Evidence map›Paper›PMID 42521893›Full record

ArticleClinical oral investigations2026

Clinical performance of lithium disilicate ceramic occlusal veneers for restoring cracked teeth: A 2- to 4-year prospective cohort study.

Xiang-Song Bai, Ying-Ying Hong, Xiao Shao, Meng-Ke Wang, Yin-Fei Pu

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Article in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiang-Song Bai *Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, NO. 22, Zhongguancun South Street, Haidian District, 10081, Beijing, PR China.
Ying-Ying Hong *First Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.
Xiao Shao *Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, NO. 22, Zhongguancun South Street, Haidian District, 10081, Beijing, PR China.
Meng-Ke WangSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, B5 Anli Garden, #66 Anli Road, Chao Yang District, 100101, Beijing, PR China. wmkpku2024@163.com.
Yin-Fei PuDepartment of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, NO. 22, Zhongguancun South Street, Haidian District, 10081, Beijing, PR China. puyinfei@yeah.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the 2-4-year clinical performance of lithium disilicate ceramic occlusal veneers for restoring vital cracked teeth and to explore factors associated with restoration failure. MATERIALS AND

methodsA prospective study was conducted on 60 cracked teeth from 51 patients. All restorations were evaluated according to the modified United States Public Health Service (USPHS) criteria: (a) marginal discoloration, (b) secondary caries, (c) restoration fracture, (d) adjacent contact point loosening, and (e) smoothness of adjacent areas. Risk factors were analyzed using χ² tests, Kaplan-Meier analysis, and univariate Cox proportional hazards regression.

resultsThe restoration survival rate was 95% (57/60), and the restoration integrity rate was 85% (51/60). A total of 9 restorations met the broader failure definition used for exploratory risk-factor analysis, including 3 severe fractures requiring remaking and 6 marginal defects requiring repair. Among 60 occlusal veneers, none had severe discoloration or secondary caries. The worst scores for adjacent contact point loosening and surface smoothness were 5% (3/60) due to 3 restorations with severe fractures. Second molars showed a significantly higher risk of restoration failure compared with other teeth (χ

conclusionsOcclusal veneers showed favorable medium-term restoration outcomes for restoring cracked teeth, with a high success rate observed over a 2-4-year follow-up period. CLINICAL RELEVANCE: This study aims to help clinicians optimize the treatment planning of cracked teeth and improve the long-term success of occlusal veneer restorations.

Indexed as

CeramicsCracked Tooth SyndromeDental PorcelainDental VeneersAdultDental Restoration FailureFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsDental Porcelainlithia disilicateCracked toothLithium disilicate ceramicMinimally invasive dentistryOcclusal veneerRestoration survival

Identifiers

PMID42521893

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.