A Comparative Clinical Study Between the Technique of Border Molding in Complete Dentures Using Light-Cured Acrylic Resin and the Conventional Technique
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Retention
研究概览
简要总结
Since the teeth loss leads to disability & impairment, and teeth restoration lead to improvement in the life quality throughout the oral health improvement.
The acceptable function of a complete denture on great extent depends on impression technique which includes the maximum coverage of denture supporting areas and making a combination of managing movable soft tissues along with different kinds of impression materials and techniques for accurate reproduction of oral foundation.
Border molding considered to be as an important step in the in complete denture fabrication, since the retention of complete dentures depend on several factors, as the biological, physical and mechanical, these factors could be achieved by mean of an accurate border molding followed by an accurate final impression.
The border molding technique is the shaping of the border areas of a custom impression tray by manual or functional manipulation of the tissue adjacent to the borders in order to duplicate the size and contour of the vestibule resulting in maintains of the peripheral seal during function. This property causes the border molding process to require twenty-four insertions, namely eight in the maxilla and sixteen in the mandible causing long working time and discomfort in patients.
Hence, the material used for this technique should provide optimum working time, have adequate body, and permit the correction of border moulding by additions.
However additions if made to a single step border moulded material would again introduce all the disadvantages that are associated with sectional moulding Single-step border molding is considerably more straightforward than sectional border molding owing to the reduced number of tray insertions.
This technique is usually used with elastomeric impression materials, which may not provide sufficient time to mold and record the peripheral tissues of the denture bearing area.
The present technique uses light polymerizing tray material for molding tray borders, offering extended working time.
This is advantageous for operators with less experience, such as dental school students.
Furthermore, correction of border molding is possible with the addition of new material.
The technique uses materials that are readily available,and no special armamentarium is required.
详细描述
The objectives of the primary impression are to record all the areas to be covered by the intaglio surface of the dentures and the adjacent landmarks with an impression material which is accurate and incorporates the minimum tissue dis-placement.
Finally impression using custom trays with spacers of different materials and designs, But in cases of highly resorbed ridges, spacer is not used as a solid tray is easier to manage.
The border molding process is carried out before final impression. The purpose of the border molding in the manufacture of full dentures is to obtain peripheral seals, namely tight contact between the full denture base and the mucosa around the periphery of the full denture boundary to prevent the entry of air between the base and the mucosa.
The border molding material that is currently still frequently used is the green stick modeling compound. This material has thermoplastic properties which have a low conductivity.
The objective of border molding procedure is to get peripheral seal to achieve a retentive denture. An exact border molding record is influenced by the material and technique. Green stick compound is usually the material of choice now days, it has thermoplastic mechanical properties that makes some problems.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 45 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Well-formed edentulous arch (well-rounded, adequate width and height)
排除标准
- •Patients with undercuts Excessive ridge resorption Flabby anterior ridge Papillary hyperplasia Poor neuromuscular control. Patients having signs of inflammation, ulceration or hyperplasia
结局指标
主要结局
Retention
时间窗: Immediately after Delivery Denture
by using a digital force gauge.
次要结局
未报告次要终点
