Evaluation of Patient Satisfaction and Adaptation After Elevation of Vertical Dimension of Occlusion in Patients With Compensated Tooth Surface Loss Using Partial Overlay Denture or Fixed Temporary Crowns
试验速览
- 阶段
- 不适用
- 入组人数
- 10
- 主要终点
- Assesment of patient satisfaction using OHIP-14 questionnaire
研究概览
简要总结
Elevation of the vertical dimension of occlusion has always been a debatable issue specially using removable prosthesis. Fixed restorations have been a more predictable treatment modality in treating patients with tooth surface loss. A more conservative restoration, more retrievable, and cost effective option is proposed. Partial overlay dentures could provide a reversible and more conservative solution either by being used as a final restoration or teeth are provided with ceramic onlays instead of crowns.
详细描述
Tooth surface loss and its prevalence:
Tooth surface loss is a process that describes loss of hard tooth structure due to reasons other than caries, trauma, or developmental disorders. Lambrechts et al. in 1989 estimated that the physiological tooth surface loss per annum to be approximately between 20-38 micrometers.
More than the average amount of TSL could be described as pathological tooth surface loss. A systematic review of 186 prevalence studies reported an increase of tooth surface loss from 3% at the age of 20 to 17% at the age of 70. Another German study reported similar results.
Pathologic tooth surface loss:
Pathologic tooth surface loss can be classified into attrition, abrasion, erosion, and abfraction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients fully dentate or partially edentulous with medium to severe tooth surface loss
- •Minimum of one existing occluding pair of posterior teeth on each side (right and left).
- •Patients were class 1 skeletal relation Patients requiring elevation 2-5mm.
- •Patients having compensated tooth surface loss
排除标准
- •Patients not having atleast 2 occluding pairs of posterior teeth.
- •Skeletal class 2 and
- •Edentulous patients
研究组 & 干预措施
partial overlay denture
removable partial denture with a metal extension over the remaining posterior teeth raising their height to the newly proposed vertical dimension and occlusal plane
干预措施: partial overlay denture (Device)
fixed temporary crowns
fixed crowns made from temporary material placed on the prepared posterior teeth to the new occlusal plane level elevating the vertical dimension to the newly proposed level
干预措施: fixed temporary crowns (Other)
结局指标
主要结局
Assesment of patient satisfaction using OHIP-14 questionnaire
时间窗: 3 months
comfort of the patient and satisfaction regarding function, speech, esthetics are assesed using OHIP-14 questionnaire, and assesment will be using a Likert scale. The Likert Scale is a 5 or 7 point scale that offers a range of answer options - from one extreme attitude to another, like "extremely likely" to "not at all likely." Typically, they include a moderate or neutral midpoint.
次要结局
- adaptation(3 months)
研究者
Amr Elkammah
Principal inverstigator
Cairo University