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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

December 1999
Volume 30 , Issue 12

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A 3-year study of inlays milled from machinable ceramic blocks representing 2 different inlay systems

Marianne Thordrup, DDS, PhD/Flemming Isidor, DDS, PhD, Dr Odont/Preben Hörsted-Bindslev, DDS

Pages: 829-836
PMID: 10765860

Objective: The aim of this study was to evaluate the clinical performance of ceramic inlays made from machinable ceramic blocks. Method and materials: The 2 inlay systems involved computer-aided design and computer-aided machining (Cerec Cos 2.1) or copy-milling technique (Celay). The study comprised 15 Celay inlays and 15 Cerec inlays placed in 17 patients. The inlays were evaluated clinically at baseline (1 week) as well as 1 and 3 years later (modified California Dental Association quality evaluation system). Results: One Celay inlay fractured after 1 year of service, and 2 Cerec inlays were replaced, 1 after 6 months and 1 after 1 year, because of pulpal pain and persisting hypersensitivity. One Celay inlay lost retention after 2 years. At the 3-year evaluation, chipping and hairline cracks were seen in 2 Celay inlays. Progressive disintegration of the marginal luting cement was seen for both Celay and Cerec inlays. The remaining 25 inlays performed satisfactorily throughout the 3-year period. Conclusion: Because of their relatively high failure rate, these inlays should be reserved for esthetic indications.

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