Comparison of Open-Mouth and Closed-Mouth Impression Techniques for Complete Dentures
Comparison of Open Mouth Vs Closed Mouth Edentulous Impression Technique: A Hospital Based Study
This randomized controlled trial compares two final impression techniques for complete dentures, the open mouth technique and the closed mouth technique. Completely edentulous adults with well-formed ridges will be randomly assigned 1:1 to one of the two techniques. All dentures will be made by a single operator using the same materials and laboratory. Six weeks after insertion, an examiner blinded to group allocation will assess denture retention using the Kapur index, and patient satisfaction will be recorded using a 5-item Likert questionnaire.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
In the open mouth group, border molding and the wash impression are made with the patient's mouth open and no occlusal contact. In the closed mouth group, occlusal rims are attached to the custom trays at a predetermined occlusal vertical dimension, and the impression is made while the patient closes and performs functional movements. Jaw relations, try-in, and insertion follow the same protocol for both groups. Retention is scored separately for the maxillary and mandibular dentures, with a score of 2 or 3 counted as adequate. Satisfaction scores range from 5 to 25, and a score of 16 or above counts as satisfied.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Fatima Shakeel, BDS
- Telefonnummer: +92 335 8416673
- E-mail: fatimasmir25@gmail.com
Studiesteder
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Punjab Province
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Rawalpindi, Punjab Province, Pakistan, 46000
- Department of Prosthodontics, Watim Medical and Dental College, Rawat, Rawalpindi, Punjab, Pakistan
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Kontakt:
- Fatima Shakeel, BDS
- Telefonnummer: +92 335 8416673
- E-mail: fatimasmir25@gmail.com
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adults aged 18 to 70 years
- Completely edentulous in both maxilla and mandible for at least six months, confirmed by clinical examination and orthopantomogram
- Well-formed ridges, ACP classification Class I or Class II
Exclusion Criteria:
- Flabby or hypermobile ridges
- Atrophic ridges
- Ridges with bony exostosis
- Active oral pathology
- History of radiotherapy to head and neck
- Uncontrolled systemic disease
- Neuromuscular or neurological disorders
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Aktiv komparator: Group A: Open Mouth Technique
Final impressions made in custom trays with sectional border molding using low fusing impression compound and a zinc oxide eugenol wash, with the mouth open and no occlusal contact. |
Secondary impression of the edentulous arch made in a custom acrylic tray. Border molding is done in sections with low fusing impression compound, followed by a zinc oxide eugenol wash impression. The clinician manipulates the tissues and the patient performs functional movements, with the mouth open and no occlusal contact. All steps are done by a single trained operator using the same materials and laboratory as the comparison group.
Andre navne:
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Aktiv komparator: Group B: Closed Mouth Technique
Final impressions made in custom trays with attached occlusal rims set to a predetermined vertical dimension. Border molding and the wash impression are made while the patient closes into occlusion and performs functional movements. |
Secondary impression made in custom trays with occlusal rims attached and adjusted to a predetermined occlusal vertical dimension. Maxillary and mandibular trays are inserted together. Border molding with low fusing impression compound and a zinc oxide eugenol wash impression are made while the patient closes into occlusion and performs functional movements, recording the denture bearing areas under simulated functional load. All steps are done by a single trained operator using the same materials and laboratory as the comparison group.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Adequate retention of maxillary denture
Tidsramme: 6 weeks after denture insertion
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Kapur index score (0 nil, 1 poor, 2 fair, 3 good) assessed by a blinded examiner. A score of 2 or 3 is adequate and 0 or 1 is inadequate. |
6 weeks after denture insertion
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Adequate retention of mandibular denture
Tidsramme: 6 weeks after denture insertion
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Kapur index score assessed the same way as the maxillary denture. |
6 weeks after denture insertion
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Patient satisfaction
Tidsramme: 6 weeks after denture insertion
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5-item Likert questionnaire covering retention, comfort, mastication, phonetics, and overall satisfaction, with a total score of 5 to 25. A score of 16 or above counts as satisfied. |
6 weeks after denture insertion
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Fatima Shakeel, BDS, Watim Medical and Dental College
- Studieleder: Zarah Afreen, BDS, FCPS, Watim Medical and Dental College
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- WMDC/R&D(ERB)/2025/241
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Individual participant data will not be shared publicly to protect participant confidentiality. Summary results will be published in a peer-reviewed journal.
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