MedPath

Mandibular Flexure in Patients

Not Applicable
Completed
Conditions
Mandibular Flexure
Interventions
Diagnostic Test: Mandibular flexure evaluation
Registration Number
NCT05718050
Lead Sponsor
University of Rome Tor Vergata
Brief Summary

The flexion of the mandible (MF) is a multifactorial phenomenon that occurs simultaneously with mandibular movements determining changes in the shape of the mandible. mandibular flexure (MF) may cause complications and failures in both conventional and implant-supported fixed dental prostheses (FDP) especially when a long-span prosthesis is planned to connect the anterior to the posterior region of the mandible. Previous studies reported increased biomechanical stress at the prosthetic and implant level, poor passivity of fit, impression distortion, pain during function, de-cementation of the prosthesis, porcelain chipping, prosthetic screw loosening and fracture, bone resorption and implant fracture. The aim of this study is to quantify the dimensional changes related to MF by means of a cone beam computed tomography (CBCT) between maximum opening (MO) and maximum intercuspation (OVD) positions. The null hypothesis was that there is no significant difference in terms of length and width of the mandible between maximum intercuspation and maximum opening positions.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
21
Inclusion Criteria
  • Dentate patients,
  • 18 years of age or older,
  • Good health
  • Need of implant treatment
Exclusion Criteria
  • active periodontitis with tooth mobility
  • neuromuscular disorders
  • temporomandibular joint disorders
  • parafunctional habits
  • systemic condition preventing surgery
  • history of oro-maxillofacial radiation therapy
  • history of drug or alcohol abuse
  • heavy smoking
  • uncontrolled diabetes
  • pregnancy
  • lactation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
FlexureMandibular flexure evaluationDentate patients, 18 years of age or older, in good health and, in need of implant treatment
Primary Outcome Measures
NameTimeMethod
Mandibular Flexure in maximum opening (MO)24 hours

A blind assessor made 4 four measurements per patient on an implant planning software (DTX Studio Implant software, Dexis LLC), evaluating the distance between the fiducial landmark at the contralateral canines and contralateral molars, and between ipsilateral canines and molars on both sides

Mandibular Flexure in Occlusal Vertical Dimension (OVD)24 hours

A blind assessor made 4 four measurements per patient on an implant planning software (DTX Studio Implant software, Dexis LLC), evaluating the distance between the fiducial landmark at the contralateral canines and contralateral molars, and between ipsilateral canines and molars on both sides

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Benemérita Universidad Autónoma de Puebla

🇲🇽

Puebla, Mexico

© Copyright 2025. All Rights Reserved by MedPath