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HealthyNCT05221242

Clinical Trial on Ceramic Partial Laminate Veneers With Different Luting Agents

A study testing Conventional Resin Cement vs Preheated Resin Composite in people with Healthy, run by Universidad Arturo Prat at 1 site in Chile.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Partial laminate veneers is a type of dental restoration made of a glass-matrix ceramic used to restore small teeth fractures, or to correct morphology defects of teeth (i.e.: diastema, conoid teeth or small misalignment). Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Conventional Resin Cement vs Preheated Resin Composite
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteChile
Study dates
18 Apr 2024to 31 Jan 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Patients over 18 years
  • Patients able to read and sign an informed consent.
  • Patients willing to come back to check-ups.
  • Patients without active caries lesions or periodontal disease.
  • Patients that need to restore their anterior maxillary teeth (upper incisors or canines) due to small fractures, misaligned teeth, conoid teeth or diastema.
  • Non-vital teeth will also be included.

Who cannot join

  • Patients with active caries lesions or periodontal disease.
  • Patients with occlusal disfunction or uncontrolled parafunctional habits.
  • Patients unwilling to come back to checkups.

Trial locations and contacts

1 site in 1 country.

Chile1 site
  • Clínica Áurea Iquique

    Iquique, 1101128

Other trials in Chile

About this study

Official title: A Randomized Split-mouth Clinical Trial of Partial Laminate Veneers Bonded With Two Different Resin Composite Luting Agents

Partial laminate veneers is a type of dental restoration made of a glass-matrix ceramic used to restore small teeth fractures, or to correct morphology defects of teeth (i.e.: diastema, conoid teeth or small misalignment). As tooth surface reduction, or tooth preparation is not needed for this type of restoration, it can be considered as a non-tooth preparation minimally invasive procedure.

As non-preparation is required for the restoration with ceramic partial laminate veneers, bonding relies on adhesion between the intaglio surface of the ceramic restoration and the tooth surface, which in most of the cases is enamel. For this purpose, many light-curing resin cement materials are available for bonding procedures. Nowadays, pre-heated resin composites are available as a resin luting material which has been indicated for laminate veneers and partial indirect posterior restorations.

As pre-heated resin composite has not been yet studied for partial laminate veneers, the objective of this randomized split mouth clinical trial, is to evaluate the survival of ceramic partial laminate veneers when bonded with two different resin composite luting agents.

Read the detailed description

Patients will be recruited starting the 18th of April 2024. Patients willing to enroll in this study must be over 18 years old, capable to read and sign an informed consent, willing to come back to checkups, with periodontal and pulpal health, having anterior teeth with the need of minimal morphology corrections like diastema, conoid teeth or misaligned teeth, and small fractures. Non vital teeth were not excluded. Patients will poor oral hygiene, active caries lesions are excluded.

Pre Operative Procedures. Informed consent will be given first and ask for every patient to sign it. Face and intraoral photographs will be taken. Initial polyvinylsiloxane (PVS) impressions will be performed and sent to the dental laboratory for wax-up from a digital planning analysis. Prophylaxis, new restorations, endodontic treatment and gingival surgery will be performed based on a mock-up made from bis-acrylic material.

Tooth preparation Most cases won't have tooth surface reduction or preparation. Some cases will need smoothening of the sharp angles or enamel irregularities to prevent fractures during restoration try-in. New impression will be performed with PVS impression material to obtain working models for the elaboration of ceramic partial laminate veneers (PLV) One dental technician will elaborate all the PLV according to the manufacturer instructions.

Adhesive luting procedures. Seating, adaptation and form will be checked firt. Try-in pastes will be used to control shade match of the restorations that will be adhesively luted with Variolink Esthetic (conventional light-curing resin cement), while polarized photography of a small amount of polymerized resin composite will be taken for color selection of the preheated resin composite luting agent (Enamel Plus HFO).

Intaglio surfaces of the ceramic restorations protocol:

  1. - Application of 9,5% hydrofluoric acid for 120 seconds.
  2. - 1 minute of water rinsing. 5 minutes of ultrasonic bath cleaning with distilled water.
  3. - Silane application
  4. - Bonding Application (without light-curing):
  • Optibond Fl adhesive for ceramics that will be bonded with Enamel Plus HFO.
  1. - Charge of resin cement (without light-curing)
  • Variolink esthetic according to color try-in.
  • Enamel Plus HFO will be pre heated in a resin heater at 69ºC.
  1. - Store the restorations of light exposure.

Surface treatment of enamel and dentin (if dentin is exposed):

  1. - Apply phosphoric acid for 15 seconds in enamel.
  2. - rinse profusely with water for 30 seconds.
  3. - air-dry
  4. - apply adhesive on tooth surface.
  5. - No light-curing.

Restorations will be seated with small finger pressure, excesses of resin cement will be eliminated using brushes. Light-curing will be then performed using soft mode of approximately 650mw/cm2 during 3-5 seconds. A final light-curing in high mode will be performed after 3-5 minutes of waiting at approximately 1200 mw/cm2.

Polishing procedure All restorations will be polished with 2-step diamond spiral wheels under water irrigation.

Evaluation 2 blind observers to the luting procedure performed will evaluate clinically the restorations using the modified USPHS criteria and the FDI (World Dental Federation) criteria for the evaluation of direct and indirect restorations. Also an Impact in Oral Health questionary will be applied to determine the esthetic perception of the applied treatment.

modified USPHS criteria and FDI criteria will be applied at baseline after luting the restorations and every 6 months until a completion of minimum of 24 months.

Impact in Oral Health questionary will be applied at baseline and 6 months after the treatment.

Scanning Electron Microscopy evaluation Every case will receive final impressions immediately after the treatment, and after 24 months to evaluate marginal adaptation under Scanning electron microscopy. Fractography Analysis will be performed of every failure or fracture of the restoration.

Statistical analysis Survival will be measure in percentages. Differences will be measure between baseline and final control.

Kaplan-Meier curves will be used to measure cumulative survival, and log rank (Mantel-Cox) to determine differences between the two groups (bonded with conventional resin cement vs pre heated resin composite)

Conditions
Healthy
Being tested
Conventional Resin Cement vs Preheated Resin Composite
Keywords
partial laminate veneers, sectional veneers, ceramic fragments

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Conventional Resin Cement vs Preheated Resin CompositeProcedure or surgery

    Also called Variolink Esthetic (Ivoclar Vivadent, Schaan, Liechtenstein), Enamel Plus HFO (Micerium, Avegno, Italy)

    For this study, variolink esthetic resin cement will be used to bond ceramic partial laminate veneers in one side of the maxillary anterior teeth (left or right upper incisors and canines), while, the other side will receive ceramic partial laminate veneers bonded with a preheated resin composite

Study groups in NCT05221242
Study groupRoleWhat they receive
Patients with PLVExperimentalAll patients will receive ceramic partial laminate veneers as treatment. As this is a split mouth design, one side of the mouth will receive partial laminate veneers bonded with a conventional light-curing resin cement and the other side of the mouth with a pre-heated resin composite.
Receives: Procedure: Conventional Resin Cement vs Preheated Resin Composite

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Survival Data of Partial Laminate Veneers bonded with Conventional Resin Cement and Preheated Resin Composite

    Survival data will be measured in percentages (0-100%) over the years. Kaplan - Meier curves are used to determine the moment of failure (date, months) Mantel - Cox test will be used to determine differences between the two groups

    Measured: after 36 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Feb 2022
  2. Study start18 Apr 2024
  3. Primary completion31 Jan 2025 (estimated)
  4. Study completion31 Jan 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
In this study, two different luting resin cements will be used to bond ceramic partial laminate veneers. This is a randomized split mouth clinical trial, in which only maxillary anterior teeth will be treated with partial veneers (maximum 6 teeth, upper incisors and canines. This zone is called sector 2). For this purpose, sector 2 will be divided in two sides (right and left), and randomization will be performed to select a conventional resin cement or a preheated resin composite luting agent as the material of choice for the right or left side of the mouth to bond ceramic partial laminate veneers for every recruited patient. Number of participants is related to the number of restorations.
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05221242
Sponsor's protocol ID
06-07-10-2021
Status last verified
Jun 2024
First submitted
10 Jan 2022
Last updated
1 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The information of patients will be private and not shared. Only researchers included in the Study will be authorized to access patient's data. Blind observers won't be able to access patients data to reduce bias.

Publications

  • Gresnigt MM, Kalk W, Ozcan M. Randomized controlled split-mouth clinical trial of direct laminate veneers with two micro-hybrid resin composites. J Dent. 2012 Sep;40(9):766-75. doi: 10.1016/j.jdent.2012.05.010. Epub 2012 Jun 2.

    PubMed 22664565
  • Sinhori BS, Monteiro S Jr, Bernardon JK, Baratieri LN. CAD/CAM ceramic fragments in anterior teeth: A clinical report. J Esthet Restor Dent. 2018 Mar;30(2):96-100. doi: 10.1111/jerd.12342. Epub 2017 Sep 28.

    PubMed 28960775
  • Gresnigt MMM, Sugii MM, Johanns KBFW, van der Made SAM. Comparison of conventional ceramic laminate veneers, partial laminate veneers and direct composite resin restorations in fracture strength after aging. J Mech Behav Biomed Mater. 2021 Feb;114:104172. doi: 10.1016/j.jmbbm.2020.104172. Epub 2020 Nov 4.

    PubMed 33172798
  • Ceinos R, Pouyssegur V, Allard Y, Bertrand MF. Esthetic rehabilitation of the smile with partial laminate veneers in an older adult. Clin Case Rep. 2018 Jun 4;6(8):1407-1411. doi: 10.1002/ccr3.1593. eCollection 2018 Aug.

    PubMed 30147872
  • Elter B, Aladag A, Comlekoglu ME, Dundar Comlekoglu M, Kesercioglu AI. Colour stability of sectional laminate veneers: A laboratory study. Aust Dent J. 2021 Sep;66(3):314-323. doi: 10.1111/adj.12837. Epub 2021 Apr 7.

    PubMed 33721347
  • Signore A, Kaitsas V, Tonoli A, Angiero F, Silvestrini-Biavati A, Benedicenti S. Sectional porcelain veneers for a maxillary midline diastema closure: a case report. Quintessence Int. 2013 Mar;44(3):201-6. doi: 10.3290/j.qi.a29058.

    PubMed 23444201
  • Gresnigt M, Ozcan M. Esthetic rehabilitation of anterior teeth with porcelain laminates and sectional veneers. J Can Dent Assoc. 2011;77:b143.

    PubMed 22067068
  • Farias-Neto A, Gomes EM, Sanchez-Ayala A, Sanchez-Ayala A, Vilanova LS. Esthetic Rehabilitation of the Smile with No-Prep Porcelain Laminates and Partial Veneers. Case Rep Dent. 2015;2015:452765. doi: 10.1155/2015/452765. Epub 2015 Oct 18.

    PubMed 26568893
  • Horvath S, Schulz CP. Minimally invasive restoration of a maxillary central incisor with a partial veneer. Eur J Esthet Dent. 2012 Spring;7(1):6-16.

    PubMed 22319761

Questions about this trial

What is this clinical trial studying?

A study testing Conventional Resin Cement vs Preheated Resin Composite in people with Healthy, run by Universidad Arturo Prat at 1 site in Chile.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 1 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Chile. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Survival Data of Partial Laminate Veneers bonded with Conventional Resin Cement and Preheated Resin Composite (time frame: after 36 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05221242, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jul 2024.

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Clinical Trial NCT05221242 | AzTrials