Adhesive Cementation Materials and Techniques in Aesthetic Dentistry

March 31, 2026 updated by: Mara Gaile, Riga Stradins University

Adhesive Cementation Materials and Techniques in Aesthetic Dentistry and Their Effect on the Longevity of Porcelain Veneers

AIM: To determine the most effective cementation method and resin cement material for long term success of esthetical restorations TASKS: 1. Compare Panavia Veneer LC (Kuraray Noritake) cement with universal Panavia V5 (Kuraray Noritake) cement for porcelain veneer cementation in terms of marginal defects and discolouration; 2. Evaluating direct vs indirect restorations after 1-year and 3-year follow up periods in terms of patient satisfaction (evaluated by OES scale).

MATERIAL AND METHODS: Participants: Patients attending the Department of Prosthodontics at the RSU Institute of Stomatology, and willing to improve the aesthetics of front teeth with porcelain veneers. Approx. 30 patients. Inclusion criteria: healthy periodontium, needs 4 veneers, stable occlusion. Exclusion criteria: heavy bruxism, poor oral hygiene, active periodontal inflammation.

Veneer preparations will be done for maxillary anterior teeth approximately 0.5mm deep, involving the whole facial surface and keeping enamel around all borders. For digital impressions of preparations intra-oral scans with intraoral scanner (3Shape TRIOS 5 WIRELESS, Denmark) will be taken. Veneers will be fabricated according to the CAD/CAM technique. This will be a prospective paired design study, i.e., two different composite cements (Panavia V5 and Panavia Veneer LC) will be used for each patient, cementing two veneers with each of the cements.

Data on following variables will be collected:

  1. Restoration condition (defects related to restoration - ceramic fractures, cracks, loss of retention, discolouration);
  2. Condition of the abutment teeth (secondary caries, endodontic complications);
  3. Periodontal condition (probing depth, bleeding on probing, gum recessions);
  4. Patient satisfaction questionnaire (OES).

Study Overview

Study Type

Interventional

Enrollment (Estimated)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Riga, Latvia, LV-1007
        • Recruiting
        • Riga Stradins University
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • healthy periodontium, needs at least 4 veneers, enamel around all veneer borders

Exclusion Criteria:

  • heavy bruxism, poor oral hygiene, active periodontal disease

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Porcelain veneers
Patients receiving porcelain veneers as an aesthetic treatment option
Teeth preparation, laboratory made porcelain restoration cementation with 2 different cements
Other Names:
  • Dental veneers
Active Comparator: Direct composite restoration
Patients receiving direct composite injection moulding as an aesthetic treatment option
Digital modelling of teeth shapes, restoration with injectable composite directly
Other Names:
  • Composite restorations

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Patient satisfaction with porcelain veneers vs direct composite restorations using OES (orofacial aesthetic scale)
Time Frame: 6 months, 1 year, 3 years
OES is a questionnaire with 8 questions regarding orofacial appearance. The higher the score, the more satisfied the patient is. 7 questions evaluate specific items, and number 8 is an overall assessment.
6 months, 1 year, 3 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Comparison of 2 veneer cements in terms of complications and discolouration
Time Frame: 6 months, 1 year, 3 years

Data on following variables will be collected for all abutment teeth:

Restoration condition (defects related to restoration - ceramic fractures, cracks, loss of retention, discolouration; if present, calculated as a percentage from total restorations); Condition of the abutment teeth (secondary caries, endodontic complications; if present, calculated as a percentage from total restorations); Periodontal condition (probing depth in mm, bleeding on probing present or no; gum recessions in mm);

6 months, 1 year, 3 years

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Success and survival of porcelain veneers
Time Frame: 6 months, 1 year, 3 years

Success - veneer is present with no biological, technical or aesthetic complications. It is functional, stable, and free from disease. Calculated in percentage from the total count of cemented veneers.

Survival - restoration that remains in the mouth and is functional at the end of a specific observation period, regardless of its health status or complications. Calculated in percentage from the total count of the veneers.

6 months, 1 year, 3 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Christel Larsson, Professor, Malmö University
  • Study Director: Una Soboleva, Professor, Riga Stradins University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 30, 2025

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

August 1, 2029

Study Registration Dates

First Submitted

March 16, 2026

First Submitted That Met QC Criteria

March 19, 2026

First Posted (Actual)

March 24, 2026

Study Record Updates

Last Update Posted (Actual)

April 6, 2026

Last Update Submitted That Met QC Criteria

March 31, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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