Objective:  This study clinically evaluated Finesse all-ceramic restorations (Ceramco, Inc.) when used in conjunction with Calibra resin cement (Dentsply/Caulk).

Methods: Forty posterior and anterior ceramic crowns, 20 ceramic inlays and onlays, and 26 ceramic veneers were placed in 43 patients. Standard ceramic preparations were performed followed by conventional polyvinylsiloxane impression techniques using cord retraction. A resin luting cement was used to insert the restorations following manufacturer's instructions.

Results: Restorations were evaluated at baseline (B), 6, 12, 24, and 36 months using a modified Ryge criteria shown as Alfa percentages:

	Alfa Percentages
	Crowns					Inlays / Onlays					Veneers
	B	12M	24M	36M		B	12M	24M	36M		B	12M	24M	36M
Color Match	95	97	97	97		100	100	100	100		100	100	100	100
Marginal Adaptation	98	100	100	97		100	90	88	92		100	100	100	100
Marginal Discoloration	100	100	100	100		100	100	94	92		100	100	100	100
Retention	100	100	100	100		100	100	94	100		100	100	100	100
Secondary Caries	100	100	100	100		100	100	100	100		100	100	100	100
Proximal Contact	100	100	100	100		100	95	94	100		100	100	100	100
Recall Rate	100	97	95	90		100	100	84	68		100	100	100	77

Conclusions:  The data supports that there were sufficient shades available to obtain desired esthetic result with 98% of all restorations being rated alfa for shade match to Vita (Vident) shade guide. Post operative sensitivity was only found in 3% of the patients, none requiring additional therapy. A bulk fracture occurred in one of 13 onlay restorations recalled (a failure rate of 7%).  In addition, one crowned tooth was extracted due to a root fracture.  All except one of the retained restorations were clinically acceptable at 36 months.  This study was supported by Ceramco, Inc.

Back to the Dental Materials: III - Ceramics and Cements Program
Back to the IADR/AADR/CADR 82nd General Session (March 10-13, 2004)

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