Hybrid Crowns on Single Implants in Esthetic Zone
Conditions
Brief summary
P: Population: Patients requiring single unit implant restoration in esthetic zone I: Intervention: Polymer-infiltrated-ceramic-network abutment crown (VITA Enamic-VITA Zahnfabrik) C: Comparison: Lithium disilicate ceramic abutment crown (IPS e. max-Ivoclar Vivadent) O: Outcome: patient satisfaction , crestal bone loss and periodontal parameters T: Time: 12 months S :Randomized controlled trial research question:For patients receiving implants in esthetic zone, Does the use of polymer-infiltrated-ceramic-network hybrid abutment crown offer better patient satisfaction , less bone loss and better peri-implant clinical parameters when compared to lithium disilicate hybrid abutment crowns?
Interventions
hybrid ceramic material in the form of mesoblocks where the ceramic block is attached to a ti base .The whole assembly is screw retained superstructure.
high srength glass ceramic that can be milled in sections up to 1mm .
Sponsors
Study design
Masking description
double blind :outcome asessor,participant
Eligibility
Inclusion criteria
1. Patients above 18 years old. 2. Patients able to read and sign the informed consent document. 3. Medically free patients or with controlled systemic disease. 4. Patients with good bone quality and quantity evaluated using C.B.C.T. 5. Patients willing to return for follow-up examinations and evaluation. 6. Patients having single missing recently extracted premolar tooth.
Exclusion criteria
1. Young patients in growth stage. 2. Patients with unsuitable implantation sites (patients with major boney defects or sever bone resorption) 3. Pregnant women to avoid any complication that may occur in dental office. 4. Patients with uncontrolled systemic disease (hypertensive patient or uncontrolled diabetic patient) 5. Psychiatric problems or unrealistic expectations. 6. Multiple adjacent missing teeth. 7. Patients with bad oral hygiene. -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| patient satisfaction | 12 months | using visual analogue scale (o-unsatisfied up to max 10 satisfied) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| crestal bone loss | 12 months | using digital subtraction technique |
Countries
Egypt