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临床试验/NCT05476419
NCT05476419尚未招募不适用

Evaluation of Apical Gap Length and Adaptation of Custom Made Zirconia Post Using Digital Intraoral and Extraoral Scan of Conventional Silicon Impression Technique. (Randomized Controlled Clinical Trial)

Cairo University0 个研究点目标入组 11 人开始时间: 2023年9月最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
11
主要终点
Apical gap length

研究概览

简要总结

First, participants will undergo clinical and radiographic examination for taking all the needed preoperative records, then endodontically treated teeth preparation starting with removal of any carious or undermined tooth structure then ferrule preparation then followed by intra-radicular preparation and then placement of the provisional restoration. In the third visit we will take the final impression of the post space for each patient by using the intraoral scan and extraoral scan o f the conventional impression. Then assessment of the apical gap length by using digital periapical radiograph using the paralleling technique and assessment of post adaptation using replica technique followed by placement and permanent cementation of the zirconia custom made post and core restoration that showed less apical gap length and better adaptation then taking the final impression for the extracoronal restoration and finally permanent cementation of the extra coronal fixed restoration.

详细描述

Examination and diagnosis:Selection and examination of the patients according to inclusion and exclusion criteria. Diagnosis of the patient's chief complaint and teeth that will be involved in this study will be done.

Primary impression will be taken to produce study cast. The patients will be asked to maintain good oral hygiene measures by using tooth brush twice daily.

Taking a professional pre-operative photo.

Tooth preparation procedure:

  1. Removal of any carious or undermined tooth structure then coronal preparation will be done with a ferrule of at least 1.5 to 2 mm then followed by root canal preparation to an adequate length and diameter.
  2. After tooth preparation, the final impression will be taken for the post space for each participant by using the intraoral scan and extraoral scan of the conventional silicone impression.
  3. Fabrication of temporary restoration using composite resin temporary material and cemented using Zinc Oxide eugenol free temporary cement.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Other
盲法
Double (Investigator, Outcomes Assessor)

入排标准

年龄范围
16 Years 至 65 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 16-65 years with endodontically treated anterior tooth or teeth & in need of custom made post and core restoration.
  • Be physically and psychologically able to tolerate conventional restorative procedures.
  • Subject tooth free of clinical symptoms & No requirement for endodontic retreatment expressed by the presence of periapical radiolucency around an endodontically treated tooth.
  • Adequate level of oral hygiene expressed by the absence of signs of periodontal inflammation, bleeding on probing and periodontal pocket depth <4 mm.
  • Capable of signing an informed consent

排除标准

  • Advanced periodontitis affecting the mobility of the teeth (mobility grade II or higher)
  • Pregnant or lactating females.
  • Patients with Psychiatric problems or unrealistic expectations.
  • 4- Patients with endodontically treated teeth which is not functioning or showing any signs or symptoms that need endodontic retreatment.
  • 5- Occlusion problems. 6- Absence of posterior stopper.

结局指标

主要结局

Apical gap length

时间窗: through study completion, an average of 1 year".

measuring apical gap length by the digital Periapical radiograph using the paralleling technique.

次要结局

  • Post adaptation(through study completion, an average of 1 year".)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Rivan Mahmoud Gamal Mohamed El-boghdady

Assistant lecturer

Cairo University

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