Post Extraction Wound Healing Evaluation of Immediate Complete Denture Using IPR Scale

Badr University

Status: Completed

Conditions: Complete Edentulism Due to Periodontal Disease (Disorder)

Treatments: Drug: CEO Pack

Study type: Interventional

Funder types: Other

Identifiers

NCT05464914

01154777474

Details and patient eligibility

About

In the first part, after a brief introduction, the advantages and disadvantages of immediate dentures are compared. There is a detailed discussion on assessment and treatment planning which includes history taking, examination of the soft and hard tissues, current prostheses, occlusion as well as discussion on investigations required and formulating a diagnosis. The first part ends with a summary of types of immediate dentures and denture designs.

Full description

An Immediate denture is a complete or partial removable prosthesis that is fitted immediately after extraction or modification of teeth. The prosthesis replaces the missing/modified teeth and where required, the adjacent hard and soft tissues. It is constructed prior to the extraction of teeth and is used immediately to provide function and aesthetics which are lost as a result of tooth removal and avoid the embarrassment patients may have with living without teeth, while waiting for the tissues to heal prior to definitive tooth replacement.1 (See image 1) Some clinicians take impressions on the day of the extractions and fit the dentures a few days later. These dentures are fraught with challenges as the alveolar ridge begins to resorb soon after. Therefore an immediate denture is only truly an immediate denture when fitted on the day of the extractions.

The use of a removable prosthesis within the UK is currently around 19% of adults in the general population 2 and in spite of this decreasing trend, as patients retain their natural dentition into older age,2 there is still a need for prosthodontic replacement as teeth are lost as a result of caries, periodontal disease, tooth wear or trauma. 3,4,5 The provision of an immediate denture can be challenging and close co-operation between patient, technician, and clinician is required.

Enrollment: 12 patients

Sex: Male

Ages: 40 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Good physical and mental health
• Willing to give informed consent
• Normal maxilla-mandibular relationship Angle Class I
• Adequate bone quality and quantity in terms of width and height in the anterior maxillary and mandibular ridges verified by preoperative cone beam CT
• Adequate inter-arch space to accommodate maxillary and mandibular implant prostheses

Exclusion criteria

• Uncontrolled diabetes
• Smoking habits
• Radiotherapy
• Clinical or radiographic signs of pathologic conditions, osteoporosis
• Patients on corticosteroids
• Bruxism

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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12 participants in 2 patient groups

Conventional upper immediate denture

No Intervention group

Description:

Conventional upper immediate denture without any surgical lining

Upper immediate denture lined by surgical dressing

Active Comparator group

Description:

Upper immediate denture lined by surgical dressing using CEO Pack dressing

Treatment:

Drug: CEO Pack