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The study focuses on the critical role of the gingival emergence profile in the success of dental implants, emphasizing its importance for both peri-implant health and esthetics. The research aims to evaluate and compare the effectiveness of two common, cost-effective dental materials-light-cure composite and Protemp (a bis-acryl composite resin)-for fabricating customized healing abutments. By assessing the peri-implant tissue response to these materials, the study seeks to determine which is more suitable for creating an optimal, natural-looking soft tissue contour, thereby providing dentists with a practical and reliable alternative to more expensive options like PEEK.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| standard titanium healing abutment | No Intervention | standard titanium healing abutments used | |
| customized healing abutment - bulk-fill flowable composite | Active Comparator |
| |
| customized healing abutment - Protemp 4 (Bis-Acryl composite) | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Customized Healing Abutment - bulk fill composite | Procedure | instead of standard healing abutments , customization was done using bulk fill composite |
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| Measure | Description | Time Frame |
|---|---|---|
| Gingival Index (GI) | Gingival Index (GI): This index is used to evaluate inflammation of the gums around the implant. Scale: 0 to 3. Interpretation: A higher score indicates a worse outcome, signifying greater gingival inflammation. | T1: Immediately after the placement of the final prosthesis. T2: At the one-month follow-up appointment. |
| Probing depth (PI) | Probing Depth (PD): This is a direct clinical measurement, not a scored scale, taken in millimeters at six points around the implant. Interpretation: Deeper measurements are generally associated with less healthy peri-implant tissue. Therefore, a lower value indicates a better clinical outcome. | T1: Immediately after the placement of the final prosthesis. T2: At the one-month follow-up appointment. |
| Pink Esthetic Score (PES) | Pink Esthetic Score (PES): This score is used to assess the aesthetic quality of the soft tissue surrounding the implant restoration. Scale: 0 to 14. Interpretation: A higher score indicates a better and more aesthetically pleasing outcome. | T1: Immediately after the placement of the final prosthesis. T2: At the one-month follow-up appointment. |
| Pain Numeric Scale | Pain Numeric Rating Scale (NRS): This scale measures the patient's subjective experience of pain during the insertion of the final prosthesis. Scale: 0 ("no pain") to 10 ("worst pain imaginable"). Interpretation: A higher score indicates a worse outcome, representing more severe pain. | T1: Immediately after the placement of the final prosthesis. T2: At the one-month follow-up appointment. |
| Measure | Description | Time Frame |
|---|---|---|
| Plaque Index (PI) | Plaque Index (PI): This index is used to quantify the amount of dental plaque present on the implant restoration. Scale: 0 to 3. Interpretation: A higher score indicates a worse outcome, corresponding to a greater accumulation of plaque. | T2: At the one-month follow-up appointment. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Amrita School Of Dentistry | Kochi | Kerala | 682041 | India |
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| customized healing abutments - Bis acryl composite materials | Procedure | customized healing abutments with bis acryl composite material was used instead of standard healing abutments |
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