Kliniskt utfall av adhesivt cementerade helkeramiska restaureringar utförda på en
specialistutbildningsklinik
Sammanfattning
The aim of this retrospective study was to evaluate the clinical survival and success of five
different types of adhesive bonded all-ceramic restorations.
All ceramic enamel-dentin adhesive bonded restorations, either partial (n=94) or full coverage
(n=145), were assessed by clinical examination using a modified Californian Dental Association
(CDA) system for quality evaluation of dental care and a questionnaire assessing patient satisfaction
(VAS) of 29 subjects with 239 restorations. The ceramics were evaluated with respect to patient
satisfaction, esthetics, technical and biological complications.
Observation period for the restorations was up to 71 month (mean 33). All restorations were in place
at the examinations (100 % survival rate). Number of fractures and infractions were 28 and 20
respectively giving a 69 % success rate. Most of the fractures were small chippings of the veneering
porcelain. From a biological point of view, subgingival location of the restoration margin showed a
significant correlation with bleeding on probing. The patients reported a high degree of satisfaction
with both the esthetics and the function of their restorations.
In conclusion, all-ceramic enamel-dentin-bonded restorations demonstrated good short-term survival
rate. The success rate was found to be lower. Both technical and biological complications were
present but mainly without correction needs.