Leucite-reinforced glass ceramic inlays and onlays after 12 years.
OBJECTIVE
This controlled clinical trial aimed to evaluate IPS Empress inlays and onlays over 12 years. The null hypothesis was that different luting resins would have no influence on clinical outcome.


METHODS
In the course of a prospective clinical long-term trial, 96 ceramic inlays and onlays were placed in 34 patients using one adhesive (Syntac) and four different luting composites (Tetric, Variolink Low, Variolink Ultra, Dual Cement). Recalls were carried out by two calibrated investigators using modified USPHS codes and criteria at baseline, 1, 2, 4, 6, 8, and 12 years.


RESULTS
Fifteen of the 96 restorations had to be replaced (failure rate 16%; Kaplan-Meier); 12 of them suffered bulk fractures. After twelve years of clinical service, significantly more bulk fractures were found when light-curing composite was used for luting (p < 0.05). Fractures were noticed between 3 and 4 years of clinical service and later after 11 to 12 years; aside from those times, no single fracture occurred. Secondary caries was not observed.


CONCLUSIONS
IPS Empress inlays and onlays exhibited satisfactory clinical outcomes over a 12-year clinical period. Restorations luted with dual-cured resin composites revealed significantly fewer bulk fractures.
Frankenberger
Roland
R
Dental Clinic 1, Operative Dentistry and Periodontology, University Medical Center, University of Erlangen-Nuremberg, Germany. frankbg@dent.uni-erlangen.de
Taschner
Michael
M
Garcia-Godoy
Franklin
F
Petschelt
Anselm
A
Krämer
Norbert
N
D000328:Adult; D000538:Aluminum Silicates / Q000737:chemistry*; D003188:Composite Resins / Q000737:chemistry; D003738:Dental Cements / Q000737:chemistry*; D003776:Dental Porcelain / Q000737:chemistry*; D019232:Dental Restoration Failure; D005260:Female; D005500:Follow-Up Studies; D005898:Glass / Q000737:chemistry*; D006801:Humans; D007284:Inlays; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D019279:Resin Cements / Q000737:chemistry; D019233:Retreatment; D013499:Surface Properties; D016896:Treatment Outcome; D055815:Young Adult
D000538:Aluminum Silicates; D003188:Composite Resins; D003738:Dental Cements; C075815:IPS-Empress ceramic; D019279:Resin Cements; C078484:Syntac dentine adhesive; C090969:Tetric; D003776:Dental Porcelain; C078519:leucite; C069103:Dual Cement; C103502:Variolink