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Al-Rawas M, Abdullah JY, Elmarhoumy B, Johari Y, Ariffin A, Husein A. Digital comparative analysis in three dimensions of two impression techniques for the bilateral distal extension of partially edentulous mandibular arches: A pilot clinical study. J Prosthet Dent 2024:S0022-3913(24)00297-X. [PMID: 38729790 DOI: 10.1016/j.prosdent.2024.04.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 04/19/2024] [Accepted: 04/23/2024] [Indexed: 05/12/2024]
Abstract
STATEMENT OF PROBLEM The stability of mandibular removable partial dentures with bilateral distal extensions may be improved with the controlled tissue support achieved by using the altered cast impression technique, although this process is time-consuming and technique-sensitive. PURPOSE The purpose of this pilot clinical study was to compare casts generated from a conventional definitive impression with casts generated from an altered cast impression using a 3-dimensional (3D) analysis software program. MATERIAL AND METHODS Three partially edentulous participants with mandibular Kennedy Class I were enrolled, and impressions were made with the 2 techniques and poured in stone. The casts were scanned, aligned, and superimposed by using a 3D analysis software program. Surface deviations were measured to evaluate the differences in displacement induced by the impression on the tissue surface. Five observations were made in 4 different areas on each partially edentulous side. Means from these observations were generated, and the Wilcoxon and Mann Whitney tests were performed for all data to assess the differences between the right and left sides in the same participant and among the 3 participants (α=.05). RESULTS The casts made from the altered cast impression had an overall mean ±standard deviation displacement of -0.05 ±1.25 mm on the right and left sides of the mandibular buccal shelf area. Moreover, the greatest overall difference of about 0.45 ±0.41 mm occurred on the lingual slope of the residual ridge, and the differences in the other areas were 0.10 ±0.99 mm (crest of the residual ridge) and 0.16 ±0.66 mm (buccal slope of the residual ridge). The overall differences varied statistically between significance and nonsignificance for the same participant and among the 3 participants. CONCLUSIONS A digital comparative analysis of the conventional and altered cast methods of recording the bilateral distal extension areas in partially edentulous participants showed that the altered cast method exhibited more displacement on the buccal vestibule or buccal shelf area compared with other examined areas. The differences between the 2 impression methods in the displacement values among the examined areas were minimal and in close proximity, and such differences may lack clinical significance.
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Affiliation(s)
- Matheel Al-Rawas
- Senior Lecturer, Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; and Specialist, Hospital Universiti Sains Malaysia, Kubang Kerian, Malaysia.
| | - Johari Yap Abdullah
- Senior Lecturer, Craniofacial Imaging Lab, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Malaysia; and Senior Lecturer, Dental Research Unit, Center for Transdisciplinary Research (CFTR), Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
| | - Belal Elmarhoumy
- Postgraduate student, Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Yanti Johari
- Associate Professor, Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; and Associate Professor and Specialist, Hospital Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Azirrawani Ariffin
- Senior Lecturer, Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; and Specialist, Hospital Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Adam Husein
- Professor, Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; and Professor, Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, University City, United Arab Emirates
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