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- W2967771330 abstract "This investigation was a longitudinal, randomized clinical trial to measure the clinical performance of a nano-ceramic material (Lava Ultimate/3M) for chairside Computer Assisted Design/Computer Assisted Machining (CAD/CAM) fabricated restorations.One hundred and twenty chairside CAD/CAM onlays were restored with a CEREC system randomly assigned to 60 leucite-reinforced ceramic (IPS EmpressCAD/Ivoclar Vivadent AGBendererstrasse 2FL-9494 SchaanLiechtenstein) onlays and 60 nano-ceramic (Lava Ultimate/3M) onlays. Equal groups of onlays were cemented using a self-etch and a total etch adhesive resin cement. The onlays were recalled for a period of 5 years.At 1 week postoperatively, 10% of the onlays cemented with both the self-etch and total etch adhesive resin cements were reported as slightly sensitive. However, all patients were asymptomatic by the 4th week without treatment. Four leucite-reinforced onlays and one nano-ceramic onlay fractured and required replacement.Adhesive retention with a self-etch or total etch cementation technique resulted in a similar clinical outcome with no reported debonds. The nano-ceramic onlays had a lower incidence of fracture compared to the leucite-reinforced ceramic onlays with both having a very low risk of fracture. Nano-ceramic onlays performed equally as well as glass ceramic onlays over 5 years of clinical service.Ceramic materials have been a mainstay for chairside CAD/CAM restorations for the past 30 years and a new category of resilient ceramics with a resin matrix has been introduced reported to offer ceramic-like durability and esthetics with resin-like efficiency in handling. There are no long-term clinical studies on the performance of these materials. This is a 5-year randomized clinical trial on the performance of nano-ceramic onlays." @default.
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- W2967771330 date "2019-08-08" @default.
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- W2967771330 title "Clinical evaluation of chairside Computer Assisted Design/Computer Assisted Machining nano‐ceramic restorations: Five‐year status" @default.
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- W2967771330 doi "https://doi.org/10.1111/jerd.12516" @default.
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