Patient Satisfaction and Bone Changes for OT Cap and OT Vertical Attachment

Patient Satisfaction and Bone Changes in Bilateral Distal Extension Case Using OT Cap Versus OT Vertical Attachment "Randomized Clinical Trial"

The purpose of this study aimed to answer a clinical question whether In a patient with bilateral distal extension area, would the metal framework partial denture with OT vertical attachment versus partial denture with OT CAP attachment result in better patient satisfaction?

Inclusion Criteria:

• patients age ranged between 35-45years old.
• All patients have Kennedy class I partially edentulous mandibular arch in which the last remaining teeth were the second premolars bilaterally.
• The abutment teeth had an apparently good periodontal condition with no signs of mobility or inflammation with firm and healthy mucosa.
• Edentulous ridge covered by health firm mucoperiosteum, without abnormal bony irregularity or severe lingual undercuts.
• Patients with normal relationship of maxilla and mandible (Angle class I ridge classification) and sufficient inter-arch space (6mm) the size of the attachment
• The opposing dentition is intact arch with no noticeable over eruption or tilting or restored with acceptable fixed restoration.
• All patients are free from neurological, muscular disorders and tempro-mandibular joint disorders.
• Only patients who can be easily motivated to achieve and maintain good oral

Exclusion Criteria:

• Patient with limited skills
• Un co-operative patients.
• patient with bad oral hygiene