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Relining Assessment of Digital and Conventional Fabricated Complete Denture Base

Not Applicable
Active, not recruiting
Conditions
Problem With Dentures
Interventions
Other: soft lining of complete denture processed by 3 different techniques.
Registration Number
NCT05955989
Lead Sponsor
Asmaa Nabil Elboraey
Brief Summary

The bond between the resilient denture liner material and the denture base is essential to improve complete denture accuracy and retention to the underlying ridge. The bonding characteristics between resilient denture reline materials and conventional Polymethyl methacrylate (PMMA) denture base polymers have been evaluated extensively. But with the introduction of digital fabricated complete denture, the bond characteristics between digitally fabricated dentures and denture liner is sparse.

Detailed Description

Dental prostheses fabricated using different digital technology have become popular in recent years. Computer-aided design and computer-aided manufacturing (CAD-CAM) technology provides two techniques, milled or 3D printed technique which simplified the complex dental laboratory procedures by digitalizing the prosthetic design and automating the manufacturing process. Digitally fabricated prostheses have been reported to have excellent accuracy factor that has been related to favorable clinical performance. However, bone resorption underneath any mucosa supported prosthesis is not avoidable. Resilient liners are required for most complete dentures after 6 to 12 months to improve adaptation to the underlying tissues and to reduce the force transmitted to the edentulous ridge during functionThe bond between the resilient denture liner material and the denture base is essential to improve complete denture accuracy and retention to the underlying ridge. The bonding characteristics between resilient denture reline materials and conventional Polymethyl methacrylate (PMMA) denture base polymers have been evaluated extensively. But with the introduction of digital fabricated complete denture, the bond characteristics between digitally fabricated dentures and denture liner is sparse.

Therefore, the aim of this project is to evaluate the bond strength and effectiveness of denture reline of CAD/CAM (milled and 3D printed ) fabricated complete dentures compared to conventional heat-polymerized denture base.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
12
Inclusion Criteria
  • Patients are free from any systemic diseases that might affect neuro-muscular control.
  • Patients having class I maxilla-mandibular relationship
  • Patients having healthy mucosa and normal salivary flow
Exclusion Criteria
  • Patients have severe bony undercut.
  • Uncooperative patients.
  • Patients having radiation to the head and neck region.
  • Smoker patients.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
complete denture fabricated by CAD/CAM milled technologysoft lining of complete denture processed by 3 different techniques.The patients in this group will receive complete dentures fabricated by CAD/CAM ( Computer aided design/ Computer aided manufacture) method. and they will receive soft lining of the complete dentures after one year.
complete denture fabricated by CAD/CAM 3D Printed technologysoft lining of complete denture processed by 3 different techniques.The patients in this group will receive complete dentures fabricated by 3D printing ( three dimension) method. and they will receive soft lining of the complete dentures after one year.
Complete denture fabricated from Conventional heat curingsoft lining of complete denture processed by 3 different techniques.The patients in this group will receive complete dentures fabricated by conventional heat curing method. and they will receive soft lining of the complete dentures after one year.
Primary Outcome Measures
NameTimeMethod
Assessment of change in occlusal forces during the follow up period.on 3rd month of denture insertion, on 6th month of denture insertion, on the 9th month of denture insertion

Assessment of occlusion equilibrium by Occlusense device

Assessment of change in retentive force of the complete dentureon 3rd month of denture insertion, on 6th month of denture insertion, on the 9th month of denture insertion

assessment of complete denture retention by digital force gauge

Secondary Outcome Measures
NameTimeMethod
Patient Satisfactionon day one of denture insertion and on the 9th month of denture insertion ( end of the follow up period)

a questionnaire was designed containing 5 questions regarding the following parameters: retention, comfort, appearance, phonetics and pain. Increasing the score meaning more patient satisfaction.

Trial Locations

Locations (1)

National Research Centre

🇪🇬

Cairo, Dokki, Egypt

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