Quintessence international

Publication date: 1998-04-01
Volume: 29 Pages: 211 - 21
Publisher: Publishers of Books and Periodicals "Die Quintessenz"

Author:

Peumans, Marleen
Van Meerbeek, Bart ; Lambrechts, Paul ; Vuylsteke-Wauters, M ; Vanherle, Guido

Keywords:

Adult, Aged, Dental Caries, Dental Leakage, Dental Porcelain, Dental Restoration Failure, Dental Veneers, Female, Follow-Up Studies, Humans, Male, Marginal Adaptation (Dentistry), Microscopy, Electron, Scanning, Middle Aged, Smoking, Science & Technology, Life Sciences & Biomedicine, Dentistry, Oral Surgery & Medicine, clinical performance, esthetics, marginal adaptation, microleakage, porcelain veneer, recurrent caries, retention, LAMINATE VENEERS, ETCHED PORCELAIN, BOND STRENGTH, RESIN VENEERS, MICROLEAKAGE, INCISORS, ENAMEL, AGENTS, WEAR, Dental Marginal Adaptation, 1105 Dentistry, Dentistry, 3203 Dentistry

Abstract:

OBJECTIVE: The overall clinical performance of porcelain veneers was evaluated at 5 years. METHOD AND MATERIALS: Porcelain veneers were placed on 87 maxillary anterior teeth in 25 patients (19 to 69 years) by a single operator following a standardized clinical procedure. At the 5-year recall, esthetics, marginal performance, vitality, fracture rate, and patient satisfaction were recorded. RESULTS: At recall, 93% of the veneers were satisfactory without intervention. The remaining 7% presented clinically unacceptable problems such as recurrent caries, porcelain fracture, severe clinical microleakage, or pulpal reaction. The retention rate of the porcelain veneers was 100%, and the maintenance of esthetics was perfect. Only 14% of the veneers presented excellent marginal adaptation over the entire outline of the restoration; however, the impact of the slight marginal defects on the clinical performance was negligible. CONCLUSION: Labial porcelain veneers offer a reliable and effective procedure for the conservative treatment of discolored, malformed, and malaligned anterior teeth.