Comparison Between Three Different Treatment Modalities for Atrophied Distal Extension Maxillary Ridges Clinical and Radiographic Study
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Mansoura University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Plaque index
Study Overview
Brief Summary
This study will compare clinical and radiographic outcomes of three different treatment modalities for atrophied distal extension maxillary ridges these modalities include
- Implant retained distal extension RPD
- Sinus lift and long implant and screw-retained prosthesis
- Short implant and screw-retained prosthesis
Detailed Description
Patient selection:
For this study, 60 patients were selected from the clinic of Prosthodontic Department, Faculty of Dentistry, Mansoura University.
Inclusion criteria:
The patients will be selected according to the following:
- They have distal extension maxillary ridge with sinus pneumatization and remaining alveolar bone height 6- 8mm as verified by preoperative CBCT, have no previous denture experience. They are healthy, free from any systemic diseases relating to the bone resorption (diabetes - hyperparathyroidism). This can be achieved through medical history and clinical examination by a physician and laboratory investigations.
- Posterior maxillary alveolar ridge deficient in height, width and covered with healthy firm mucosa.
- Patients are less satisfied with conventional RPD.
- Absence of maxillary sinus diseases. Exclusion criteria
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •The patients will be selected according to the following:
- •They have distal extension maxillary ridge with sinus pneumatization and remaining alveolar bone height 6- 8mm as verified by preoperative CBCT, have no previous denture experience. They are healthy, free from any systemic diseases relating to the bone resorption (diabetes - hyperparathyroidism). This can be achieved through medical history and clinical examination by a physician and laboratory investigations.
- •Posterior maxillary alveolar ridge deficient in height, width and covered with healthy firm mucosa.
- •Patients are less satisfied with conventional RPD.
- •Absence of maxillary sinus diseases.
Exclusion Criteria
- •Acute or chronic sinus pathology
- •History of a sinus augmentation in the past in the relevant sinus
- •Poor dental hygiene. Smoker.
- •Compromised general health (uncontrolled diabetes, bleeding disorder
Arms & Interventions
overdentures
implant overdentures
Intervention: Long implant and partial overdentures (Procedure)
overdentures
implant overdentures
Intervention: Partial overdentures (Device)
sinus lift
sinus lift and long implants and screw-retained prosthesis
Intervention: Sinus lift and long implant (Procedure)
sinus lift
sinus lift and long implants and screw-retained prosthesis
Intervention: Metal ceramic prosthesis on long implants (Device)
short implants
short implants and screw-retained prosthesis
Intervention: short implant without sinus lift (Procedure)
short implants
short implants and screw-retained prosthesis
Intervention: Metal ceramic prosthesis on short implants (Device)
Outcomes
Primary Outcomes
Plaque index
Time Frame: one year
measuring plaque accumulation around implants using scores
Gingival index
Time Frame: one year
measuring gingival inflammation around implants using scores
Marginal bone loss
Time Frame: one year
measuring crestal bone loss around implants in mm
Probing depth
Time Frame: one year
measuring peri-implant probing depth in mm
implant stability
Time Frame: one year
measuring the mobility of the implants using resonance frequency analysis Implant stability quotient)
Patient satisfaction using VAS questionnaire (visual analogue scale)
Time Frame: one year
Regarding VAS, participants were asked to score their answer according to the amount of satisfaction on a 100mm line (Score zero = no satisfaction at all and score 100 = complete satisfaction). The questions cover several items related to prosthesis such as: retention, stability, comfort, ease of cleaning, ease of speaking, ease of chewing, limited activities due to embarrassment, quality of bolus and appearance.
Secondary Outcomes
- Muscle activity(one year)
- Prosthetic Aspects(one year)
- maximum bite force(one year)