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Prosthetic Complications of Screw Retained Restoration

Not Applicable
Conditions
Edentulous Alveolar Ridge
Edentulous Mouth
Edentulous Jaw
Interventions
Procedure: transmucosal abutment
Procedure: titanium bases using intra oral luting cement technique
Registration Number
NCT03674554
Lead Sponsor
Cairo University
Brief Summary

On of the main fixed prosthetic options of completely edentulous patients is the screw-retained implant supported prosthesis which was constructed on transmucosal abutments with its encountered problems such as: hardness to make it passively seated with multiple screw fracture and loosening problems and multiple encountered veneer material fracture and so there effect on patient satisfaction with multiple maintenance recalls.so, the investigators want to try a new technique of fabrication which was proposed for reducing the problems of lack of passivity which is the intraoral luting cement technique on titanium bases with reduced screw number but, with luting cement problems as de-cementation and cement biological effects on soft tissues and bone and there effect on number of patient recall visits and maintenance and so there effect on patient satisfaction

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
    • Completely edentulous patients
  • Patients with completely edentulous ridges have an opposing natural dentition or implant supported overdenture
  • Completely edentulous patients (with the above mentioned criteria) who have proper amount of attached gingiva (≥2 mm) or to be created
  • Completely edentulous patients (with the above mentioned criteria) who have no history of bruxism
  • Completely edentulous patients (with the above mentioned criteria) who were free or controlled diabetic assessed by measuring glycosylated haemoglobin (HbA1c). (lesser than or equal to 6.4 percent )
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Exclusion Criteria
    • Patients having a medical condition that absolutely contraindicates implant placement.
  • Patients with uncontrolled diabetes, assessed by measuring glycosylated haemoglobin (HbA1c). (greater than to 6.4 percent )
  • Potentially uncooperative patients who are not willing to go through the proposed interventions. - Moderate-to-heavy daily smokers* (who report consuming at least 11 cigarettes/day).
  • Patients who are having complete lower denture
  • Patients who have history of bruxism
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
transmucosal abutment grouptransmucosal abutmenta full-arch screw-retained implant prosthesis with transmucosal abutment
titanium bases grouptitanium bases using intra oral luting cement techniquefull-arch screw-retained implant prosthesis on titanium bases using intra oral luting cement technique
Primary Outcome Measures
NameTimeMethod
Abutment screw loosening12 months

Measuring device :Clinical visual inspection / Measuring unit:Binary

Secondary Outcome Measures
NameTimeMethod
Ti-bases de-cementation12 months

Measuring device :Clinical visual inspection / Measuring unit:Binary

Prosthetic screw loosening12 months

Measuring device :Clinical visual inspection / Measuring unit:Binary

Prosthetic screw fracture12 months

Measuring device :Clinical visual inspection / Measuring unit:Binary

Abutment screw fracture12 months

Measuring device :Clinical visual inspection / Measuring unit:Binary

Veneer fracture12 months

Measuring device :Clinical visual inspection / Measuring unit:Binary

Framework fracture12 months

Measuring device :Clinical visual inspection / Measuring unit:Binary

Trial Locations

Locations (1)

Cairo Universty

🇪🇬

Cairo, Egypt

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