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Comparison Between Acrylic and Soft Liner Telescopic Overdentures Regarding Patient Satisfaction

Not Applicable
Conditions
Periodontal Health
Patient Satisfaction
Retention
Registration Number
NCT03127033
Lead Sponsor
Cairo University
Brief Summary

Conventional complete overdenture will be made to ectodermal dysplasia patients, a week after delivery and after 3 months Patient satisfaction, retention and periodontal condition will be assessed. the denture will be taken from the patient for 2 weeks.Acrylic telescopes will be replaced with soft liner and again Patient satisfaction, retention and periodontal condition will be assessed a week after delivery and 3 months later.

Detailed Description

Upper and Lower Primary impressions will be carried out by using irreversible hydrocolloid (Alginate, Tropicalgin, Normal setting, Zhermack, Italy) according to manufacturer's instructions using stainless steel stock trays.

Secondary upper impression is done with an acrylic special tray. Border molding is done with putty consistency rubber base impression material, Final impression with medium consistency rubber-base impression material (Silicone impression material, Elite P\&P, Regular Body-Normal set, Zhermack, Italy) Maxilla-mandibular relationship will be recorded using check bite technique. Setting of artificial teeth will be performed and trial dentures will be tried in inside patients' mouth.

The finished and polished dentures will be delivered immediately after the necessary occlusal adjustments and instructions regarding hygiene and maintenance.

The patient will use the upper overdenture for 3 months. The overdenture is taken from the patient for two weeks, after which the maxillary overdenture will be adjusted by relieving acrylic opposite to the abutment about 2 mm using a metal stone. The relieved areas will be painted with an adhesive and the rest of the fitting surface of the denture will be painted with a separating medium.

The soft liner (Silicone based soft liner, mollosil, chairside soft relining-long term, DETAX, Germany) will then be applied in the relieved areas to act as a secondary coping The base and catalyst will be mixed according to the manufacturer's instructions on a glass slab. The mix will be placed on the relieved area, seated in the patient's mouth, the patient is asked to bite in centric relation and the excess liner is removed with a lancet.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
6
Inclusion Criteria
  1. Partially edentulous ectodermal dysplasia patients with few remaining teeth.
  2. Cooperative patients with no history of psychological diseases.
  3. Length of maxillary remaining teeth should not be less than 4mm.
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Exclusion Criteria
  • 1- Patients with tempo-mandibular joint disorders or systemic or neuromuscular disorder that might affect chewing efficiency of masticatory muscles.

2- Patients allergic to acrylic resin.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Primary Outcome Measures
NameTimeMethod
Patient Satisfaction3 months

A questionaire will be given to the patient to assess thier denture satisfaction in numerical data using Visual Analogue Scale

Secondary Outcome Measures
NameTimeMethod
Probing depth3 months

Probing depth will be measured using periodontal probe in Mm

Tooth mobility3 months

tooth mobility will be assessed through periostest using Periotest value.

Retention3 months

Retention will be assessed subjectively using Kapur's retention scoring system in ordinal data.

Gingival index3 months

periodontium condition will be assessed through Gingival index scoring system in ordinal data

Absence or presence of inflammation3 months

Absence or presence of inflammation will be assessed visually as a binary outcome

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