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Comparative Assessment of Marginal Bone Loss Around the Implant When Using PEEK With Composite Veneering Versus Monolithic Zirconia Restorations as Implant Restorations
Sponsor: Cairo University
Summary
This study compares two different materials used for screw-retained dental implant restorations in the front of the upper jaw (the "esthetic zone"). The goal is to determine which material is better at preserving the bone level around the implant over time and how this will affect the survival rate of the restorations
Official title: Marginal Bone Loss Around the Implant of Screw-retained Implant Restorations in the Esthetic Zone Using PEEK With Composite Veneering Versus Monolithic Zirconia Restorations Using a Fully Digital Workflow: A Randomized Controlled Clinical Trial
Key Details
Gender
All
Age Range
20 Years - 50 Years
Study Type
INTERVENTIONAL
Enrollment
48
Start Date
2025-04-10
Completion Date
2026-08-30
Last Updated
2026-10-21
Healthy Volunteers
No
Conditions
Interventions
PEEK (Polyetheretherketone) screw-retained implant restoration veneered with composite
To distinguish the interventions in this specific study from those in other clinical trials, the following unique technical and procedural details should be noted: * Specific Material Combination:\*\* The primary intervention uses PEEK (Polyetheretherketone) specifically veneered with \*\*Visio-lign composite\*\*, a combination chosen to mimic the elastic modulus of human bone and reduce stress shielding. * Targeted Anatomical Site:\*\* The study is exclusively limited to the \*\*maxillary esthetic zone\*\* (upper front teeth), where both mechanical stress and esthetic demands are highest. * Fully Digital Workflow:\*\* Unlike studies that may use conventional impressions, this protocol utilizes a \*\*fully digital workflow\*\*, including digital intraoral scans and CAD/CAM fabrication for both the PEEK and zirconia restorations. * Prosthetically Driven Surgical Guidance:\*\* The placement of the two implants is "prosthetically driven," meaning the final tooth position dictates the surgey
Monolithic zirconia screw-retained implant restoration
In this study, the \*\*comparator group\*\* (the control group) receives a \*\*monolithic zirconia screw-retained restoration\*\*. This group serves as the standard clinical benchmark against which the experimental PEEK-composite material is measured. The specific details that distinguish this intervention from others include: * Material Selection:\*\* The restoration is made of \*\*monolithic zirconia\*\*, a high-strength ceramic known for its biocompatibility and esthetic potential, but which is significantly more rigid than the experimental PEEK material. * Fully Digital CAD/CAM Workflow:\*\* Unlike traditional methods, the zirconia restoration is designed and fabricated using a \*\*fully digital workflow\*\*, including digital intraoral scans and computer-aided manufacturing. * Specific Anatomical Placement:\*\* This intervention is applied specifically to \*\*two dental implants\*\* located in the maxillary esthetic zone
Locations (1)
Cairo University
Giza, Giza Governorate, Egypt