Survival rate of XXXX disilicate restorations at 4 years: A retrospective study.

@entity1091 @entity174 @entity3465
STATEMENT OF PROBLEM: Ceramic restorations are frequently being placed due to the esthetic demand and the cost of noble metals that has increased considerably. One major disadvantage of ceramic restoration is failure of the material due to @entity174 by crack propagation. In  vitro studies are of little clinical significance and in  vivo studies are too short to support clinical success. PURPOSE: The purpose of this retrospective study was to evaluate the failure rate of @entity1091 disilicate restorations (monolithic and layered) at 4 years. MATERIAL AND METHODS: Data were collected over 45 months from 2 commercial laboratories. Restorations were categorized into monolithic restorations and layered restorations. Each category was further classified into complete coverage single crowns, fixed dental prostheses, e.max veneers, and inlay/onlay restorations. Failure rates were compared and analyzed using Chi-square (a=.05). RESULTS: A total of 21   340 restorations were evaluated in this study and included 15   802 monolithic restorations and 5538 layered restorations. The failure rate for single crown monolithic restorations was 0.91% and was 1.83% for single crown layered restorations. For fixed dental prostheses, 4.55% of monolithic restorations failed. For e.max veneers, 1.3% of monolithic veneers fractured and 1.53% of layered veneers fractured. Of the inlay/onlay restorations group, 1.01% of monolithic restorations fractured. CONCLUSION: In the short term (45 months), restorations fabricated with the @entity1091 disilicate material ( @entity3465 e.max) had relatively low @entity174 rates. Layered single crowns fractured at approximately 2 times the rate of monolithic crowns.
