Trial Outcomes & Findings for Alternative EndoCrowns Designs for Chairside CAD/CAM (NCT NCT04604314)

NCT ID: NCT04604314

Last Updated: 2026-07-13

Results Overview

Restoration failure is scored by visual loss of the crown from the tooth requiring replacement of the study crown with a new crown at any time between delivery and three years.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

69 participants

Primary outcome timeframe

from delivery of the crown up to 3 years

Results posted on

2026-07-13

Participant Flow

The patient population was selected from current patients under clinical treatment at the University of Michigan Dental Clinics between December 2020 and April 2022. 77 restorations were delivered to 69 patients in the study; 28 males and 41 females. 8 patients received two test restorations. Patients were over 18 years of age, of either gender, and of any ethnic background. 3 participants received 2 EndoOnlays each, 3 received 2 EndoCrowns each, and 2 received 1 EndoOnlay and 1EndoCrown each.

Tree subjects received two endo onlays, which reduced the number of subjects that received an endo onlay to 35. Three subjects received two endo crowns, which reduced the number of subjects that received an endo crown to 36. The total number of subjects is 69, not 71,because two subjects received and endo onlay and an endo crown and thus are double counted.

Unit of analysis: tooth

Participant milestones

Participant milestones
Measure
Endocrown Onlay Restoration
Endocrown onlay preparation = Buccal and lingual walls are intact with an occlusal-gingival height at least equal to half the original crown height of the tooth. Remaining buccal and lingual walls maintain a thickness ≥ 2.0 mm.
Endocrown Shoulder Restorations
Endocrown shoulder preparation = Buccal and/or lingual walls are less than half the original occlusal-gingival height of the tooth or the buccal or lingual surfaces were previously prepared axially due to a prior restoration.
Baseline
STARTED
35 38
36 39
Baseline
COMPLETED
35 38
36 39
Baseline
NOT COMPLETED
0 0
0 0
6 month
STARTED
35 38
36 39
6 month
COMPLETED
23 23
26 27
6 month
NOT COMPLETED
12 15
10 12
2 years
STARTED
35 38
36 39
2 years
COMPLETED
21 23
25 27
2 years
NOT COMPLETED
14 15
11 12
3 years
STARTED
34 37
36 39
3 years
COMPLETED
16 18
24 26
3 years
NOT COMPLETED
18 19
12 13

Reasons for withdrawal

Reasons for withdrawal
Measure
Endocrown Onlay Restoration
Endocrown onlay preparation = Buccal and lingual walls are intact with an occlusal-gingival height at least equal to half the original crown height of the tooth. Remaining buccal and lingual walls maintain a thickness ≥ 2.0 mm.
Endocrown Shoulder Restorations
Endocrown shoulder preparation = Buccal and/or lingual walls are less than half the original occlusal-gingival height of the tooth or the buccal or lingual surfaces were previously prepared axially due to a prior restoration.
6 month
Lost to Follow-up
12
10
2 years
Death
1
0
2 years
Lost to Follow-up
13
11
3 years
Lost to Follow-up
18
12

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Endocrown Onlay Restoration
n=33 Participants
Endocrown onlay preparation = Buccal and lingual walls are intact with an occlusal-gingival height at least equal to half the original crown height of the tooth. Remaining buccal and lingual walls maintain a thickness ≥ 2.0 mm.
Endocrown Shoulder Restorations
n=34 Participants
Endocrown shoulder preparation = Buccal and/or lingual walls are less than half the original occlusal-gingival height of the tooth or the buccal or lingual surfaces were previously prepared axially due to a prior restoration.
Endocrown Onlay and Endocrown Shoulder Restorations
n=2 Participants
Endocrown onlay preparation = Buccal and lingual walls are intact with an occlusal-gingival height at least equal to half the original crown height of the tooth. Remaining buccal and lingual walls maintain a thickness ≥ 2.0 mm. Endocrown shoulder preparation = Buccal and/or lingual walls are less than half the original occlusal-gingival height of the tooth or the buccal or lingual surfaces were previously prepared axially due to a prior restoration.
Total
n=69 Participants
Total of all reporting groups
Age, Customized
age between 18 and 19 years
2 Participants
n=33 Participants
0 Participants
n=34 Participants
0 Participants
n=2 Participants
2 Participants
n=69 Participants
Age, Customized
age between 20 and 29 years
8 Participants
n=33 Participants
4 Participants
n=34 Participants
1 Participants
n=2 Participants
13 Participants
n=69 Participants
Age, Customized
age between 30 and 39 years
10 Participants
n=33 Participants
8 Participants
n=34 Participants
0 Participants
n=2 Participants
18 Participants
n=69 Participants
Age, Customized
age between 40 and 49 years
6 Participants
n=33 Participants
5 Participants
n=34 Participants
1 Participants
n=2 Participants
12 Participants
n=69 Participants
Age, Customized
age between 50 and 59 years
4 Participants
n=33 Participants
7 Participants
n=34 Participants
0 Participants
n=2 Participants
11 Participants
n=69 Participants
Age, Customized
age between 60 and 69 years
2 Participants
n=33 Participants
10 Participants
n=34 Participants
0 Participants
n=2 Participants
12 Participants
n=69 Participants
Age, Customized
age 70 and older
1 Participants
n=33 Participants
0 Participants
n=34 Participants
0 Participants
n=2 Participants
1 Participants
n=69 Participants
Sex: Female, Male
Female
18 Participants
n=33 Participants
22 Participants
n=34 Participants
1 Participants
n=2 Participants
41 Participants
n=69 Participants
Sex: Female, Male
Male
15 Participants
n=33 Participants
12 Participants
n=34 Participants
1 Participants
n=2 Participants
28 Participants
n=69 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: from delivery of the crown up to 3 years

Population: Number of crowns that failed through the 3-year recall.

Restoration failure is scored by visual loss of the crown from the tooth requiring replacement of the study crown with a new crown at any time between delivery and three years.

Outcome measures

Outcome measures
Measure
Endocrown Onlay Restoration
n=38 teeth
Endocrown onlay preparation = Buccal and lingual walls are intact with an occlusal-gingival height at least equal to half the original crown height of the tooth. Remaining buccal and lingual walls maintain a thickness ≥ 2.0 mm.
Endocrown Shoulder Restorations
n=39 teeth
Endocrown shoulder preparation = Buccal and/or lingual walls are less than half the original occlusal-gingival height of the tooth or the buccal or lingual surfaces were previously prepared axially due to a prior restoration.
Restoration Failure
0 crown
3 crown

SECONDARY outcome

Timeframe: from delivery of crown up to 3 years

Population: Number of crowns that debonded through the 3-year recall.

Loss of retention is measured as visual detachment or dislodgment of the crown from the tooth without fracture of the crown requiring recementation of the crown.

Outcome measures

Outcome measures
Measure
Endocrown Onlay Restoration
n=38 teeth
Endocrown onlay preparation = Buccal and lingual walls are intact with an occlusal-gingival height at least equal to half the original crown height of the tooth. Remaining buccal and lingual walls maintain a thickness ≥ 2.0 mm.
Endocrown Shoulder Restorations
n=39 teeth
Endocrown shoulder preparation = Buccal and/or lingual walls are less than half the original occlusal-gingival height of the tooth or the buccal or lingual surfaces were previously prepared axially due to a prior restoration.
Restoration Loss of Retention
0 crowns
0 crowns

SECONDARY outcome

Timeframe: from delivery of crown up to 3 years

Margin Staining is evaluated as either "0" if there is NO staining at the crown margin where it meets the tooth, or "1" if there IS staining at the crown margin where it meets the tooth. The better outcome is to have NO margin staining. The number of teeth with margin staining are listed below.

Outcome measures

Outcome measures
Measure
Endocrown Onlay Restoration
n=38 Teeth
Endocrown onlay preparation = Buccal and lingual walls are intact with an occlusal-gingival height at least equal to half the original crown height of the tooth. Remaining buccal and lingual walls maintain a thickness ≥ 2.0 mm.
Endocrown Shoulder Restorations
n=39 Teeth
Endocrown shoulder preparation = Buccal and/or lingual walls are less than half the original occlusal-gingival height of the tooth or the buccal or lingual surfaces were previously prepared axially due to a prior restoration.
Margin Staining
2 years
2 crowns
0 crowns
Margin Staining
3 years
4 crowns
0 crowns
Margin Staining
baseline
0 crowns
0 crowns
Margin Staining
6 month
3 crowns
0 crowns
Margin Staining
1 year
1 crowns
0 crowns

Adverse Events

Endocrown Onlay Restoration

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Endocrown Shoulder Restorations

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dennis J. Fasbinder, DDS

Department of Cariology, Restorative Sciences, and Endodontics School of Dentistry University of Michigan 1011 N. University Ann Arbor, Michigan 48109-1078 U.S.A.

Phone: (734) 647-4450

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place