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This study was conducted to evaluate the clinical peri-implant soft tissue changes during the first year after occlusal loading and the ridge base relation after 3 years for mandibular computer-aided design and computer-aided manufacturing (CAD/CAM) screw-retained implant-supported hybrid prosthesis of polyetheretherketone (PEEK) framework utilized with All-on-Four treatment concept.
Sixteen completely edentulous patients were rehabilitated by four implants following the All-on-Four protocol. After 3 months, the definitive prosthesis was constructed to be a screw-retained CAD-CAM milled framework from the modified PEEK (BioHPP), bonded to polymethylmethacrylate teeth and a pink-shaded indirect light-polymerized nano-filled composite resin imitating the soft tissues. Peri-implant soft tissue changes regarding plaque, bleeding, gingival scores, and probing depth were evaluated at prosthesis insertion (T0), 6 months (T1), and 12 months (T2) after insertion. Also, monitoring of the ridge base relation was performed using cone-beam computed tomography CBCT at the time of insertion (T0), and 1 year (T1), 2 years (T2), and 3 years (T3) after mandibular fixed detachable All-on-Four framework insertion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PEEK group | Experimental | Patients received PEEK framework prosthesis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PEEK framework | Device | All-on-4 implants with PEEK framework of fixed detachable prosthesis |
|
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of changes in the peri-implant soft tissue health | Peri-implant soft tissue changes regarding plaque scores were assessed using the modified plaque index | six months |
| evaluation of changes in the peri-implant soft tissue health | Peri-implant soft tissue changes regarding bleeding scores were assessed using the bleeding index. | six months |
| evaluation of changes in the peri-implant soft tissue health | Peri-implant soft tissue changes regarding the gingival scores were assessed using the simplified gingival index. | six months |
| Measure | Description | Time Frame |
|---|---|---|
| Ridge base relation monitoring | periodic monitoring of the changes in the alveolar ridge height in millimeters using CBCT | 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Khloud Ezzat, PhD | Lecturer of Prosthodontics | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Khloud Ezzat | Al Mansurah | 54790 | Egypt |
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| ID | Term |
|---|---|
| D001851 | Bone Diseases, Metabolic |
| ID | Term |
|---|---|
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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