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Evaluation of the Abutment Type Following Oral Implants in Terms of the Surrounding Bone Height

Not Applicable
Completed
Conditions
Missing Teeth
Interventions
Other: Molded abutment
Other: 3D printed abutment
Registration Number
NCT05350293
Lead Sponsor
Damascus University
Brief Summary

Compare two different types of abutments (molded abutments and computer-designed 3D printed abutments) in terms of the amount of bone loss, and depth of periodontal pockets around the implant during different periods.

Detailed Description

In the past few years, the number of research conducted on the designs of abutments and materials has increased. Often, the restoration is done over the implant using standard abutments that the implant company prefabricated, but due to the problems facing the dentist from the occurrence of bone absorption, an increase in the depth of the pocket after restoration, other types of abutment design methods have been introduced as needed (molded abutment made by lost wax technique and computer-designed abutment made using a 3D laser printer), those customised abutments were made special for each patient depending on their conditions.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • The patient's age is greater than 20 years and younger than 50
  • Good oral health
  • Absence of systemic diseases that may affect the healing of surrounding tissues, such as diabetes.
Exclusion Criteria
  • The presence of non-functional habits such as stridor
  • Acute or acute periodontitis, previous loss of implants
  • Poor general health conditions
  • Previous radiotherapy in the head and neck area
  • Mental incompetence
  • Orthodontic treatment

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Molded abutmentMolded abutmentA plastic abutment that is provided by the implant manufacturer will be used. This abutment will be modified using wax, and then it will be dismantled, wedged, and poured using a Ni-Cr mixture. A plastic abutment that the implant manufacturer provides will be used. This abutment will be modified using wax, and then it will be dismantled, wedged, and poured using a Ni-Cr mixture.
3D printed abutment3D printed abutmentThe customised abutment will be made using a laser printer with a Cr-Co mixture after being designed using a special computer program.
Primary Outcome Measures
NameTimeMethod
Change in the crestal bone heightT1:3 months after cementation, T2: 6 months after cementation, T3: 1 year after cementation

It Is the loss of bone that occurred around the dental implant neck after fixing the final prosthesis (abutment and crown).

A periapical radiograph is going to be taken using a digital intra-oral sensor with a special holder in a parallel way, to measure the changes that occurred at the level of the bone around the implant depending on MBLS concept taking two referring points from the neck of the abutment to the first match of the bone with the abutment using special programs on computer (Photoshop) during different periods.

Secondary Outcome Measures
NameTimeMethod
Change in the depth of periodontal pocketsT1: direct after cementation, T2:3 months after cementation, T3: 6 months after cementation, T4: 1 year after cementation

Periodontal pockets are spaces surrounding the implant under the gum line. The pocket around the implant will be measured by using special plastic probe slides between the implant and gum to measure the depth of the periodontal pocket, and the changes in the depth of pockets will be noted and register after fixing the final prosthesis (abutment and crown), during different periods.

Trial Locations

Locations (1)

University of Damascus

🇸🇾

Damascus, Syrian Arab Republic

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