Bone Loss, Patient Satisfaction
Conditions
Brief summary
compare CAD/CAM implant supported screw-retained metal frameworks based on actual versus screw-mented ones based on virtual implant position regarding marginal bone changes.
Detailed description
patients with at least three missing teeth will be recruited and randomly assigned into two parallel groups. both groups will receive three implants based on planned implant positions and then one group will receive screw retained CAD CAM restoration with conventional impression technique while the second group will receive screw-mented CAD CAM restoration based on planned implant positions.
Interventions
Intervention group: in which the edentulous area will be restored with 3-implant, screwmented CAD/CAM frameworks constructed based on planned implant positions
Sponsors
Study design
Eligibility
Inclusion criteria
* Kennedy class I, II Or IV cases. * Opposing completely dentulous, fully or partially restored dentition. * Good oral hygiene. * The patient should have bone for implants, minimum bone height 10 mm and minimum bone diameter should be 6 mm. * Adequate inter arch space for restoration 15mm or more. * Adult patients age ≥18 years
Exclusion criteria
* any medical disorder that could complicate surgical phase or affect osteointegration. Radiation chemotherapy. * smokers more than 10/daily. * Uncooperative patients. * Patients with Para-functional habits * Patients with severe periodontal diseases. * Patients with limited mouth opening. * Presence of intraoral pathological lesions. * Diabetic (HbA1c \>7.5%).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| marginal bone changes. | 6 months | Using long cone paralleling technique , RINN XCP and Digora (digital periapical radiographs for standardization. the bone loss is measured in mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 6 months | Patient satisfaction questionnaire using Visual Analogue Scale (VAS) scale, from 0-100, where 0 is the worst meaning that patient is not satisfied and 100 is the highest satisfaction meaning the patient is totally satisfied |
Countries
Egypt