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First, participants will undergo clinical and radiographic examination for taking all the needed preoperative records, then endodontically treated teeth preparation starting with removal of any carious or undermined tooth structure then ferrule preparation then followed by intra-radicular preparation and then placement of the provisional restoration. In the third visit we will take the final impression of the post space for each patient by using the intraoral scan and extraoral scan o f the conventional impression. Then assessment of the apical gap length by using digital periapical radiograph using the paralleling technique and assessment of post adaptation using replica technique followed by placement and permanent cementation of the zirconia custom made post and core restoration that showed less apical gap length and better adaptation then taking the final impression for the extracoronal restoration and finally permanent cementation of the extra coronal fixed restoration.
Examination and diagnosis:Selection and examination of the patients according to inclusion and exclusion criteria. Diagnosis of the patient's chief complaint and teeth that will be involved in this study will be done.
Primary impression will be taken to produce study cast. The patients will be asked to maintain good oral hygiene measures by using tooth brush twice daily.
Taking a professional pre-operative photo.
Tooth preparation procedure:
Fabrication of restoration:
Monolithic zirconia will be used for the fabrication of post and core restoration.
Assessment of the apical gap length by using digital periapical radiograph using the paralleling technique. Assessment of post adaptation using replica technique followed by placement and permanent cementation of the zirconia custom made post and core restoration that showed less apical gap length and better adaptation. Taking the final impression for the extracoronal restoration. Finally permanent cementation of the extra coronal fixed restoration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Direct intra-oral scanning technique for the post space. | Experimental | intervention will be the direct scanning of the prepared post space inside the patient mouth by using an intraoral scanner. |
|
| In-direct scanning of the conventional post space silicone impression. | Active Comparator | The comparator will be extraoral scanning of the conventional sillicon impression of the prepared post space by using an extraoral scanner. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Direct intra-oral scanning technique for the post space. | Other | scanning of prepared dental post space directly inside the patient mouth by using an intra-oral scanner |
|
| Measure | Description | Time Frame |
|---|---|---|
| Apical gap length | measuring apical gap length by the digital Periapical radiograph using the paralleling technique. | through study completion, an average of 1 year". |
| Measure | Description | Time Frame |
|---|---|---|
| Post adaptation | Measuring post adaptation by using Replica technique | through study completion, an average of 1 year". |
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Inclusion Criteria:
Exclusion Criteria:
4- Patients with endodontically treated teeth which is not functioning or showing any signs or symptoms that need endodontic retreatment.
5- Occlusion problems. 6- Absence of posterior stopper.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rv Mh El-boghdady, Ass lecturer | Contact | 01007172887 | rivan.elboghdady@dentistry.cu.edu.eg | |
| Ri Ma El-boghdady, Ass lecturer | Contact | 01007172887 | pinkparadise20@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Rv Ma El-boghdady, Ass lecturer | Principal Investigator |
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| ID | Term |
|---|---|
| D019553 | Tooth, Nonvital |
| ID | Term |
|---|---|
| D003788 | Dental Pulp Diseases |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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