Partially Edentulous Maxilla, Mandible
Conditions
Keywords
Dental Impression Technique, Intraoral Scanning, Partial Edentulism, Digital Dentistry, Dental Implants
Brief summary
This prospective controlled clinical trial evaluates the three-dimensional positional accuracy of implant-level impressions obtained using scannable healing abutments compared with conventional open-tray and closed-tray impression techniques in partially edentulous patients with unilateral free-end saddle situations.
Detailed description
Accurate transfer of implant position is critical for achieving passive fit of implant-supported prostheses. This study compares the trueness of implant impressions obtained using a digital workflow based on scannable healing abutments with conventional open-tray and closed-tray impression techniques. Twenty-two partially edentulous patients with unilateral distal extension ridges will undergo all three impression techniques. Three-dimensional deviations will be quantified using best-fit superimposition and root mean square analysis, with the open-tray technique serving as the reference standard.
Interventions
Digital acquisition of implant position using intraoral scanning of scannable healing abutments following second-stage surgery.
Conventional open-tray implant-level impression using splinted impression copings and polyvinyl siloxane material.
Conventional closed-tray implant-level impression using transfer copings and polyvinyl siloxane material.
Sponsors
Study design
Eligibility
Inclusion criteria
* Partially edentulous patients with unilateral free-end saddle (Kennedy Class II) * Adequate bone for two implants * Good systemic health * Ability to provide informed consent
Exclusion criteria
* Active periodontal disease * Poor oral hygiene * Parafunctional habits * Temporomandibular disorders * Heavy smoking (\>10 cigarettes/day)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Three-dimensional implant positional accuracy (RMS deviation) | Periprocedural (single assessment, 1 week after second-stage implant surgery) | Root mean square (RMS) deviation (µm) between test impressions and the open-tray reference model using 3D metrology software. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of implant positional accuracy between impression techniques | Periprocedural (single assessment, 1 week after second-stage implant surgery) | Pairwise comparison of RMS deviation values among scannable healing abutment, open-tray, and closed-tray impression techniques |
Countries
Egypt