3D Printed Hybrid Resin, Healing, Implant, Polyether Ether Ether Ketone
Conditions
Brief summary
This study aimed to estimate the impact of various customized healing abutments materials on the peri-implant soft tissue profile
Detailed description
A dental implant is a method for the replacement of lost teeth, with an excellent prospering percentage plus lasting functional rehabilitation without requiring any preparation of the nearby teeth. The usage of a healing abutment is one of the crucial clinical procedures that follows implant placement. It aids in establishing a stable and natural gingival emergence profile by supporting soft tissue shaping and shielding the implant platform. Various materials are available for healing abutments, which have an impact on biocompatibility, aesthetic results, soft tissue reaction, and patient comfort throughout the healing process. Polyether ether ether ketone (PEEK) healing abutments are offering a non-metallic, lightweight option with a modulus of elasticity similar to bone, but they have lower surface hardness compared to titanium and zirconia, and long-term data is still developing. 3D printed hybrid resin materials were introduced earlier, allowing faster and precise fabrication of permanent dental restorations. P-Crown V4 material is a newly introduced 3D-printed nanoceramic-filled resin reported to contain up to 70% nanoceramic filler to enhance strength and hardness.
Interventions
PROCEDURETitanium healing abutment
Patients received a standard ready-made titanium healing abutment (control group).
PROCEDUREPolyetheretherketone (PEEK)
Patients received a customized healing abutment of milled Polyetheretherketone (PEEK) material.
PROCEDURE3D-printed hybrid resin (P crownV4)
Patients received a customized healing abutment of 3D-printed hybrid resin (P crownV4) material.
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Patient's aged 25-45 years old * Patients with missing tooth needing solitary implant placement rehabilitation in the maxillary anterior regions with neighboring and opposite normal teeth. * Adequate mesial, distal, and interocclusal space for implant engagement and its absolute re-establishment. * Patients can recite and mark the informed approval paper. * Medically free patients or with controlled systemic disease. * Patients with acceptable bone quality and quantity. * Patients can return for follow-up examinations and evaluation. * Patients with good oral hygiene. * Nasal floor clearance from root apex at least 4 mm.
Exclusion criteria
* Patients with inappropriate implantation situates (patients with foremost bony deficiencies or sever bone resorption). * Patient with severe clenching or bruxism. * Heavy smokers or drug abusers. * Psychiatric complications or impractical prospects. * Patients with bad oral hygiene. * Systemic conditions that may impact soft or hard tissue curing. * Patients with history of radiation treatment in the head and neck area. * Pregnant female
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Plaque Index | Two months after healing abutment placement | The Modified Plaque Index was used to assess the degree of Plaque Accumulation. 0 No plaque 1. Plaque only detected with the probe 2. Plaque visible with naked eye 3. Abundant plaque |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified gingival index | Two months after healing abutment placement | The modified gingival index was used to assess the gingival condition. Each surface was evaluated and assigned a score from 0 to 4: 0 No bleeding 1. Isolated bleeding 2. Confluent bleeding 3. Profuse bleeding |
| Papilla index (Jemt Index) | Two months after healing abutment placement | The papilla index (Jemt Index) was used to assess the Papilla condition. 0 No papilla present; no soft tissue curvature; empty space present. 1. Less than half of the papilla height is present 2. At least half of the papilla height is present, but it does not completely fill the space. 3. The papilla fills the entire embrasure space and fills the gap completely (optimal). 4. The papilla is hyperplastic covering too much of the tooth/implant. |
Countries
Egypt
Outcome results
None listed