Gingival Displacement
Conditions
Brief summary
This study aims to evaluate and compare the efficacy of four methods in achieving vertical and horizontal gingival tissue displacement to be captured by optical digital impression. Moreover, the effect of the gingival displacement methods on the periodontal tissues around the final restoration will be assessed.
Interventions
DEVICELaser troughing
Laser troughing will be carried out by passing laser optic fiber in contact mode along the gingival sulcus. Laser energy will be delivered with a wavelength of 980nm and power of 0.8W, in continuous mode. Laser tip will be inserted 1mm into the gingival sulcus, to facilitate an accurate recording of finish line
OTHERRetraction cord and astringent
Partial isolation of the tooth with cotton rolls and saliva ejector will be performed. Appropriate size of retraction cord will be soaked in astringent for 5 mins. Then packing of the cord will be started from the mesial interproximal area by gently packing into the sulcus with the gingival cord packer instrument using the single cord technique. Retraction cord will be kept in place for 5 minutes. Cord will be removed immediately before the start of the intraoral scan
OTHERCordless retraction paste with astringent
The cordless paste with astringent will be injected gently into the sulcus, leaning on the tooth at the point of the cervical limit and not on the gingiva, the cannula will remain parallel to the axis of the tooth to exert optimal pressure. Then it will removed after 5 mins with copiously irrigated water until no traces of the materials left.
OTHERCordless retraction paste without astringent
The cordless paste without astringent 10 will be injected into the sulcus of the gingiva. The suitable size of Comprecap will be held on the abutment to push the material deep into the sulcus of the gingiva, and the participants will be informed to bite over it for a period of 3 to 5 minutes. After 5 minutes, the comprecap with the set retraction material attached to it, will be removed from the patient mouth.
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
25 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Patients having normal occlusion. * Good oral hygiene with no signs of periapical pathology or periodontal disease (plaque index score ≤10). * Clinically and radiographically healthy gingiva and periodontium around the abutments with no evidence of attachment loss. * Thick gingival biotype (determination using color coded probe). * Patient having natural teeth as opposing dentition. * Gingival sulcus of the abutment teeth (≤ 3mm). * Adequate abutment tooth length for retention without deep subgingival extension (not more than 0.5mm)
Exclusion criteria
* Pregnancy, which prevents the use of diagnostic x-rays. * Parafunctional habits. * Mobility of abutment teeth. * Gingival Recession * Patient presenting allergy to materials being used. * Smoking. * Medical history that could affect their periodontal condition.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Horizontal displacement measurement | up to one month | All measurements were obtained from the definitive digital impression by using dental intraoral scanner software. Horizontal displacement was measured as the distance from the most prominent point of the crest of the marginal gingiva to the finish line in the same crowns section (in the same plane). |
| Vertical Displacement measurement | up to one month | All measurements were obtained from the definitive digital impression by using dental intraoral scanner software. Vertical displacement will be measured as the distance from the most prominent point of the finish line to the deepest point of gingival sulcus. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dental plaque measurement | up to one month | Using the plaque index of Silness and Loe. Each tooth will be scored from 0-3 according to the amount of plaque accumulation. 0: No plaque in the gingival area. 1. A film of plaque adhering to the free gingival margin and adjacent area of the tooth. The plaque may only be recognized by running a probe across the tooth surface. 2. Moderate accumulation of soft deposits within the gingival pocket, on the gingival margin and/or adjacent tooth surface, which can be seen by the naked eye. 3. Abundance of soft matter within the gingival pocket and/or on the gingival margin and adjacent tooth surface. |
| Gingival inflammation measurement | up to one month | Using the gingival index of Silness and Loe. Each tooth will be scored from 0-3 according to the degree of gingival inflammation. 0: Normal gingiva 1. Mild inflammation - slight change in color, slight oedema. No bleeding on probing 2. Moderate inflammation-redness, oedema and glazing. Bleeding on probing 3. Severe inflammation - marked redness and oedema. Ulceration. Tendency to spontaneous bleeding |
| Gingival Height loss measurement | up to one month | Complete arch maxillary digital impressions (postoperative scans) will be made for each patient by using intraoral scanner after cementation of the crowns. The postoperative scans will be superimposed by the pre-operative scan. A cross sectional line will be drawn in the middle of the superimposed scans and the measurements will be done at 2 points (midbuccal and midlingual). The distance from the gingival margin of the preoperative scan to that of one postoperative scan will be considered gingival height loss at the scan's timepoint |
Countries
Egypt
Outcome results
None listed