Abstract
Background: In prosthetic dentistry, making an impression to replicate the oral health and tooth morphology is regarded as a crucial step. It is essential to ensure that the intraoral state is replicated as exactly as possible throughout this process, because any mistakes or inconsistencies could significantly impact the quality of the entire denture. In secondary impression, it’s crucial to capture the resilient oral mucosa (oral vestibule and soft palate) in order to acquire a satisfactory retention. As an alternative to conventional impression, digital scanning has been widely used in complete denture procedure. Although the digital scanning of edentulous ridges is feasible, scanning resilient oral tissues in complete denture still cannot be supported digitally. This study focuses on modifying the digital scan and comparison of retention of record bases fabricated from these modified digital scan to the record bases fabricated using conventional impression. Objectives: To compare the retention of record base prepared from conventional impression to the retention of record base from modified digital scan. Methodology: A total of 18 patients with edentulous maxillary arches will be recruited. A modified intraoral scan of the maxilla will be made on nine patients and on the remaining nine patients, a conventionally border moulded impression with a custom tray will be made. A record base with heat polymerized acrylic resin will be made on the definitive cast. Using the modified scanned image, the CAD-CAM bases will be milled. A dynamometer will be placed onto the record base; this will simulate the dislodging forces, thus clinically testing record base retention. Expected outcome: The record bases from modified digital scan will show equivalent or higher retention compared to record bases from conventional impression. Conclusions: By the end of the study, we will know whether resiliency of tissues can be recorded by modified digital scans.
Subject
General Pharmacology, Toxicology and Pharmaceutics,General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology,General Medicine