Conventional Versus Digital 3D Printed Complete Removable Dentures

Study Overview
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Brief Summary
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The study is a crossover, randomised, controlled clinical trial that will compare and evaluate patients' satisfaction and oral microbiota proliferation in two groups. Group I: Conventionally manufactured CRD Group II: 3D-printed (three-dimensionally printed) CAD/CAM (computer-aided design/computer-aided manufacturing) manufactured CRD, The participants will be selected according to inclusion and exclusion criteria and will be randomly allocated into both groups and then shuffled to the other group using the Research Randomizer Program.

Detailed Description
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The study will be performed at the outpatient clinic of the Oral and Maxillofacial Prosthodontics Department, Faculty of Dentistry, Ain Shams University. Eleven edentulous male patients will be selected and recruited for this clinical trial after the informed consent provided by Faculty of Dentistry Ain Shams University-Research Ethics Committee (FDASU-REC) is assigned. They will be rehabilitated with Conventional and 3D-printed CAD-CAM (computer-aided design/computer-aided manufacturing) CRD. Participants will be randomly assigned to receive either Conventional or 3D-Printed CAD/CAM-manufactured CRD for three months before crossing over to the other set. care provider , investigator and participants will be blinded to the group allocation. Outcomes will be evaluated, including patient satisfaction with dentures and oral microbial adherence. The outcomes will be measured at baseline and at 1 and 3 months. The obtained data will be recorded, tabulated, and statistically analyzed using the appropriate tests for comparison between each group.

Official Title
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Assessment of Microbial Adherence and Patients' Satisfaction in Conventional and Digital 3D Printed Complete Removable Dentures: A Cross Over Randomized Controlled Clinical Trial

Conditions
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Denture, Complete

Intervention / Treatment
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* Device: Polymethyl Methacrylate-Based Complete Removable Dentures.
* Device: Photopolymerized Methacrylate- Based Complete Removable Dentures.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who have been completely edentulous in both jaws (maxilla and mandible) for at least a year and require treatment with complete dentures. The age of patients ranges from 45 to 60 years old. Patients with a Class I maxillo-mandibular relationship. Patients with adequate inter-arch space. Patients with good neuromuscular control. Patients without any temporomandibular joint disorder. Exclusion Criteria: Patients with any oral diseases that may affect complete denture construction. Patients with bad oral hygiene. Patients with oral parafunctional habits. Hysterical patients. Patients will undergo or have previously received chemotherapy or radiotherapy. Smokers or drug- addicted patients

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: double blind single center crossover design
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Polymethyl Methacrylate-Based Complete Removable Dentures.<br>The patient will be provided by a CRD to restore his missing teeth which will be manufactured by heat curing processing technique | Device: Polymethyl Methacrylate-Based Complete Removable Dentures.<br>* The patients will receive Complete Removable Dentures processed by Heat cured acrylic resin.<br>* Other names: Complete Removable Denture manufacturing;|
| Experimental: Photopolymerized Methacrylate- Based Complete Removable Dentures.<br>The patient will be provided by a CRD to restore his missing teeth which will be manufactured by 3D-printed (Digital Light Processing). | Device: Photopolymerized Methacrylate- Based Complete Removable Dentures.<br>* The patients will receive a 3D-printed removable denture digitally manufactured using a 3d printer device with light polymerized resin.<br>* Other names: 3D printed Removable Denture manufacturing;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of oral microorganism proliferation by talking swab from | Assessment of oral microorganism proliferation by talking swab from the internal surface of both types of CRD to asses the affinity of oral microorganisms. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of patients' satisfaction with both types of the Complete Removable Dentures | Evaluation of patients' satisfaction with both types of the Complete Removable Dentures by using Patient's Denture Assessment questionnaire (PDA) and interpreting it by using Likert scale (higher score (scale no.5) indicates good outcome and lower score (scale no.1)indicates bad outcome) | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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3D printing, CAD/CAM, Complete dentures