Personal Satisfaction Clinical Trial
Official title:
Evaluation of Bio Compatibility of Bio-HPP Crown Veneered With Visio.Lign Compared to Lithium Disilicate (E-max) Crown Veneered With E-max Veneering System in Anterior Esthetic Zone (Randomized Clinical Trial)
The aim of this study compare soft tissue reaction (bleeding, gingival color and texture), bacteria type and count in the gingival sulcus around the restoration margin and sulcus depth of Bio-compatible High performance polymer( Bio-Hpp) restorations to E-max regardless its popularity in the dental field.
Roles and responsibilities:
1. Esra'a Mohamed Ali Mraweh (E.M):Operator, data enterer and corresponding
author;Assistant lecturer, Fixed Prosthodontics Department, Modern Technology and
Information University (MTI University), Egypt.
2. Dr. Hesham Alansary ( H.A):Main supervisor, data monitoring, auditing Professor, Fixed
prosthodontics department, Faculty of Oral and Dental Medicine, Cairo University, Egypt.
3. Nora Helmy (N.H):Outcome assessors and data collection;Assistant Lecturers, Fixed
Prosthodontics department, Faculty of Oral and Dental Medicine, Modern Technology and
Information University (MTI university), Egypt.
4. Noha Moustafa (N.M):Base line data collection, recruitment, sequence generation,
allocation concealment, patient retention and taking participants' consents;Resident,
Fixed Prosthodontics Department, Faculty of Oral and Dental Medicine, Modern Technology
and Information University (MTI University), Egypt.
5. Eman Desouky (E.D.):Sample size calculation; Statistician,Faculty of Oral and Dental
Medicine, Cairo University, Egypt.
6. Evidence Based Dentistry Committee (CEBD): Help in reporting study protocol following
SPIRIT guidelines;Faculty of Oral and Dental Medicine, Cairo University, Egypt.
7. Research Ethics Committee (CREC): Protocol reviewer of the clinical trial in order to
protect the right, safety, dignity and well-being of the participants.
Faculty of Oral and Dental Medicine, Cairo University, Egypt.
8. Research Plan Committee (CRPC): For ensuring that this clinical trial following the
department research plan; Fixed Prosthodontic Department, Faculty of Oral and Dental
Medicine, Cairo University, Egypt.
1. Intervention:E.M. will record the crevice depth and bacterial count prior to
preparation. E.M. will perform full coverage conservative tooth preparation following
principles of all ceramic crown preparation with shoulder sub-gingival finish line of
thickness 1mm using tapered stone with flat end attached to high speed headpiece with
air and water coolant after local anesthesia has been given as required.After tooth
preparation, E.M will take an adequate 2ry Impression using non aqueous Elastomeric
impression materials Impregum™F( medium consistency,3M ESPE) and bite registration, Pink
Soft wax(Star dental supply)will be taken. E.M will fabricate the temporary restoration
using composite resin temporary material Protemp™4 Temporisation Material (3M ESPE) and
cemented using non Eugenol Zinc Oxide temporary cement TempBond™ Temporization( Kerr
Dental).
E.M will deliver pressed Bio-compatible High performance polymer (Bio-HPP) frame work
veneered with visio.lign system (Bredent) cemented by a self adhesive resin cement
2. Comparator: E.M. will record the crevice depth and bacterial count prior to preparation.
E.M. will perform full coverage conservative tooth preparation following principles of
all ceramic crown preparation with shoulder sub-gingival finish line of thickness 1mm
using tapered stone with flat end attached to high speed headpiece with air and water
coolant after local anesthesia has been given as required.After tooth preparation, E.M
will take an adequate 2ry Impression using non aqueous Elastomeric impression materials
Impregum™F( medium consistency,3M ESPE) and bite registration, Pink Soft wax(Star dental
supply)will be taken. E.M will fabricate the temporary restoration using composite resin
temporary material Protemp™4 Temporisation Material (3M ESPE) and cemented using non
Eugenol Zinc Oxide temporary cement TempBond™ Temporization( Kerr Dental).
E.M. will deliver Pres-sable E-max (IPS e.max®) framework will be veneered with e-max
veneering system (Ivoclar Vivadent) .The finished crown will be cemented by
Self-Adhesive resin Cemen taccording to manufacturer instructions.
3. Outcome:(i)Patient satisfaction (bio-compatibility) measure patient satisfaction using
data in questionnaire (presence or absence of bleeding.) The main and standard deviation
for the questionnaire of patient at the time crown cementation, 3, 6,9 and 12 months
will be recorded.
(ii) Clinical biological outcome:
- measure the Crevice depth using periodontal probe and record the depth in millimeters
collected a swap from the teeth and Bacterial count will be measured using culture
number of cells per millimeter
- The main and standard deviation for all collected data ,at the time of crown
cementation, 3, 6,9 and 12 months will be recorded.
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