Evaluation of the effect of Lava Ultimate veneer combined with cast porcelain inlays in the treatment of mild-moderate dentition wear in the elderly patients

doi:10.19439/j.sjos.2025.02.017

Abstract

Abstract: PURPOSE: To explore the effect of Lava Ultimate veneer combined with cast porcelain inlays in the treatment of mild-moderate dentition wear in the elderly. METHODS: A total of 60 elderly patients with mild-moderate dentition wear due to physical factors who underwent treatment from July 2019 to July 2023 were selected and randomly divided into control group(n=30) and experimental group(n=30). The control group received traditional all-ceramic crown restoration treatment, while the experimental group received Lava Ultimate veneers for anterior teeth and porcelain inlays for posterior teeth. The chewing efficiency, prosthesis effectiveness, periodontal index [gingival index(GI), plaque index (PI)], clinical efficacy, aesthetic satisfaction and comfort were compared between the two groups before and after treatment.SPSS 19.0 software package was used for statistical analysis of the data. RESULTS: Before treatment, there was no significant difference in chewing efficiency and absorbance between the two groups(P>0.05). After treatment, masticatory efficiency and absorbance of the experimental group were significantly higher than those of the control group(P<0.05). One week and 6 months after treatment, there was no significant difference in prosthesis margin fit, wear degree, retention, gingival condition, color, shape, secondary caries, restoration fracture, GI and PI between the two groups(P>0.05). At 12 months after treatment,the prosthesis margin fit, retention, gingival condition, GI and PI of the experimental group were significantly better than those of the control group(P<0.05). The total effective rate, satisfaction and comfort of the experimental group were significantly higher than those of the control group(P<0.05). CONCLUSIONS: After treatment with Lava Ultimate veneers for anterior teeth and porcelain inlays for posterior teeth, the masticatory efficiency of the elderly patients with mild-moderate dentition wear is improved, and the prosthesis effect, periodontal index, satisfaction and comfort are significantly improved.

Key words: Veneers, Porcelain inlays, Dental wear, Occlusal reconstruction, All-ceramic crown restoration

CLC Number:

R783.3

Zhou Jianying, Wang Jing, Pang Shuting, Zhang Yansheng, Ma Huajing, Feng Yanfen, Zhao Shijun, Hu Kunpeng. Evaluation of the effect of Lava Ultimate veneer combined with cast porcelain inlays in the treatment of mild-moderate dentition wear in the elderly patients[J]. Shanghai Journal of Stomatology, 2025, 34(2): 208-212.

References

[1] Warreth A, Abuhijleh E, Almaghribi MA, et al.Tooth surface loss: a review of literature[J]. Saudi Dent J, 2020, 32(2): 53-60.
[2] Longridge NN, Youngson CC.Dental pain: dentine sensitivity, hypersensitivityand cracked tooth syndrome[J]. Prim Dent J, 2019, 8(1): 44-51.
[3] Oudkerk J, Grenade C, Davarpanah A, et al.Risk factors of tooth wear in permanent dentition: a scoping review[J]. J Oral Rehabil, 2023, 50(10):1110-1165.
[4] Everett C, Chen S.Speech adapts to differences in dentition within and across populations[J]. Sci Rep, 2021, 11(1): 1066.
[5] Warreth A, Elkareimi Y.All-ceramic restorations: a review of the literature[J]. Saudi Dent J, 2020, 32(8): 365-372.
[6] Quigley NP, Loo DSS, Choy C, et al.Clinical efficacy of methods for bonding to zirconia: a systematic review[J]. J Prosthet Dent, 2021, 125(2): 231-240.
[7] 中华口腔医学会, 牙体牙髓病学专业委员会. 复合树脂直接粘接修复中光固化灯使用及操作规范的专家共识[J]. 中华口腔医学研究杂志(电子版), 2019, 13(1): 1-6.
[8] Bayne SC, Schmalz G.Reprinting the classic article on USPHS evaluation methods for measuring the clinical research performance of restorative materials[J]. Clin Oral Investig, 2005, 9(4): 209-214.
[9] van der Sluijs E, Slot DE, Hennequin-Hoenderdos NL, et al. The efficacy of an oscillating-rotating power toothbrush compared to a high-frequency sonic power toothbrush on parameters of dental plaque and gingival inflammation: a systematic review and meta-analysis[J]. Int J Dent Hyg, 2023, 21(1): 77-94.
[10] Borham E, Abuel-Ela HA, Mohamed IS, et al.Treatment of excessive gingival display using conventional esthetic crown lengthening versus computer guided esthetic crown lengthening: (a randomized clinical trial)[J]. BMC Oral Health, 2024, 24(1):317.
[11] 郭晓静,张颖,张皓,等.上海市老年人牙缺失、义齿修复与口腔健康相关生命质量的现状研究[J].上海口腔医学, 2020, 29(5):509-514.
[12] Vervack V, Keulemans F, Hommez G, et al.A completely digital workflow for nanoceramic endocrowns: a 5-year prospective study[J]. Int J Prosthodont, 2022, 35(3):259-268.
[13] Wierichs RJ, Kramer EJ, Reiss B, et al.A prospective, multi-center, practice-based cohort study on all-ceramic crowns[J]. Dent Mater, 2021, 37(8):1273-1282.
[14] Qin W, Cong M, Ren X, et al.Static analysis with a realistic loading condition on all-ceramic crown prosthesis during chewing[J]. Int J Prosthodont, 2023, 36(1): 30-41.
[15] Bataineh K, Al Janaideh M.Fatigue behavior of three thin CAD/CAM all-ceramic crown materials[J]. Int Biomech, 2023, 10(1): 1-8.
[16] Tezulas E, Yildiz C, Evren B, et al.Clinical procedures, designs, and survival rates of all-ceramic resin-bonded fixed dental prostheses in the anterior region: a systematic review[J]. J Esthet Restor Dent, 2018, 30(4): 307-318.
[17] 王浩, 张曦丹, 任薇, 等. 四维微笑设计辅助非对称面型前牙超薄瓷贴面修复前牙区散在间隙1例及文献复习[J]. 口腔疾病防治, 2022, 30(1): 51-56.
[18] Clément G, Bukley A, Loureiro N, et al.Horizontal and vertical distance perception in altered gravity[J]. Sci Rep, 2020, 10(1): 5471.
[19] 高磊, 江银华. 颞下颌关节内压的研究进展[J]. 口腔医学, 2022, 42(7): 668-672.
[20] Schlichting LH, Resende TH, Reis KR, et al. Ultrathin CAD-CAM glass-ceramic and composite resin occlusal veneers for the treatment of severe dental erosion: an up to 3-year randomized clinical trial[J]. J Prosthet Dent, 2022, 128(2):158.e1-158.e12.
[21] Zimmermann M, Ender A, Egli G, et al.Fracture load of CAD/CAM-fabricated and 3D-printed composite crowns as a function of material thickness[J]. Clin Oral Investig, 2019, 23(6):2777-2784.