跳至主要内容
临床试验/NCT03771248
NCT03771248Unknown不适用

A Comparison Between Polyetheretherketone and Cobalt-chromium Telescopic Removable Partial Denture in Kennedy Class I Partially Edentulous Patients Regarding Oral Health Related Quality of Life (A Randomized Clinical Trial)

Cairo University0 个研究点目标入组 20 人开始时间: 2019年1月最近更新:
适应症
干预措施

试验速览

阶段
不适用
入组人数
20
主要终点
oral health impact profile

研究概览

简要总结

Dentistry is a rapidly progressing field with innumerable advances taking place on a day to day basis. The application of newer technologies and materials has advanced the specialty of prosthodontics and the services rendered to the patients.

Taking into consideration that PEEK as a material wasn't clinically investigated to be used as a material for routine use, however PEEK in removable partial dentures will help in making many steps easier and reach patients demands regarding esthetics. Also, owing to the superior mechanical and biological properties of PEEK, it will not be surprising if dentures constructed from the polymer are routinely constructed in near future.

详细描述

On fabrication of telescopic removable partial denture, choosing the material is a major step in the success of the treatment. There are different aspects that should be taken into consideration while choosing it. Beginning with retention as it is a crucial aspect. The retention of the telescopic partial denture is gained from the friction between the primary and secondary crowns. The chosen material should be able to maintain this type of retention for the longest possible period.

The esthetics also affects the treatment choice and patients preference, patients would choose metal free restorations over the ones that display metal. Finally the load distribution between the residual ridge and abutment should be equalized and transmitted in a favorable way. Otherwise one of the following consequences will occur; either overload on the abutment teeth followed by bone loss and abutment mobility or this overload is on the residual ridge leading to fast, progressive bone loss.

Cobalt chromium that is used for fabricating the telescopic removable partial denture is considered that most suitable material up till this moment. However, it doesn't fulfill much of the previous points.

As there will always be a continued improvement of materials and techniques used in dentistry especially in prosthodontics, innovative techniques must be regarded as potential alternatives to traditional materials.

PEEK is from the innovative materials that has shown promising results in different branches. However, to date no clinical studies or systematic reviews focusing on the use of PEEK dentures have been published, therefore more investigations are needed in this field.

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 (Outcomes Assessor)

入排标准

年龄范围
— 至 70 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • - Kennedy Class I Partially edentulous patients.
  • Patients with good oral hygiene.
  • The distal abutment bilaterally should be a premolar.
  • Abutment teeth should be in a good periodontal condition.
  • Sufficient inter-arch space, any super-eruptions should be treated before beginning of treatment.
  • There should be no modifications spaces in the arch to be treated, and if found it should be treated with a fixed partial denture first.
  • Normal tongue size
  • Medically free from any disease that might affect bone support
  • Patients with no history of bad oral habits as (Bruxism or Clenching) and free from any T.M.J disorders.

排除标准

  • Patients with bad oral hygiene.
  • Teeth with severe malalignment.
  • The arch to be treated is opposed by a completely edentulous arch.
  • Unmotivated patient.
  • Patient with a medical disease that will hinder his ability to be committed to the treatment.
  • Patients on a radiation therapy.
  • Patients with xerostomia.
  • Patients with a history of drug, alcohol abuse or psychiatric disorder.

研究组 & 干预措施

Co-cr telescopic partial denture

Active Comparator

A removable partial denture, that gains retention from a telescopic crown made of cobalt chromium

干预措施: peek telescopic partial denture (Device)

PEEK telescopic partial denture

Experimental

A removable partial denture, its attachment is a telescopic crown made of PEEK

干预措施: peek telescopic partial denture (Device)

结局指标

主要结局

oral health impact profile

时间窗: 12 months

questionnaire

次要结局

  • abutment mobility(12 months)
  • probing depth of abutment teeth(12 months)

研究者

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

tasneem gamal youssef el mashad

assistant lecturer

Cairo University

相似试验