), ”CADCAM follow up” (n=186), ”CAD-CAM prospective” (n=100) and
“CAD-CAM cohort” (n=171). All studies within the scope of SCI
published between 2000 to 2018 were included. A total of 18 inlay
onlay clinical follow-up studies were included after duplicates, in
vitro studies, and case studies with a follow-up period of less than
1 year were excluded.
Results:. The use of CAD / CAM systems when indicated
allow clinicians to produce clinically successful restorations with
long-term high survival rate. The completion of the treatment in a
single session increased the patient satisfaction of the restorations
produced by CAD / CAM systems.
Conclusion: It is concluded that failures related to the structure
of ceramic and marginal edge problems are also seen in CAD /
CAM systems. Well designed clinical trials with large sample size
are still needed to achieve more accurate results about the clinical
features of CAD/CAM inlays and onlays.

Anahtar Kelimeler

cad-cam, inlay, onlay, clinical follow-up, survival, invivo

Kaynakça

• 1) Arnetzl GV, Arnetzl G. Reliability of nonretentive all-ceramic CAD/CAM overlays. Int J Comput Dent. 2012;15(3):185-97.2) Bernhart J, Bräuning A, Altenburger MJ, Wrbas KT. Cerec3D endocrowns two-year clinical examination of CAD/CAM crowns for restoring endodontically treated molars. Int J Comput Dent. 2010;13(2):141-54.3) Cubas GBA, Habekost L, Camacho GB. Fracture resistance of promolars restored with inlay and onlay ceramic restorations and luted with two different agents. J Prosthodont Res. 2011;55: 53-59.4) Davidowitz G, Kotick PG. The use of CAD/CAM in dentistry. Dent Clin North Am. 2011;55(3): 559-570.5) Dirxen C, Blunek U, Preissner S. Clinical Performance of a New Biomimetic Double Network Material. Open dent J. 2013;7: 118.6) El-Mowafy O, Brochu JF. Longevity and clinical performance of IPS-Empress ceramic restorations-a literature review. J Can Dent Assoc. 2002;68(4): 233-237. 7) Federlin M, Hiller KA, Schmalz G. Effect of selective enamel etching on clinical performance of CAD/CAM partial ceramic crowns luted with a self-adhesive resin cement. Clin Oral Investig. 2014;18: 1975-84. 8) Guess PC, Selz CF, Steinhart YN, Stampf S, Strub JR. Prospective clinical split-mouth study of pressed and CAD/CAM all-ceramic partial-coverage restorations-7-year results. Int J Prosthodont. 2013;26(1): 21-5.9) Guess PC, Strub JR, Steinhart N, Wolkewitz M, Stappert CF. All-ceramic partial coverage restorations--midterm results of a 5-year prospective clinical split mouth study. J Dent. 2009;37(8): 627-37.10) Guess PC, Zavanelli RA, Silva NR, Bonfante EA, Coelho PG, Thompson VP. Monolithic CAD/CAM lithium disilicate verses veneered Y-TZP crowns: Comparison of failure modes and reliability after fatigue. Int J Prosthodont. 2010;23(5): 434-442.11) Hayashi M, Wilson NHF, Yeung CA, Worthington HV. Systematic review of ceramic inlays. Clin Oral Investig. 2003;7: 8–19.12) He LH, Swain M. A novel polymer infiltrated ceramic dental material. Dent Mater. 2011;27 (6): 527-534.13) Hopp CD, Land MF. Considerations for ceramic inlays in posterior teeth: a review. Clin Cosmet Investig Dent. 2013;5: 21-32. 14) Irfan UB, Aslam K, Nadim R. A review on cad cam in dentistry. J Pak Dent Assoc. 2015;24(3): 112-116.15) Koller M, Ametzl GV, Holly L, Arnetzl G. Lava ultimate resin nano ceramic for CAD/CAM: customization case study. Int J Comput Dent. 2011;15(2): 159-164.16) Miyazaki T, Hotta Y. CAD/CAM systems available for the fabrication of crown and bridge restorations. Aust Dent J. 2011;56(l): 97–106.17) Mörmann W, Wolf D, Ender A. Effect of two self-adhesive cements on marginal adaptation and strength of esthetic ceramic CAD/CAM molar crowns. J Prosthodont. 2009;18: 403-410.18) Nejatidanesh F, Amjadi M, Akouchekian M, Savabi O. Clinical performance of CEREC AC Bluecam conservative ceramic restorations after five years-A retrospective study. J Dent. 2015;43(9): 1076-1082. 19) 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): 122-8.20) Otto T, Schneider D. Long-term clinical results of chairside Cerec CAD/CAM inlays and onlays: a case series. Int J Prosthodont. 2008;21(1): 53-9.21) Otto T. Computer-aided direct all-ceramic crowns: preliminary 1-year results of a prospective clinical study. Int J Periodontics Restorative Dent. 2004;24(5): 446-55.22) Otto T. Up to 27-years clinical long-term results of chairside Cerec 1 CAD/CAM inlays and onlays. Int J Comput Dent. 2017;20(3): 315-329.23) Pallesen U, van Dijken JW. An 8-year evaluation of sintered ceramic and glass ceramic inlays processed by the Cerec CAD/CAM system. Eur J Oral Sci. 2000;108(3): 239-46.24) Reich SM, Wichmann M, Rinne H, Shortall A. Clinical performance of large, all-ceramic CAD/CAM-generated restorations after three years: a pilot study. J Am Dent Assoc. 2004;135(5): 605-12.25) Roggendorf MJ, Kunzi B, Ebert J, Roggendorf HC, Frankenberger R, Reich SM. Seven-year clinical performance of CEREC-2 all-ceramic CAD/CAM restorations placed within deeply destroyed teeth. Clin Oral Investig. 2012;16(5): 1413-24. 26) Schenke F, Federlin M, Hiller KA, Moder D, Schmalz G. Controlled prospective randomized clinical evaluation of partial ceramic crowns inserted with RelyX Unicem with or without selective enamel etching. 1-year results. Am J Dent. 2010;23(5): 240-6.27) Sjögren G, Molin M, van Dijken JW. A 10-year prospective evaluation of CAD/CAM-manufactured (Cerec) ceramic inlays cemented with a chemically cured or dual-cured resin composite. Int J Prosthodont. 2004;17(2): 241-6.28) Spitznagel FA, Scholz KJ, Strub JR, Vach K, Gierthmuehlen PC. Polymer-infiltrated ceramic CAD/CAM inlays and partial coverage restorations--3-year results of a prospective clinical study over 5 years. Clin Oral Investig. 2017;6: 17-22.29) Tinschert J, Natt G, Hassenpflug S, Spiekermann H. Status of current CAD/CAM technology in dental medicine. Int J Comput Dent. 2004;7(1): 25-45.30) Wittneben, J.G., Wright, R.F., Weber, H.P.,Gallucci, G.O. A systematic review of the clinical performance of CAD/CAM single-tooth restorations. Int J Prosthodont. 2009;22(5): 466-471.31) Wrbas KT, Hein N, Schirrmeister JF, Altenburger MJ, Hellwig E. Two-year clinical evaluation of Cerec 3D ceramic inlays inserted by undergraduate dental students. Quintessence Int. 2007;38(7): 575-81.32) Zimmermann M, Koller C, Reymus M, Mehl A, Hickel R. Clinical Evaluation of Indirect Particle-Filled Composite Resin CAD/CAM Partial Crowns after 24 Months. J Prosthodont. 2017;19(4). 33) Zimmermann M, Mehl A, Reich S. New CAD/CAM materials and blocks for chairside procedures. Int J Comp Dent. 2013;16(2): 173-181.