ObjectiveTo propose the development and validation of criteria for evaluating the clinical performance of indirect restorations, considering the variables related to the operator, material, and/or patient.Materials and MethodsThe experimental design of this study was divided into three stages. Stage 1: development of the new criteria items by specialists in Prosthodontics. Step 2: creation of the criteria, named UERJ criteria, with the description of the parameters that indicate the quality of the restoration, the possible associated complications, and a detailed description of each classification. As well as the development of a form of variables. Step 3: validation of the UERJ criteria.ResultsCohen's Kappa statistic registered for both intra‐ and inter‐examiner agreements a coefficient >0.91 with a p‐value <0.0001. The validity of the UERJ criteria was evaluated by tests of sensitivity (0.96) and specificity (0.91) and had a satisfactory accuracy (92.7%), a positive (10.99), and negative (0.05) likelihood ratio and high values predictive variables, with positive (PPV) 0.84 (high specificity) and negative (VPN) 0.98 (high sensitivity), with a confidence interval of 95%.ConclusionThe UERJ criteria is a valid instrument for evaluating the clinical performance of indirect restorations.Clinical SignificanceThe UERJ criteria, developed exclusively for the analysis of indirect restorations, elucidates the details necessary to identify the causes of failures and complications of these restorations.

The choice of material used to fill screw access channels in implant-supported prostheses depends, in most cases, on operator's preference, without considering the susceptibility of biofilm colonization. Therefore, the aim of this study was to determine and compare the total amount of biofilm formed on different materials used to fill screw access channels in implant abutments. For this propose, titanium implant analogs were attached on abutments and divided into 5 groups: positive control (no filling material); negative control (closed with resin); filled with cotton, gutta-percha, or polytetrafluoroethylene-PTFE. The analogs with attached abutments were then immersed in a brain heart infusion medium containing Candida albicans (ATCC 10231) and incubated aerobically at 37°C with gentle agitation. After 15 days, materials were removed and total viable biofilm on each material was quantified by methyl tetrazolium (MTT) reduction assay at 490nm. All experiments were performed in triplicate. Data were processed by IBM SPSS Statistic software using one-way ANOVA and Bonferroni pos hoc tests to analyze differences between groups, with overall significance level=.05 (P&lt;.001). A significant difference was observed between cotton and gutta-percha (P&lt;.017) and between cotton and PTFE (P&lt;.025). However, there was no statistical difference between gutta-percha and PTFE (P&gt;.050). Thus, this in vitro experiment showed that gutta-percha and PTFE presented lower biofilm formation in comparison with cotton when used to fill screw access channels. These results can provide a basis for future clinical studies that can be a guide to decreasing the occurrence of gaps and bacterial growth inside the implant/abutment attachment site. In addition, controlled in vivo studies are necessary to confirm the clinical viability of findings of this study.