Modified Fixed Bridge
Conditions
Keywords
3D Printed, CAD/CAM, modified fixed bridge, anterior teeth loss
Brief summary
compare 3D Printed versus CAD/CAM fabricated modified fixed appliance for rehabilitation of premature loss of anterior teeth in preschool children
Detailed description
The study will be conducted as a clinical trial and it will be carried out at Pediatric Dentistry Department, Faculty of Dentistry, Tanta University. Forty preschool children from both genders aged from 3-5 years will be included in the study. The selected children will be divided into two groups. Group I: Twenty children will receive 3D Printed modified fixed bridge. Group II: Twenty will receive CAD/CAM fabricated modified fixed bridge. Evaluation of both appliances will be carried out at baseline, 6 and 12 months
Interventions
DEVICE3D Printed modified fixed bridge
the 3D Printed modified fixed appliances compared to CAD/CAM fabricated ones for rehabilitation of premature loss of anterior teeth
DEVICECAD/CAM fabricated modified fixed bridge
the CAD/CAM fabricated modified fixed bridge used a active control
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
3 Years to 5 Years
Healthy volunteers
No
Inclusion criteria
1. Healthy children (ASA I or II) 2. Premature loss of one to four maxillary primary incisors 3. At least 6 months remaining before the expected eruption of the permanent successor 4. Presence of sufficient healthy abutment teeth (primary canines) 5. Adequate oral hygiene (Plaque Index ≤1). 6. Cooperative child (Frankl Behavior Rating 3, 4).
Exclusion criteria
1. Children with craniofacial anomalies or syndromes (e.g., cleft lip and palate). 2. Children with developmental dental anomalies affecting the anterior region (e.g., hypodontia, severe enamel defects). 3. Severe gingivitis or periodontal disease around the abutment teeth. 4. Deep bite, severe malocclusion, or traumatic occlusion that could interfere with appliance function. 5. Parafunctional habits that could increase appliance failure( Bruxism, Nail biting, Biting hard objects). 6. Persistent oral habits that may affect appliance stability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical survival rate | 12 months | Debonding, breakage of appliance ( failure causes) |
| Gingival health | 12 months | Gingival index will be assessed by clinician |
| Esthetic evaluation | 12 months | child and parent evaluation of restoring child esthetics using visual analog scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Questionnaire | 12 months | determine whether one appliance provides greater improvements in: Eating and chewing ability, Speech, Smile appearance, Child confidence and social interaction, Parent satisfaction and reduced family concern. |
Countries
Egypt
Outcome results
None listed