Purpose: The aim of this study was to assess the clinical performance of computer-aided design and computer-aided manufacturing resin nanoceramic posterior restorations fabricated by CEREC Omnicam system.
Materials and methods: Fifty-seven Lava Ultimate posterior restorations were placed in 44 patients by one operator. Restorations were cemented using a resin cement system (Duo-Link). The clinical performance of the restorations was evaluated with USPHS guidelines in a mean time of 45-month. Data were statistically analyzed using Kaplan-Meier and Log Rank (Mantel-Cox) tests (SPSS 22.0, α = 0.05).
Results: Thirty-eight restorations in 26 patients were evaluated at recall examinations by two evaluators other than the clinician who had placed the restorations who were blinded to groups. The survival rates of Lava Ultimate were 86.8%. A total of 5 (13.2%) failures were found. After a mean time of 45-month survival rate of vital and non-vital teeth were 90 and 83.3% respectively. The failures were not significantly influenced by gender, tooth arch, restoration size, the treated region and vitality.
Conclusion: Chair-side posterior resin nanoceramic restorations were clinically successful restorations with a survival rate of 86.8% after a mean time of 45-month.
Clinical significance: Chair-side CAD/CAM resin nanoceramic restorations can be a successful choice for vital and non-vital teeth with acceptable survival rates.
Keywords: CAD/CAM; dental materials; digital dentistry.
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