Journal of Prevention and Treatment for Stomatological Diseases ›› 2019, Vol. 27 ›› Issue (9): 582-585.doi: 10.12016/j.issn.2096-1456.2019.09.007

• Prevention and Treatment Practice • Previous Articles     Next Articles

Effect observation of onlays on the posterior teeth with subgingival defects after deep margin elevation

MA Hong()   

  1. Department of Stomatology, the Third People’s Hospital of Wuxi, the Affiliated Hospital of Jiangnan University, Wuxi 214041, China
  • Received:2018-10-19 Revised:2019-04-07 Online:2019-09-20 Published:2019-09-20
  • Contact: Hong MA E-mail:mahong615@163.com

Abstract:

Objective To evaluate the effect of repairing posterior teeth with subgingival defects with onlays after deep margin elevation and to provide a reference for clinical application.Methods Eighty-six cases of posterior teeth with subgingival defects were treated with resin filling to elevate the subgingival margin to the superior gingival margin and were then restored with onlays of cast porcelain. Patients were followed up at 1 week, 6 months and 12 months. The wear and tear of the restorations, fractures of the restorations, loss of the restorations, marginal closeness, marginal staining, secondary caries and gingival health were examined. Assessment of efficacy with reference to American public health service standards was conducted. Results One week after the operation, there was no loss of follow-up. Eighty-six cases of onlays had no prosthetic wear, prosthetic fracture, prolapse of the prosthesis, edge adhesion, edge coloration, secondary caries, etc., and the gums were healthy. At 6 months after surgery, 2 patients were lost to follow-up and 4 of the remaining 84 onlays were detached. After re-adhesion, there was no shedding. At 12 months after surgery, 5 cases were lost to follow-up and 81 cases of onlays demonstrated no further prosthetic wear, prosthetic fracture, prolapse of the prosthesis, edge adhesion, edge coloration, secondary caries, etc., and the gums were healthy. The success rate after 12 months of repair was 95.1% (77/81).Conclusion For posterior teeth with a subgingival defect, onlays of cast porcelain have the advantages of a high success rate, convenient clinical operation and no influence on periodontal health to restore posterior teeth after deep margin elevation.

Key words: molar, tooth defect, deep margin elevation, resin, all-ceramic onlay, margin sealing property, periodontal health, secondary caries

CLC Number: 

  • R783.4

Table 1

Evaluation criterion"

项目 等级 内容
修复体磨耗 A 修复体颌面形态正常,无凹陷
B 修复体颌面轻微凹陷
C 修复体颌面有明显凹陷
修复体折裂 A 修复体表面无可见裂纹和折裂
B 修复体表面有可见裂纹和折裂
修复体脱落 A 修复体稳固
B 修复体脱落
边缘密合性 A 修复体边缘密合,不卡探针,无台阶
B 修复体探针可触及边缘肩台,但不能触及牙本质或基底
C 修复体边缘有裂隙,探针能进入并能探及牙本质
边缘着色 A 修复体边缘线上未见着色
B 修复体边缘线上可见着色,但着色未向牙髓方向渗透
C 修复体边缘线上可见着色,且着色向牙髓方向渗透
继发龋 A 无继发龋
B 存在与修复体有关的继发龋
牙龈健康状况 A 牙龈正常
B 牙龈轻微充血
C 牙龈炎症

Table 2

Evaluation results of 86 onlays on the posterior teeth with subgingival defects after deep margin elevation"

评价项目 分级 1周 6个月 12个月
修复体磨耗 A 86 84 81
B 0 0 0
C 0 0 0
修复体折裂 A 86 84 81
B 0 0 0
修复体脱落 A 86 80 77
B 0 4 4
边缘密合性 A 86 84 81
B 0 0 0
C 0 0 0
边缘着色 A 86 84 81
B 0 0 0
C 0 0 0
继发龋 A 86 84 81
B 0 0 0
牙龈健康状况 A 86 84 81
B 0 0 0
C 0 0 0

Figure 1

Typical case images"

[1] D’arcangelo C, Vanini L, Casinelli M , et al. Adhesive cementation of indirect composite inlays and onlays: a literature review[J]. Compend Contin Educ Dent, 2015,36(8):570-577.
[2] Archibald JJ, Santos GC , Moraes Coelho Santos MJ. Retrospective clinical evaluation of ceramic onlays placed by dental students[J]. J Prosthet Dent, 2018,119(5):743-748.
[3] Faraneh M, Homayoon A, Soraya K . Effect of hydrofluoric acid surface treatments on micro-shear bond strength of CAD/CAM ceramics[J]. Electronic Physician, 2017,9(10):5487-5493.
[4] Morimoto S , Rebello De Sampaio F, Braga M, et al. Survival rate of resin and ceramic inlays, onlays, and overlays: a systematic review and meta-analysis[J]. J Dent Res, 2016,95(9):985-994.
[5] Boruziniat A, Gharaee S, Shirazi AS , et al. Evaluation of the efficacy of flowable composite as lining material on microleakage of composite resin restorations: a systematic review and meta-analysis[J]. Quintessence Int (Berl), 2016,47(2):93-101.
[6] Yanikoglu N, Duymus ZY, Alkurt M . Effect of ceramic surface treatments on the bond strength of different composite resins[J]. J Adhes Sci Technol, 2018,32(3):247-257.
[7] Da Silva Goncalves D, Cura M, Ceballos LA . Influence of proximal box elevation on bond strength of composite inlays[J]. Clin Oral Investig, 2017,21(1):247-254.
[8] Lefever D, Gregor L, Bortolotto T , et al. Supragingival relocation of subgingivally located margins for adhesive inlays/onlays with different materials[J]. J Adhes Dent, 2012,14(6):561-567.
[9] Jelena J, Serhat K . Cervical margin relocation in indirect adhesive restorations: a literature review[J]. J Prosthodont Res, 2018,62(3):273-280.
[10] Spreafico R, Marchesi G, Turco GA , et al. Evaluation of the in vitro effects of cervical marginal relocation using composite resins on the marginal quality of CAD/CAM crowns[J]. J Adhes Dent, 2016,18(4):355-362.
[11] Pascal M, Roberto CS . Deep margin elevation: a paradigm shift[J]. Am J Esthet Dent, 2012,2(2):86-96.
[12] Alexandre S, Gil T . Deep margin elevation versus crown lengthening: biologic width revisited[J]. Int J Esthet Dent, 2018,13(3):334-356.
[13] Santamaria MP, Queiroz LA, Mathias IF , et al. Resin composite plus connective tissue graft to treat single maxillary gingival recession associated with non-carious cervical lesion: randomized clinical trial[J]. J Clin Periodontol, 2016,43(5):461-468.
[1] KONG Qianying,LIANG Lizhong,WANG Guangyong,QIN Shiqi. A cone-beam computed tomography study of the root and canal morphology of maxillary premolars [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(4): 246-251.
[2] CHEN Zao,CHEN Lu,LIU Qi,WU Buling. Comparison of the interdiffusion of four self-etching adhesives in resin-aged glass-fiber-reinforced composites [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(3): 158-162.
[3] WANG Huixia,LI Peilin,ZHAO Zhihe. Influencing factors of functional orthopedic appliances on skeletal class Ⅱ malocclusion in adolescents [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(2): 112-117.
[4] ZHANG Yunhan,DENG Xiaoyu,WANG Yan,ZOU Jing,ZHANG Qiong. Progress in restorative treatments of primary incisor defects [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(2): 131-136.
[5] KONG Qianying,LIANG Lizhong. Cone-beam computed tomography study of C-shaped root canal of mandibular premolars [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(2): 88-92.
[6] LIU Fang,GU Yongchun,GUO Hong,TANG Ying,LIU Chao,SHEN Yifen. Anatomical morphology of the root and root canal system of the second permanent molar in the Uygur people [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(8): 522-526.
[7] CHEN Yueming,LI Yerong,WANG Bin. Influence of the SmartClip self-ligating bracket on plaque control in orthodontic patients [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(8): 531-534.
[8] CAO Tingting,GE Chunhui,ZHANG Hongyan. Influence of the shape, materials and occlusal mode of the maxillary first premolars on stress in noncarious cervical lesions [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(8): 515-521.
[9] Yanan LIU,Likai WANG,Sisi LIU,Hui HUI,Haifeng WANG. Comparison of polishing effects of three polishing systems on machinable composite resins [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(7): 441-445.
[10] Qi LI,Shaohong HUANG. CBCT study on root and root canal morphology of maxillary second permanent molars in the Guangfu population in the Lingnan area [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(6): 381-386.
[11] Chang LIU,Yali LIU,Xia LI. Effect of root canal irrigants on the bond strength between resin sealants and dentin [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(6): 404-408.
[12] DONG Limin,LI Bing,WU Xiao,NIU Jianhua. Evaluation of resin inlay restoration after root canal therapy for deciduous molars [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(5): 314-317.
[13] CHEN Jingping,WU Buling. Establishment and stress analysis of buccal-occlusal-lingual inlay finite element model of mandibular first molar [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(4): 241-245.
[14] ZHAN Aiping,ZENG Liwei. Minimally invasive restoration of endodontically treated teeth [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(3): 198-201.
[15] LI Hong,XIN Bingchang,TENG Qi. A case of maxillary second premolar with 3 teeth and 4 root canals and a literature review [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(2): 107-109.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Hong-chang LAI,Jun-yu SHI. Maxillary sinus floor elevation[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 8 -12 .
[2] Pin ZHOU, Yang-fei LI. MRI study of temporomandibular joint disc position in asymptomatic volunteers[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(4): 239 -244 .
[3] Xinxin XIA, Fang FANG, Lijuan CHENG. Shaping ability of Pathfile and WaveOne in simulated root canals[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(6): 365 -368 .
[4] Yuanhong LI, Xinyi FANG, Yu QIU, Lei CHENG. Experimental study on the effects of green tea on salivary flow rate and pH value[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(9): 560 -564 .
[5] Chengzhang LI. Masticatory muscles in occlusion[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(12): 755 -760 .
[6] . [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(1): 1 .
[7] Zhirong WU, Shiguang Huang. Research progress on the etiology, clinical examination and treatment of peri-implantitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(6): 401 -405 .
[8] Xiaowu YAO, Shisheng CHEN, Zizheng LU, Minxiao LIN. Clinical report and literature review on the amyloidosis of salivary glands[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(8): 533 -536 .
[9] Lan LIAO, Lijun ZENG. Updated research on digitalization in aesthetic restoration[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(7): 409 -414 .
[10] Yu LU, Chengxia LIU, Zhongjun LIU. Role of TRAF6 in inflammatory responses of human osteoblast-like cells with Enterococcusfaecalis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(7): 420 -425 .
This work is licensed under a Creative Commons Attribution 3.0 License.