ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Similar Longevity Of Gold Inlays Compared To CAD/CAM Ceramic Inlays
Clinical Question Which material provides the best longevity in patients requiring a MOD inlay dental restoration: gold or CAD/CAM ceramic?
Clinical Bottom Line All the inlays had similar failure free years. Laboratory-fabricated ceramic inlays had the highest costs and, thus, were less cost-effective than chair-side CAD/CAM ceramic and gold inlay. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 16110711Gandjour/2005Patients requiring a MOD inlay dental restorationMeta-Analysis of Case Series
Key resultsOver a 9-year observation period, the number of undiscounted failure-free years for laboratory ceramic inlays was 8.62 (95 percent confidence interval, 8.40–8.85), for CAD/CAM ceramic inlays it was 8.65 (8.58–8.73), and for Gold inlays it was 8.76 (8.72–8.80)
Evidence Search CAD/CAM AND gold inlays AND longevity ...view in PubMed
Comments on
The Evidence
This was a meta-analysis. The systematic literature search did not find any trial that compared the longevity of laboratory-fabricated ceramic, chair-side CAD/CAM ceramic, and gold inlays. The 10 studies that met the minimum criteria were case series
Applicability The evidence is directly applicable to a typical patient in any dental practice requiring a MOD inlay dental restoration.
Specialty/Discipline (General Dentistry) (Restorative Dentistry)
Keywords Longevity, CAD/CAM ceramic, Gold, Inlay
ID# 576
Date of submission: 04/01/2010spacer Revised: 03/22/2012
E-mail Dobelbower@livemail.uthscsa.edu
Author Shannon Dobelbower
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Rita Renee Parma, DDS
Faculty mentor/Co-author e-mail PARMA@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Robert Simon, Vy Pham, Brenda Rodriguez (San Antonio, TX) on 01/07/2013
A Pubmed search was performed on longevity of CAD/CAM ceramic inlay versus gold inlay. A more recent study was found: PMID: 18426165. The results showed some improvement in CAD/CAM ceramic inlays but had not surpassed that of gold inlays.
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