Long-term clinical results of chairside Cerec CAD/CAM inlays and onlays: a case series.
OBJECTIVE
The objective of this follow-up study was to examine the performance of Cerec inlays and onlays, all of which were placed by the same clinician, in terms of clinical quality over a functional period of 15 years.


METHODS
Of 200 Cerec inlays and onlays placed consecutively in a private practice by one of the authors (TO) between 1989 and early 1991, 187 were closely monitored over a period of 15 years. All ceramic inlays and onlays had been placed chairside using the Cerec 1 method and had been luted with a bonding composite. Up to 17 years after their placement, a follow-up assessment was conducted, and the restorations were classified using modified United States Public Health Service criteria.


RESULTS
According to Kaplan-Meier analysis, the success rate of Cerec inlays and onlays was 88.7% after 17 years. A total of 21 failures (11%) were found in 17 patients. Of these failures, 76% were attributed to ceramic fractures (62%) or tooth fractures (14%). The reasons for the remaining failures were caries (19%) and endodontic problems (5%). Restorations of premolars presented a lower failure risk than those of molars.


CONCLUSIONS
The survival rate probability of 88.7% after up to 17 years of clinical service for Cerec computer-aided design/computer-assisted machining restorations made of Vita Mk I feldspathic ceramic is regarded as a very respectable clinical outcome.
Otto
Tobias
T
praxis.otto@bluewin.ch
Schneider
David
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D000538:Aluminum Silicates / Q000737:chemistry; D002516:Ceramics / Q000737:chemistry*; D003116:Color; D003188:Composite Resins / Q000737:chemistry; D017076:Computer-Aided Design; D001840:Dental Bonding; D018772:Dental Marginal Adaptation; D003776:Dental Porcelain / Q000737:chemistry*; D017267:Dental Prosthesis Design; D019232:Dental Restoration Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007284:Inlays / Q000592:standards; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017680:Potassium Compounds / Q000737:chemistry; D019279:Resin Cements / Q000737:chemistry; D013499:Surface Properties; D016019:Survival Analysis; D016896:Treatment Outcome
D000538:Aluminum Silicates; D003188:Composite Resins; D017680:Potassium Compounds; D019279:Resin Cements; D003776:Dental Porcelain; C016447:feldspar; C074543:Cerec