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This prospective clinical comparative study will evaluate the surface wear of BioHPP (modified polyetheretherketone) clasps opposing either natural tooth abutments or zirconia full-coverage abutments in mandibular bilateral distal extension removable partial dentures. Ten participants will be randomly assigned to two equal groups. Surface topography changes of the clasp fitting surfaces will be assessed using scanning electron microscopy (SEM) at denture insertion, 6 months, and 12 months. The findings will help determine the influence of abutment material on the wear behavior of BioHPP clasps and provide evidence for selecting appropriate abutment materials in removable partial denture treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BioHPP Clasps Opposing Natural Tooth Abutments | Experimental | Participants receive mandibular bilateral distal extension removable partial dentures with BioHPP clasps engaging natural tooth abutments. The surface topography of the clasp fitting surfaces will be evaluated using scanning electron microscopy (SEM) at denture insertion, 6 months, and 12 months to assess surface wear. |
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| BioHPP Clasps Opposing Zirconia Abutmen | Experimental | Participants receive mandibular bilateral distal extension removable partial dentures with BioHPP clasps engaging zirconia full-coverage abutments. The surface topography of the clasp fitting surfaces will be evaluated using scanning electron microscopy (SEM) at denture insertion, 6 months, and 12 months to assess surface wear. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PEEK Removable Partial Denture Framework with Natural Tooth Abutments | Device | BioHPP Removable Partial Denture Framework with Natural Tooth Abutments |
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| Measure | Description | Time Frame |
|---|---|---|
| Surface topography changes of BioHPP clasp fitting surfaces | Surface wear of BioHPP clasp fitting surfaces assessed by scanning electron microscopy (SEM) and digital morphometric analysis | Baseline (denture insertion), 6 months, and 12 months |
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Inclusion Criteria:
Adults aged 40-50 years. Mandibular Kennedy Class I partial edentulism. Bilateral distal extension edentulous areas. Presence of healthy canines and first premolars suitable as abutment teeth. Adequate oral hygiene and healthy periodontal condition. Adequate interarch space for removable partial denture fabrication. Ability and willingness to attend all scheduled follow-up visits and provide written informed consent.
Exclusion Criteria:
Systemic diseases or medications that could affect bone or soft tissue healing. Active periodontal disease or poor oral hygiene. Severe parafunctional habits (e.g., bruxism or clenching). Smoking. Pregnancy or lactation. Allergy or hypersensitivity to any study materials. Inability to comply with study procedures or follow-up visits.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of dentistry Mansoura university | Al Mansurah | Egypt |
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| PEEK Removable Partial Denture Framework with Zirconia Abutments | Device | BioHPP Removable Partial Denture Framework with Zirconia Abutments |
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