Prosthesis Survival
Conditions
Brief summary
In patients receiving implants in the esthetic zone, would the use of new Nano hybrid ceramic crown material (Crystal Ultra) improve esthetic patient satisfaction and peri-implant tissue success when compared with Lithium Disilicate crown (E-max)?
Detailed description
The patient will be treated in visits designated as follows: Visit 1: Preoperative records, face-to-face adherence reminder session, signing consents, clinical, radiographic examination and primary impression for diagnostic cast construction. Visit 2: (first stage surgery): implant placement surgical procedure and postoperative radiograph. Visit 3: After 3months (second stage surgery): re-opening of surgical site, placement of healing abutments and temporary crowns. Visit 4: After 2 weeks, removing of temporary restorations and taking of final impressions Visit 5: placement of different ceramic crown superstructures and recording different outcome values.
Interventions
Crystal Ultra: is a resin nano-ceramic material, that combines both advantages of ceramics and composites.
IPS Emax: is an all ceramic crown that has proven superior aesthetics and strength properties.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age above 18 years with at least one tooth missing in the esthetic area. 2. Available bone for implant placement: A. Labial and Palatal Plate of bone not less than 2mm. B. Mesio- distal dimension not less than 6.5mm. C. Bone length not less than 9mm. 3. Patient with good oral hygiene. 4. Class 1 occlusion. 5. Lack of excessive parafunctional activity leading to implant failure. 6. Tooth extracted not less than 6 month.
Exclusion criteria
1. Young patients in whom the jaws are still growing. (Less than 18 years). 2. Jaw pathology. 3. Smokers. 4. Uncontrolled Diabetic or particularly insulin-dependent. 5. Radiotherapy to the neck or face. 6. Multiple loss of teeth which may be indicated for more complicated procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Esthetic Patient satisfaction | 1 year | Measurement unit is Binary |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Peri-implant tissue success (A-Marginal Bone Loss, B-Relative attachment level, C-Peri-Implant Probing depth, D-Sulcus bleeding) | 1 year | Measurement unit is Categorical |