[Evaluation of the effect of Lava Ultimate veneer combined with cast porcelain inlays in the treatment of mild-moderate dentition wear in the elderly patients].

PURPOSE: To explore the effect of Lava Ultimate veneer combined with cast porcelain inlays in the treatment of mild-moderate dentition wear in the elderly.

METHODS

A total of 60 elderly patients with mild-moderate dentition wear due to physical factors who underwent treatment from July 2019 to July 2023 were selected and randomly divided into control group(n=30) and experimental group(n=30). The control group received traditional all-ceramic crown restoration treatment, while the experimental group received Lava Ultimate veneers for anterior teeth and porcelain inlays for posterior teeth. The chewing efficiency, prosthesis effectiveness, periodontal index [gingival index(GI), plaque index (PI)], clinical efficacy, aesthetic satisfaction and comfort were compared between the two groups before and after treatment.SPSS 19.0 software package was used for statistical analysis of the data.

RESULTS

Before treatment, there was no significant difference in chewing efficiency and absorbance between the two groups(P＞0.05). After treatment, masticatory efficiency and absorbance of the experimental group were significantly higher than those of the control group(P＜0.05). One week and 6 months after treatment, there was no significant difference in prosthesis margin fit, wear degree, retention, gingival condition, color, shape, secondary caries, restoration fracture, GI and PI between the two groups(P＞0.05). At 12 months after treatment,the prosthesis margin fit, retention, gingival condition, GI and PI of the experimental group were significantly better than those of the control group(P＜0.05). The total effective rate, satisfaction and comfort of the experimental group were significantly higher than those of the control group(P＜0.05).

CONCLUSIONS

After treatment with Lava Ultimate veneers for anterior teeth and porcelain inlays for posterior teeth, the masticatory efficiency of the elderly patients with mild-moderate dentition wear is improved, and the prosthesis effect, periodontal index, satisfaction and comfort are significantly improved.