Evaluation of E-max Porcelain Veneer Failures: A Retrospective Study

Area of Science:

• Dental Ceramics
• Aesthetic Dentistry
• Periodontology

Background:

• Dental veneers are increasingly popular for aesthetic restoration.
• E-max veneers offer durability, color stability, and strength.
• Long-term success depends on material integrity and marginal fit.

Purpose of the Study:

• Evaluate E-max veneer impact on gingival and periodontal health over five years.
• Assess E-max veneer failure rates, including chipping, staining, and debonding.
• Identify factors influencing the longevity of E-max veneers.

Main Methods:

• Retrospective study of 28 patients with 6-to-10-unit E-max veneer cases.
• Clinical parameters: gingival index, bleeding on probing (BOP), pocket depth, gingival color, texture, and recession.
• Radiographic evaluation using Siemens Orthopantomogram (OPG) systems.
• Visual inspection for veneer chipping, staining, and debonding.

Main Results:

• 64.3% of patients had healthy gingival status with no bleeding.
• 35.7% showed inflamed gingival tissue and BOP.
• Majority exhibited stippling (92.9%), absence of recession (96.4%), and acceptable pocket depth (67.9%).
• 89.3% of veneers showed no significant changes like marginal staining, debonding, or chipping after five years.

Conclusions:

• Patient selection, treatment planning, and material choice are key to ceramic veneer longevity.
• E-max veneers can achieve long-term success with proper oral hygiene.
• Maintaining gingival and periodontal health is vital for veneer sustainability.