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Application of a Simplified Method of Complete Denture Fabrication for Severely Resorbed Mandibular Ridges

Phase 3
Conditions
Edentulous Mouth
Edentulous Jaw
Interventions
Procedure: Denture fabrication technique
Registration Number
NCT02339194
Lead Sponsor
Universidade Federal do Ceara
Brief Summary

BACKGROUND: The literature has shown that simplified methods for complete denture fabrication can be as effective as the traditional techniques, but with less expenditure of time and resources, without prejudice to the patients. However, the effectiveness of these simplified methods for patients with more complex medical conditions haven't been deeply explored.

OBJECTIVES: To evaluate the effectiveness of a proposed simplified method for complete dentures fabrication for patients with severely resorbed mandibular alveolar bones.

METHOD: edentulous patients requesting treatment with bimaxillary complete dentures in a university clinic will be rehabilitated following a simplified technical proposal, being divided randomly into two groups according to the mandibular arch molding technique. In group A, a single impression with alginate through pre-fabricated trays will be performed, while patients allocated in group B will receive a second molding with a more complex technique. After 3 and 6 months, besides important clinical parameters, it will be investigated aspects related to patient's perceptions about the success of treatment. The study will be conducted with a minimum of 30 participants per group, and comparisons between the two groups will be made by means of tests suitable for distribution of data.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
72
Inclusion Criteria
  • complete edentulism for at least one year;
  • desire to receive a pair of new conventional complete dentures
  • mental receptiveness;
  • good understanding of spoken Portuguese
Exclusion Criteria
  • disorders of the masticatory system;
  • pathological changes of residual ridges;
  • debilitating systemic diseases.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Simplified protocolDenture fabrication techniqueThe application of a simplified denture fabrication technique will be tested for patients presenting severely resorbed mandibular alveolar bones according to the following steps: 1. Obtainment of maxillary and mandibular casts by using irreversible hydrocolloid in stainless steel stock trays for record bases fabrication. 2. Adjustment of record bases according to vertical dimension and centric relation measurements, with no use of facebow transfer. Casts will be mounted in semi-adjustable articulator using standardized measures and artificial teeth will be selected. 3. Trial dentures will be evaluated for esthetics and maxillomandibular relationship. 4. Insertion of finished dentures.
Primary Outcome Measures
NameTimeMethod
Oral health related quality of life6 months

This outcome will be assessed by means of the brazilian version of Oral Health Impact Profile for Edentulous Patients inventory

Secondary Outcome Measures
NameTimeMethod
Satisfaction with dentures (assessed by means of two specific questionaries)6 months

This outcome will be assessed by means of two specific questionaries

Denture quality (assessed by means of a clinical examination according to a specific form)3 months

This outcome will be assessed by means of a clinical examination according to a specific form

Masticatory performance (assessed by means of a colorimetric method based on an artificial test food)6 months

This outcome will be assessed by means of a colorimetric method based on an artificial test food

Trial Locations

Locations (1)

Dental School of Federal University of Ceara

🇧🇷

Fortaleza, Ceara, Brazil

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