Advertisement
Journal of Prosthetic Dentistry

Incidence of endodontic therapy after complete or partial coverage glass-ceramic restorations with a follow-up time of over 30 years: A prospective clinical study

Published:September 15, 2022DOI:https://doi.org/10.1016/j.prosdent.2022.07.011

      Abstract

      Statement of problem

      Long-term clinical data are lacking on the comparison of the incidence of endodontic therapy in adhesively luted complete and partial coverage glass-ceramic restorations, as well as on the effect of technique and clinical variables.

      Purpose

      The purpose of this prospective clinical study was to assess the long-term incidence of teeth requiring endodontic therapy after receiving either complete or partial coverage glass-ceramic restorations.

      Material and methods

      Participants requiring single anterior complete, posterior complete, or posterior partial (inlay or onlay) coverage restoration, or a combination of these on a vital tooth were recruited from a clinical private practice. Only the participants who chose glass-ceramic partial and complete coverage restorations without the need of endodontic therapy were included in the study. The overall clinical performance of these glass-ceramic restorations was assessed by clinical factors determined at recall. The effect of various clinical parameters (type of restoration, dental arch, tooth position in the dental arch, age and sex of participant, and ceramic thickness) was evaluated by using Kaplan–Meier survival curves to account for attrition bias and other reasons for failure. The statistical significance of differences between parameters was determined by using the log rank test (α=.05).

      Results

      A total of 1800 participants requiring 4511 glass-ceramic anterior and posterior restorations were evaluated. The mean age of the participants at the time of restoration placement was 62 (range 20 to 99 years, 710 men and 1090 women). Of 4511 restorations, 1476 were anterior complete coverage, 2119 posterior complete coverage, and 916 posterior partial coverage. Endodontic therapy after restoration placement was needed for 76 restorations (10 anterior complete, 50 posterior complete, and 16 posterior partial). The total time at risk was 50 436 years providing an estimated need for endodontic therapy risk of 0.15% per year. The estimated 35-year cumulative survival was 97.36%. The majority of endodontic treatments (67%, 52/76) occurred in the first 5 years.
      The estimated cumulative survival of anterior complete coverage, posterior complete coverage, posterior partial inlay, and posterior partial onlay restorations was 98.89% (n=1476, 10 endodontic treatments), 96.38% (n=2119, 50 endodontic treatments), 96.78% (n=553, 11 endodontic treatments), and 98.53% (n=363, 5 endodontic treatments), respectively. Statistically significant differences occurred between anterior complete coverage, posterior complete coverage, and posterior partial coverage inlay restorations, with a higher incidence in posterior complete coverage and posterior partial inlay restorations (P<.05). First molars had the highest rate of endodontic therapy after restoration in both arches. Age and restoration thickness were significant factors, recording statistically higher number of endodontic treatments in participants >52 years and restorations with all surfaces ≥1 mm (P<.05). Other clinical variables, dental arch and sex of the participants, were not significantly related to endodontic treatments (P>.05).

      Conclusions

      The clinical performance of 4511 units over 30 years in service was excellent, with the estimated cumulative survival of 97.36%. Posterior complete coverage and posterior partial inlay restorations had a significantly higher need for endodontic therapy than anterior complete coverage restorations. Their overall clinical performance relative to endodontic treatment was excellent with a cumulative survival of 96.38% and 96.78% over 30 years. There was no difference in the endodontic treatment rate between posterior complete and partial coverage restorations. Thickness of the restoration affected the endodontic treatment rate, with ≥1 mm resulting in higher incidence. The age of the participants influenced the endodontic treatment rate, with higher incidence in the >52-year age group. Other confounding clinical variables did not have a significant effect on the endodontic treatment rate.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Prosthetic Dentistry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Frencken J.E.
        • Sharma P.
        • Stenhouse L.
        • Green D.
        • Laverty D.
        • Dietrich T.
        Global epidemiology of dental caries and severe periodontitis - a comprehensive review.
        J Clin Periodontol. 2017; 44: S94-S105
        • World Health Organization
        World Report on Ageing and Health.
        World Health Organization (WHO Press), Geneva, Switzerland2015
        • de Melo M.A.
        • Passos V.F.
        • Lima J.P.
        • Parente G.C.
        • Rodrigues L.K.
        • Santiago S.L.
        Erosive potential of processed and fresh orange juice on human enamel.
        J Dent Child (Chic). 2015; 82: 10-15
        • Hattab F.N.
        • Yassin O.M.
        Etiology and diagnosis of tooth wear: a literature review and presentation of selected cases.
        Int J Prosthodont. 2000; 13: 101-107
        • Maher R.L.
        • Hanlon J.
        • Hajjar E.R.
        Clinical consequences of polypharmacy in elderly.
        Expert Opin Drug Saf. 2014; 13: 57-65
        • Malament K.A.
        • Margvelashvili-Malament M.
        • Natto Z.S.
        • Thompson V.
        • Rekow D.
        • Att W.
        10.9-year survival of pressed acid etched monolithic e.max lithium disilicate glass-ceramic partial coverage restorations: Performance and outcomes as a function of tooth position, age, sex, and the type of partial coverage restoration (inlay or onlay).
        J Prosthet Dent. 2021; 126: 523-532
        • Malament K.A.
        • Margvelashvili-Malament M.
        • Natto Z.S.
        • Thompson V.
        • Rekow D.
        • Att W.
        Comparison of 16.9-year survival of pressed acid etched e.max lithium disilicate glass-ceramic complete and partial coverage restorations in posterior teeth: Performance and outcomes as a function of tooth position, age, sex, and thickness of ceramic material.
        J Prosthet Dent. 2021; 126: 533-545
        • Malament K.A.
        • Natto Z.S.
        • Thompson V.
        • Rekow D.
        • Eckert S.
        • Weber H.P.
        Ten-year survival of pressed, acid-etched e.max lithium disilicate monolithic and bilayered complete-coverage restorations: Performance and outcomes as a function of tooth position and age.
        J Prosthet Dent. 2019; 121: 782-790
      1. The Glossary of Prosthodontic Terms: Ninth Edition.
        J Prosthet Dent. 2017; 117: e1-e105
        • Goodacre C.J.
        • Campagni W.V.
        • Aquilino S.A.
        Tooth preparations for complete crowns: an art form based on scientific principles.
        J Prosthet Dent. 2001; 85: 363-376
        • Goodacre C.J.
        • Spolnik K.J.
        The prosthodontic management of endodontically treated teeth: a literature review. Part I. Success and failure data, treatment concepts.
        J Prosthodont. 1994; 3: 243-250
        • Selby A.
        Fixed prosthodontic failure. A review and discussion of important aspects.
        Aust Dent J. 1994; 39: 150-156
        • Edelhoff D.
        • Sorensen J.A.
        Tooth structure removal associated with various preparation designs for posterior teeth.
        Int J Periodontics Restorative Dent. 2002; 22: 241-249
        • Mainjot A.K.J.
        The One step-No prep technique: A straightforward and minimally invasive approach for full-mouth rehabilitation of worn dentition using polymer-infiltrated ceramic network (PICN) CAD-CAM prostheses.
        J Esthet Restor Dent. 2020; 32: 141-149
        • Oudkerk J.
        • Eldafrawy M.
        • Bekaert S.
        • Grenade C.
        • Vanheusden A.
        • Mainjot A.
        The one-step no-prep approach for full-mouth rehabilitation of worn dentition using PICN CAD-CAM restorations: 2-yr results of a prospective clinical study.
        J Dent. 2020; 92: 103245
        • Olley R.C.
        • Andiappan M.
        • Frost P.M.
        An up to 50-year follow-up of crown and veneer survival in a dental practice.
        J Prosthet Dent. 2018; 119: 935-941
        • Sailer I.
        • Makarov N.A.
        • Thoma D.S.
        • Zwahlen M.
        • Pjetursson B.E.
        All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs).
        Dent Mater. 2015; 31: 603-623
        • Sailer I.
        • Pjetursson B.E.
        • Zwahlen M.
        • Hammerle C.H.
        A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part II: Fixed dental prostheses.
        Clin Oral Implants Res. 2007; 18: 86-96
        • Sjogren G.
        • Lantto R.
        • Granberg A.
        • Sundstrom B.O.
        • Tillberg A.
        Clinical examination of leucite-reinforced glass-ceramic crowns (Empress) in general practice: a retrospective study.
        Int J Prosthodont. 1999; 12: 122-128
        • Sjogren G.
        • Lantto R.
        • Tillberg A.
        Clinical evaluation of all-ceramic crowns (Dicor) in general practice.
        J Prosthet Dent. 1999; 81: 277-284
        • van Dijken J.W.
        • Hasselrot L.
        A prospective 15-year evaluation of extensive dentin-enamel-bonded pressed ceramic coverages.
        Dent Mater. 2010; 26: 929-939
        • Walton T.R.
        The up to 25-year survival and clinical performance of 2,340 high gold-based metal-ceramic single crowns.
        Int J Prosthodont. 2013; 26: 151-160
        • Cheung G.S.
        • Lai S.C.
        • Ng R.P.
        Fate of vital pulps beneath a metal-ceramic crown or a bridge retainer.
        Int Endod J. 2005; 38: 521-530
        • Saunders W.P.
        • Saunders E.M.
        Prevalence of periradicular periodontitis associated with crowned teeth in an adult Scottish subpopulation.
        British Dental Journal. 1998; 185: 137-140
        • Valderhaug J.
        • Jokstad A.
        • Ambjornsen E.
        • Norheim P.W.
        Assessment of the periapical and clinical status of crowned teeth over 25 years.
        J Dent. 1997; 25: 97-105
        • Goodacre C.J.
        • Bernal G.
        • Rungcharassaeng K.
        • Kan J.Y.
        Clinical complications in fixed prosthodontics.
        J Prosthet Dent. 2003; 90: 31-41
        • Gracis S.
        • Thompson V.P.
        • Ferencz J.L.
        • Silva N.R.
        • Bonfante E.A.
        A new classification system for all-ceramic and ceramic-like restorative materials.
        Int J Prosthodont. 2015; 28: 227-235
        • Bailey L.F.
        • Bennett R.J.
        DICOR surface treatments for enhanced bonding.
        J Dent Res. 1988; 67: 925-931
        • Malament K.A.
        • Socransky S.S.
        Survival of Dicor glass-ceramic dental restorations over 14 years: Part I. Survival of Dicor complete coverage restorations and effect of internal surface acid etching, tooth position, gender, and age.
        J Prosthet Dent. 1999; 81: 23-32
        • Pagniano R.P.
        • Seghi R.R.
        • Rosenstiel S.F.
        • Wang R.
        • Katsube N.
        The effect of a layer of resin luting agent on the biaxial flexure strength of two all-ceramic systems.
        J Prosthet Dent. 2005; 93: 459-466
        • Malament K.A.
        • Socransky S.S.
        Survival of Dicor glass-ceramic dental restorations over 14 years. Part II: effect of thickness of Dicor material and design of tooth preparation.
        J Prosthet Dent. 1999; 81: 662-667
        • Malament K.A.
        • Socransky S.S.
        Survival of Dicor glass-ceramic dental restorations over 16 years. Part III: effect of luting agent and tooth or tooth-substitute core structure.
        J Prosthet Dent. 2001; 86: 511-519
        • Malament K.A.
        • Socransky S.S.
        Survival of Dicor glass-ceramic dental restorations over 20 years: Part IV. The effects of combinations of variables.
        Int J Prosthodont. 2010; 23: 134-140
        • Malament K.A.
        • Socransky S.S.
        • Thompson V.
        • Rekow D.
        Survival of glass-ceramic materials and involved clinical risk: variables affecting long-term survival.
        Pract Proced Aesthet Dent. 2003; Suppl: 5-11
        • Lawn B.R.
        • Deng Y.
        • Thompson V.P.
        Use of contact testing in the characterization and design of all-ceramic crownlike layer structures: a review.
        J Prosthet Dent. 2001; 86: 495-510
        • Rekow D.
        • Zhang Y.
        • Thompson V.
        Can material properties predict survival of all-ceramic posterior crowns?.
        Compend Contin Educ Dent. 2007; 28 (quiz 9, 86): 362-368
        • Scherrer S.S.
        • De Rijk W.G.
        • Belser U.C.
        Fracture resistance of human enamel and three all-ceramic crown systems on extracted teeth.
        Int J Prosthodont. 1996; 9: 580-585
        • Thompson V.P.
        • Rekow D.E.
        Dental ceramics and the molar crown testing ground.
        J Appl Oral Sci. 2004; 12: 26-36
        • Marei H.F.
        • Abdel-Hady A.
        • Al-Khalifa K.
        • Al-Mahalawy H.
        Influence of surgeon experience on the accuracy of implant placement via a partially computer-guided surgical protocol.
        Int J Oral Maxillofac Implants. 2019; 34: 1177-1183
        • Suliman A.A.
        • Abdo A.A.
        • Elmasmari H.A.
        Training and experience effect on light-curing efficiency by dental practitioners.
        J Dent Educ. 2020; 84: 652-659
        • Weinberg L.A.
        An Evaluation Of The Facebow Mounting.
        J Prosthet Dent. 1961; 11
        • Weinberg L.A.
        The prevalence of tooth contact in eccentric movements of the jaw: its clinical implications.
        J Am Dent Assoc. 1961; 62: 402-406
        • Weinberg L.A.
        Functional and esthetic planning for full coverage.
        J Am Dent Assoc. 1963; 66: 42-56
        • Turner K.A.
        • Missirlian D.M.
        Restoration of the extremely worn dentition.
        J Prosthet Dent. 1984; 52: 467-474
        • Kontakiotis E.G.
        • Filippatos C.G.
        • Stefopoulos S.
        • Tzanetakis G.N.
        A prospective study of the incidence of asymptomatic pulp necrosis following crown preparation.
        Int Endod J. 2015; 48: 512-517
        • Demirci M.
        • Tuncer S.
        • Yuceokur A.A.
        Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients.
        Eur J Dent. 2010; 4: 270-279
        • De Munck J.
        • Van Landuyt K.
        • Peumans M.
        • Poitevin A.
        • Lambrechts P.
        • Braem M.
        • et al.
        A critical review of the durability of adhesion to tooth tissue: methods and results.
        J Dent Res. 2005; 84: 118-132
        • Pashley D.H.
        Smear layer: overview of structure and function.
        Proc Finn Dent Soc. 1992; 88: 215-224
        • Vaidyanathan T.K.
        • Vaidyanathan J.
        Recent advances in the theory and mechanism of adhesive resin bonding to dentin: a critical review.
        J Biomed Mater Res B Appl Biomater. 2009; 88: 558-578
        • Sabatini C.
        • Scheffel D.L.
        • Scheffel R.H.
        • Agee K.A.
        • Rouch K.
        • Takahashi M.
        • et al.
        Inhibition of endogenous human dentin MMPs by Gluma.
        Dent Mater. 2014; 30: 752-758
        • Nakabayashi N.
        • Takarada K.
        Effect of HEMA on bonding to dentin.
        Dent Mater. 1992; 8: 125-130
        • Van Landuyt K.L.
        • De Munck J.
        • Snauwaert J.
        • Coutinho E.
        • Poitevin A.
        • Yoshida Y.
        • et al.
        Monomer-solvent phase separation in one-step self-etch adhesives.
        J Dent Res. 2005; 84: 183-188
        • Manso A.P.
        • Carvalho R.M.
        Dental Cements for Luting and Bonding Restorations: Self-Adhesive Resin Cements.
        Dent Clin North Am. 2017; 61: 821-834
        • Gulsahi A.
        • Kulah C.K.
        • Bakirarar B.
        • Gulen O.
        • Kamburoglu K.
        Age estimation based on pulp/tooth volume ratio measured on cone-beam CT images.
        Dentomaxillofac Radiol. 2018; 47: 20170239
        • Pinchi V.
        • Pradella F.
        • Buti J.
        • Baldinotti C.
        • Focardi M.
        • Norelli G.A.
        A new age estimation procedure based on the 3D CBCT study of the pulp cavity and hard tissues of the teeth for forensic purposes: A pilot study.
        J Forensic Leg Med. 2015; 36: 150-157
        • Beck F.
        • Lettner S.
        • Graf A.
        • Bitriol B.
        • Dumitrescu N.
        • Bauer P.
        • et al.
        Survival of direct resin restorations in posterior teeth within a 19-year period (1996-2015): A meta-analysis of prospective studies.
        Dent Mater. 2015; 31: 958-985
        • Raedel M.
        • Hartmann A.
        • Priess H.W.
        • Bohm S.
        • Samietz S.
        • Konstantinidis I.
        • et al.
        Re-interventions after restoring teeth-Mining an insurance database.
        J Dent. 2017; 57: 14-19
        • Birch S.
        • Price R.
        • Andreou P.
        • Jones G.
        • Portolesi A.
        Variations in survival time for amalgam and resin composite restorations: a population based cohort analysis.
        Comm Dent Health. 2016; 33: 1-5
        • Pjetursson B.E.
        • Lang N.P.
        Prosthetic treatment planning on the basis of scientific evidence.
        J Oral Rehabil. 2008; 35: 72-79