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Concept: Inlays and onlays


SUMMARY Fracture resistance of inlays and onlays may be influenced by the quantity of the dental structure removed and the restorative materials used. The purpose of this in vitro study was to evaluate the effects of two different cavity preparation designs and all-ceramic restorative materials on the fracture resistance of the tooth-restoration complex. Fifty mandibular third molar teeth were randomly divided into the following five groups: group 1: intact teeth (control); group 2: inlay preparations, lithium-disilicate glass-ceramic (IPS e.max Press, Ivoclar Vivadent AG, Schaan, Liechtenstein); group 3: inlay preparations, zirconia ceramic (ICE Zirkon, Zirkonzahn SRL, Gais, Italy); group 4: onlay preparations, lithium-disilicate glass-ceramic (IPS e.max Press); and group 5: onlay preparations, zirconia ceramic (ICE Zirkon). The inlay and onlay restorations were adhesively cemented with dual polymerizing resin cement (Variolink II, Ivoclar Vivadent AG). After thermal cycling (5° to 55°C × 5000 cycles), specimens were subjected to a compressive load until fracture at a crosshead speed of 0.5 mm/min. Statistical analyses were performed using one-way analysis of variance and Tukey HSD tests. The fracture strength values were significantly higher in the inlay group (2646.7 ± 360.4) restored with lithium-disilicate glass-ceramic than those of the onlay group (1673.6 ± 677) restored with lithium-disilicate glass-ceramic. The fracture strength values of teeth restored with inlays using zirconia ceramic (2849 ± 328) and onlays with zirconia ceramic (2796.3 ± 337.3) were similar to those of the intact teeth (2905.3 ± 398.8). In the IPS e.max Press groups, as the preparation amount was increased (from inlay to onlay preparation), the fracture resistance was decreased. In the ICE Zirkon ceramic groups, the preparation type did not affect the fracture resistance results.

Concepts: Touring car racing, FIA, Teeth, Analysis of variance, Crown, Dental restoration, CAD/CAM Dentistry, Inlays and onlays


Aim of the study was to evaluate the long-term reliability and effectiveness of inlays and onlays in ceramic and composite material, examining scientific studies published from 2004 to 2013. The results of this review were analyzed and compared with the important literature review proposed by Manhart in 2004.

Concepts: Scientific method, Science, Composite material, Cultural studies, Dental restoration, Restorative dentistry, Inlays and onlays


The aim of this study was to evaluate the microstructure and mechanical behavior of polymer-infiltrated zirconia ceramics as a function of pre-sintering temperature (1000-1150°C).

Concepts: Tooth enamel, Ceramic materials, Crown, Dental restoration, CAD/CAM Dentistry, Zirconium dioxide, Bridge, Inlays and onlays


Preclinical dental students must demonstrate aptitude in the preparation of teeth for treatment with several types of fixed dental prostheses. The optimal sequence of instruction and examination of these crown preparations in preclinical fixed prosthodontics is unknown. The aim of this study was to determine if grading scores by faculty and students were affected by changing the sequence of crown type preparations. Practical exams of two successive student cohorts (n=89 in 2014; n=92 in 2015) at one U.S. dental school using three crown preparations (full cast, porcelain fused to metal, and all-ceramic) in different order were analyzed by faculty grades and student self-assessment. All of the models indicated that the sequence in which the crown type preparations were taught did have an effect on the grades. The 2014 cohort had overall higher grades and particularly higher grades for the all-ceramic crown preparations. Evaluation scores were affected by the sequence in which the different crown type preparations were taught and tested. Although the overall results suggested that students may perform better if the all-ceramic crown preparation is taught last, this tendency may differ between years.

Concepts: Crown, Dental restoration, Restorative dentistry, CAD/CAM Dentistry, Bridge, Prosthodontology, Inlays and onlays, Fixed prosthodontics


Two commonly used tibial designs for unicompartmental knee arthroplasty (UKA) are all-polyethylene “inlay” and metal-backed “onlay” components. Biomechanical studies showed that the metal baseplate in onlay designs better distributes forces over the tibia but studies failed to show differences in functional outcomes between both designs at mid-term follow-up. Furthermore, no studies have compared both designs with total knee arthroplasty (TKA).

Concepts: Type I and type II errors, Knee, Knee replacement, Tibia, Inlays and onlays


The dental market moves towards high-translucency monolithic zirconia dental crowns, which are usually placed either with - or without - a thin glaze layer. The microstructural features and the mechanical performances of these materials are still controversial, as well as their susceptibility to aging. This paper aims at studying these aspects in the current generation of zirconia dental crowns showing different degrees of translucency.

Concepts: Crown, Sintering, Dental restoration, CAD/CAM Dentistry, Zirconium dioxide, Bridge, Porcelain, Inlays and onlays


To examine the fracture resistance of premolars restored with CAD/CAM lithium disilicate mesio-occlusal-distal (MOD) inlays and onlays of different cavity designs.

Concepts: Dental restoration, Inlays and onlays


Ureteral stricture resulting from chronic inflammations such as tuberculosis, recurrent stone disease and multiple endourological interventions are complex in nature; these may lead to severe adhesions to surrounding structures. Endourological management of these cases is difficult with poorer outcomes. In such situations, reconstructive surgical corrections remain a reliable option. We describe the technique of onlay and inlay buccal mucosal graft ureteroplasty using a robotic platform in management of complex ureteral strictures.

Concepts: Medicine, Mucous membrane, Poverty, Ureter, Membrane biology, The Technique, Buccal mucosa, Inlays and onlays


To investigate the longevity and reasons for failure of posterior cast Class II gold inlays and onlays among a group of Norwegian adults. The term inlay was used for both inlays and onlays.

Concepts: Crown, Dental restoration, CAD/CAM Dentistry, Inlays and onlays


Data sourcesMedline, Embase, the Cochrane Oral Health Group’s Trials Register and CENTRAL. Unpublished literature was searched on, the National Research Register, and Pro-Quest Dissertation Abstracts and Thesis database. Hand searching of reference lists only.Study selectionRandomised controlled trials with a minimum of three years follow-up that compared direct to indirect inlays or onlays in posterior teeth. Primary outcome was failure (the need to replace or repair).Data extraction and synthesisTwo reviewers independently and in duplicate performed the study selection and two extracted data independently using a customised data extraction form. The unit of analysis was the restored tooth. Risk of bias was assessed using the Cochrane Risk of Bias tool. Meta-analysis was conducted on two studies using the random-effects model.ResultsThree studies were included. Across these studies there were 239 participants in whom 424 restorations were placed. Two studies compared direct and indirect inlays and had follow-up of five and 11 years respectively. One study compared direct and indirect onlays with a follow-up of five years. The studies were at unclear or high risk of bias. For direct and indirect inlays, Relative Risk (RR) of failure after five years was 1.54 (95% Cl: 0.42, 5.58; p = 0.52) in one study and, in another was 0.95 (95% Cl: 0.34, 2.63; p = 0.92) over 11 years. For onlays there was also no statistically-significant difference in survival, though overall five-year survival was 87% (95% CI: 81-93%).ConclusionsThere is insufficient evidence to favour the direct or indirect technique for the restoration of posterior teeth with inlays and onlays.

Concepts: Epidemiology, Clinical trial, Medical statistics, Relative risk,, Tooth, Thesis or dissertation, Inlays and onlays