Randomized controlled pilot study assessing efficacy, efficiency, and patient-reported outcomes measures of chairside and labside single-tooth restorations

Abstract

Objectives: To test whether or not a chairside workflow (CHAIR) is similar to a labside workflow (LAB) in terms of efficacy (primary outcome) and efficiency (secondary outcome). Material and methods: Eighteen subjects in need of a single-tooth restoration in the posterior region of the maxilla or mandible were consecutively recruited and randomly assigned to the CHAIR or LAB workflow. Patient-reported outcome measures (PROMs; efficacy) were assessed using a questionnaire with visual analog scale. The white Æsthetic score (WES) was applied to evaluate the Æsthetic outcome objectively. The clinical and laboratory time (efficiency) were recorded. Nonparametric methods were applied for the group comparisons. Results: The overall median Æsthetic evaluation after treatment was 10 (interquartile range = IQR: 9.5–10) in group CHAIR and 10 (IQR: 9.5–10) in-group LAB (Mann–Whitney [MW] test p = 1.000). The WES amounted to 4 (IQR: 3–5) (CHAIR) and to 8 (IQR: 7–9) (LAB) (MW test p < 0.0001). The median total working time for the clinician in-group CHAIR was 49.9 min. (IQR: 40.9–63.7) and 41.4 min. (IQR: 37.2–58.2) in-group LAB (MW test p = 0.387). Conclusions: Subjective PROMs of single-tooth supported restorations fabricated in a CHAIR or LAB workflow led to similar scores of patients' satisfaction and a moderate negative correlation for the objective evaluation of the clinician in the LAB workflow. Clinical significance: PROMs can be considered a key element in the decision-making process for restoring single-tooth restorations. The patients' perception of Æsthetics was similar for the CHAIR or LAB workflows. The additional efforts undertaken with the LAB workflow did not result in a patient benefit when compared to a CHAIR workflow.