Clinical Evaluation of Digital Versus Conventional Techniques Restoring Ellis Class II Traumatized Central Incisors in Children: A Randomized Clinical Trial

Abstract

Aim: This randomized clinical trial aimed to compare the clinical performance of digital and conventional techniques in restoring Ellis Class II traumatized central incisors in children. The study specifically evaluated Mini Veneers, Composite restorations, and Fragment restorations over a 12-month period.

Subjects and methods: A total of 60 pediatric patients were divided into three equal groups, each receiving one of the restorative techniques. Clinical parameters, including failure rates, color stability, adaptation, marginal discoloration, surface roughness, and biocompatibility, were assessed using Modified USPHS criteria at baseline and at 3, 6, 9, and 12 months.

Results: Mini Veneers showed superior performance, maintaining 100% success in color stability, marginal adaptation, and clinical success. Composites declined significantly, with clinical success at 85% failure by 6 months, while fragment restorations had the poorest outcomes at clinical success rate at 82%, in addition to notable roughness, and discoloration. Differences were statistically significant (p < 0.05), highlighting Mini Veneers' aesthetic and functional advantages.

Conclusion: Mini Veneers outperformed Composite and Fragment restorations in restoring Ellis Class II traumatized central incisors in children, demonstrating excellent durability, aesthetic stability, and biocompatibility over 12 months.