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

Öz

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

Öz

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.

Anahtar Kelimeler

• Porselen Laminate veneer
• dijital tasarım
• gülüş tasarımı

Kaynakça

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