title: Six-year clinical evaluation of ceramic inlays and onlays.
abstract: OBJECTIVE
  The clinical performance of IPS Empress (Ivoclar Vivadent) inlays and onlays was evaluated at 6 years.
  
  
  METHODS
  Sixty-four porcelain inlays and onlays were placed in 29 patients, aged 21 to 70 years, by a single operator using the same clinical procedure. The restorations were examined for fracture rate; esthetics; patient acceptance; and marginal integrity, including caries, marginal discoloration, and gingival tolerance. All restorations were evaluated at the time of placement and at 1, 2, 4, and 6 years after placement.
  
  
  RESULTS
  At 6 years, 93.7% of the restorations were judged clinically acceptable. The fracture rate was very low (3.1%), patient satisfaction was encouraging, and the maintenance of esthetics was superior. However, marginal discoloration and integrity appeared to deteriorate with time, because of loss of marginal seal and dissolution of the luting agent.
  
  
  CONCLUSIONS
  IPS Empress ceramic inlays and onlays are clinically acceptable. However, a disadvantage is the dissolution of the resin matrix of composite resins in oral fluids.
authors.affiliation: Department of Fixed Prosthodontics, University of Athens, Athens, Greece. Galiatsatos068007@yahoo.gr
authors.forename: Aristidis A
authors.initials: AA
authors.lastname: Galiatsatos
authors.forename: Dimitra
authors.initials: D
authors.lastname: Bergou
mesh_terms: D000328:Adult; D000368:Aged; D000538:Aluminum Silicates; D018772:Dental Marginal Adaptation; D003776:Dental Porcelain; D017220:Dentin-Bonding Agents; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D007284:Inlays; D008297:Male; D008875:Middle Aged; D019279:Resin Cements; D055815:Young Adult
chemical_list: D000538:Aluminum Silicates; D017220:Dentin-Bonding Agents; C075815:IPS-Empress ceramic; D019279:Resin Cements; C078484:Syntac dentine adhesive; D003776:Dental Porcelain