Bone Loss, Pocket, Periodontal
Conditions
Brief summary
Objective: To evaluate and compare the effect of two different attachment housing materials-Acetal Resin (Polyoxymethylene) versus conventional Nylon elastic caps-on marginal crestal bone loss around dental implants supporting a mandibular overdenture. It also evaluates peri-implant clinical tissue health by measuring pocket depth and the gingival bleeding index.
Detailed description
Study Design & Timeline: A prospective, double-blind, randomized controlled clinical trial with a 1:1 allocation ratio. Clinical and radiographic outcomes will be evaluated at overdenture insertion (baseline), and at 6 and 12 months post-insertion.ethodology & Analysis: Pre-operative bone volume will be assessed via Cone Beam CT (CBCT). Crestal bone loss will be measured using the long cone parallel radiographic technique , while pocket depth and gingival bleeding will be measured using a William's graduated probing device. Data will undergo normality testing to determine the use of parametric (Independent t-test, Repeated Measures ANOVA) or non-parametric (Mann-Whitney, Friedman) statistical analyse
Interventions
overdenture supported by implants
overdenture supported by implants
Sponsors
Study design
Eligibility
Inclusion criteria
* Completely edentulous mandible. * Sufficient bone height/width in mandibular residual ridges. * Angles classification class I. * Sufficient inter-arch distance
Exclusion criteria
* TMJ disorders. * Diabetic * Hypertensive * Cancer patients. * Smoker * Osteoporosis. * Immunosuppressive disease * Any disease affecting bone/implant stability.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in crestal bone levels | one year | mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pocket depth changes | one year | mm |