Evaluation of Monolithic Milled Complete Removable Dentures
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Complete Edentulism
- Sponsor
- Frauke Müller
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Esthetics
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The use of complete removable dental prostheses (CRDP) is a reliable and effective treatment option for the rehabilitation of edentulous persons.
In recent years, the use of computer-aided design/computer-aided manufacturing (CAD/CAM) methods has become more popular for the fabrication of CRDPs, including subtractive methods (milling) from a prefabricated resin puck. They present various advantages compared to conventional fabrication methods, namely improved mechanical properties, superior surface characteristics, shortened manufacturing time and lower cost for the patient.
However, one of the shortcomings in the manufacturing of CRDPs from a single block of resin is obtaining an adequate esthetic outcome, as the transition between the gingiva-colored (pink) and tooth-colored (white) resin is not as precise as with prefabricated prosthetic teeth which are incorporated into a denture base. A novel technology has recently been launched on the market and includes a new design of distribution of pink and white resin inside a prefabricated resin puck, which would allow a superior esthetic outcome than previous techniques.
The aim of this pilot study is to assess the end result of one of the available systems used for fabricating digital dentures (Ivoclar® Digital Denture®), while using the corresponding monolithic resin puck (Ivoclar® Ivotion Denture System®), and therefore determining whether this new technique is an adequate option for treating edentulous patients.
Investigators
Frauke Müller
Professor
University of Geneva, Switzerland
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years
- •Informed Consent as documented by signature
- •Healed edentulous maxilla and mandible (minimum one year since last extraction)
Exclusion Criteria
- •Contraindications to the medical devices used, e.g. known hypersensitivity or allergy
- •Vulnerable subjects
- •Known or suspected non-compliance, drug or alcohol abuse
- •Inability to follow the procedures of the investigation
- •Participation in another investigation with a MD in the field of dentistry
- •Enrolment of the investigator, his/her family members, employees and other dependent persons
- •Reported severe bruxism or clenching habits, clinically present oro-facial pain
- •Width of edentulous maxilla \> 80 mm
- •Width of edentulous mandible \> 80 mm
- •Vertical height needed for maxillary prosthesis \> 38 mm
Outcomes
Primary Outcomes
Esthetics
Time Frame: 3 months (T1)
The transition between the pink and white resin will be evaluated by means of a Visual Analogue Scale esthetic score Maximum (best outcome): 1000 Minimum (worst outcome): 0
Secondary Outcomes
- Oral health-related quality of life(3 months (T1))
- Willingness to Pay(3 months (T1))
- Masticatory analysis(3 months (T1))
- Prosthetic Evaluation(3 months (T1))
- Number of prosthetic maintenance needed(3 months (T1))
- Denture satisfaction(3 months (T1))