24 research outputs found

    Randomized clinical trial on the survival of lithium disilicate posterior partial restorations bonded using immediate or delayed dentin sealing after 3 years of function

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    Objectives: The survival and success rate and the quality of survival of partial ceramic restorations bonded employing Immediate (IDS) or Delayed Dentin Sealing (DDS) in vital molar teeth were evaluated in a randomized clinical trial with within-subject comparison study.Materials and methods: 30 patients received two lithium disilicate ceramic (IPS-e.max press, Ivoclar Vivadent) partial restorations on vital first or second molar teeth (N = 60). The two teeth randomly received either IDS (test group, n = 30) or DDS (control group, n = 30). Partial ceramic restorations were luted (Variolink Ultra, Ivoclar Vivadent) two weeks after preparation. Evaluations were performed at 1 week, 12 months and 36 months post-operatively, using qualitative (FDI) criteria. Representative failures were evaluated microscopically (SEM) and by means of simplified qualitative fractography analysis.Results: One absolute failure occurred in the DDS group due to (secondary) caries. The overall survival rate according to Kaplan-Meier after 3 years was 98.3% (FDI criteria score 1-4, n = 59) and the overall success rate was 85% (FDI criteria score 1-3, n = 51), with no significant difference between restorations in the IDS and DDS group (p = 0.32; Kaplan-Meier, Log Rank (Mantel-Cox), CI = 95%). For the quality of the survival, no statistically significant differences were found between IDS and DDS (p = 0.7; Kaplan-Meier, Log Rank (Mantel-Cox), CI = 95%) restorations on any follow-up timepoints for any of the FDI criteria (Wilcoxon, McNemar, p &gt; 0.05).Conclusion: Adhesively luted partial ceramic restorations in vital molar teeth have a good prognosis, however IDS did not show any differences in success and survival rates after 3 years of function.</p

    On the viability of state-church models: Muslim burial and mosque building in France and the Netherlands

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    Do national institutional repertoires of religious governance still have an effect on the accommodation of Muslims' religious needs in France and the Netherlands? Or do they become inconsequential because of increasing European pressures on liberal democracies to accommodate? Comparing the institutional accommodations towards Muslims in the burial domain and the building of mosques, this article argues the impact of national repertoires to be visible when sensitive to differences in kind. The relevant comparative question should no longer be whether governments accommodate Muslim demands for recognition, but which demands are accommodated, in what ways, and for what reasons

    Cementation of Glass-Ceramic Posterior Restorations: A Systematic Review

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    Aim. The aim of this comprehensive review is to systematically organize the current knowledge regarding the cementation of glass-ceramic materials and restorations, with an additional focus on the benefits of Immediate Dentin Sealing (IDS). Materials and Methods. An extensive literature search concerning the cementation of single-unit glass-ceramic posterior restorations was conducted in the databases of MEDLINE (Pubmed), CENTRAL (Cochrane Central Register of Controlled Trials), and EMBASE. To be considered for inclusion, in vitro and in vivo studies should compare different cementation regimes involving a "glassceramic/cement/human tooth" complex. Results and Conclusions. 88 studies were included in total. The in vitro data were organized according to the following topics: (micro) shear and (micro) tensile bond strength, fracture strength, and marginal gap and integrity. For in vivo studies survival and quality of survival were considered. In vitro studies showed that adhesive systems (3-step, etch-and-rinse) result in the best (micro) shear bond strength values compared to self-adhesive and self-etch systems when luting glass-ceramic substrates to human dentin. The highest fracture strength is obtained with adhesive cements in particular. No marked clinical preference for one specific procedure could be demonstrated on the basis of the reviewed literature. The possible merits of IDS are most convincingly illustrated by the favorable microtensile bond strengths. No clinical studies regarding IDS were found

    The Clinical Performance of Monolithic Lithium Disilicate Posterior Restorations After 5, 10, and 15 Years:A Retrospective Case Series

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    PURPOSE: Lithium disilicate (LDS) glass-ceramic restorations are routinely used, but results over a period longer than 10 years are rare. The objective of this study was to obtain long-term clinical data on monolithic LDS posterior crowns provided by a single restorative dentist. MATERIALS AND METHODS: Eligible patients who received a circumferential LDS crown in the posterior region between 1997 and 2010 were invited to participate in a clinical examination in 2015. This consisted of intraoral inspection and radiographs, performed by one observer and according to standardized criteria. Probability of survival was estimated using Kaplan-Meier survival analysis. RESULTS: A total of 13 patients (n = 87 restorations) fulfilled the inclusion criteria. Of these, 12 patients were available for clinical evaluation (n = 74 restorations). After 5, 10, and 15 years, the cumulative chance of survival of the restoration was 92%, 85.5%, and 81.9%, respectively, with a median observation period of 12.8 years. Of the 74 restorations, 13 failed: 4 because of secondary caries, 2 because of debonding, and 7 because of fracture of the restoration. CONCLUSION: Lithium disilicate can be regarded as a strong and fracture-load-resistant restorative material providing reliable long-term clinical performance

    Restoration choices for endodontically treated posterior teeth

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    There aren't any generally accepted guidelines for the restoration of an endodontically treated tooth. With a questionnaire among dental general practitioners and endodontists, several restorative treatment options for endodontically treated molars and premolars were identified. The questionnaire inventoried the influence of various parameters on treatment preferences. For each case, additional questions were put about material choice, cuspal coverage and the use of root canal posts. Both groups identified the vertical root fracture as the most common reason for extraction. The dentist general practitioner waited longer than the endodontist to make a permanent restoration in the case of apical periodontitis. Treatment preferences were found to be the same for premolars and molars. In the case of premolars, a root canal post was indicated more often and the location of the wall (bearing/non-bearing) influenced the choice of cuspal coverage. Of the dentist general practitioners and endodontists, 51-53% and 75-94%, respectively, preferred a partial over a full crown preparation in the case of single-walled teeth

    Adhesion of resin cement to dentin: effects of adhesive promoters, immediate dentin sealing strategies, and surface conditioning

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    PURPOSE This study evaluated the shear bond strength (SBS) of resin cement to dentin after applying two adhesive (A) systems with a combination of four different immediate dentin sealing (IDS) strategies, and two surface conditioning (SC) methods. MATERIAL AND METHODS Human third molars (n = 140) were collected and randomly split (n = 70 each) between the two A systems (Clearfil SE Bond; Kuraray [AC] and Optibond FL; Kerr [AO]). The A groups were further divided into four IDS strategies (2 x one adhesive layer (IDS-1L); 2 x two adhesive layers (IDS-2L); 2 x one adhesive layer and one flowable layer (IDS-F); 2 x no adhesive layer (delayed dentin sealing [DDS]). Finally, each strategy group was categorized into one of the two SC methods (only pumice [SC-P] or pumice and silica coating [SC-PS]), except the DDS group, where only SC-P was used. This resulted in 14 groups of 10 specimens each. The occlusal coronal third was removed from each molar crown with a diamond saw (Isomet 1000), and IDS was applied, followed by temporary restorations. These were removed after 2 weeks of water storage, and the IDS surfaces were subsequently conditioned. The standard adhesive procedure (Syntac Primer and Adhesive, Heliobond; Ivoclar Vivadent) was executed, followed by the application of a resin cement (Variolink II; Ivoclar Vivadent) and photopolymerization. All specimens were subjected to thermocyclic aging (10,000 cycles, 5°C to 55°C). Shear force was applied to the adhesive interface in a universal testing machine (1 mm/min). Fracture types and locations after loading were classified. The data were analyzed using analysis of variance (ANOVA) and independent samples t tests. RESULTS AO groups exhibited higher mean SBS values (14.4 ± 6.43) than AC groups (12.85 ± 4.97) (P = 0.03). ANOVA showed the main effect of the applications on the SBS in the different groups (P = 0.00). Both DDS groups showed significantly lower SBS values compared with all the IDS groups (IDS-1L, IDS-2L, IDS-F). No significant differences in SBS results were found between the IDS groups (P = 0.43) and between the SC methods (P = 0.76). Dentin-cement interface failures diminished with the application of IDS. CONCLUSION IDS improves the SBS compared with DDS. No significant differences were found between the tested conditioning methods
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