Efficacy of Three Gingival Displacement Methods

Condition(s) studied

Investigational drug(s) / intervention(s)

gingival retraction cord: After tooth preparation, the prepared abutment tooth was rinsed and dried. A preliminary impression was taken using heavy-body silicone. An appropriately sized retraction cord (Ultrapak, #000-#0) was selected and gently packed into the gingival sulcus of the prepared tooth using a cord packer. The cord was left in the gingival sulcus for 7-8 minutes. Following cord removal, light-body silicone was immediately injected around the gingival sulcus of the prepared abutment tooth and into the preliminary impression tray, followed by seating of the preliminary impression tray to obtain the final impression.

gingival retraction paste: After tooth preparation, the prepared abutment tooth was rinsed and dried. A preliminary impression was taken using heavy-body silicone. Retraction paste was injected into the gingival sulcus surrounding the prepared abutment tooth. The retraction paste was left in place for 2 minutes per the manufacturer's instructions, then thoroughly rinsed, and the prepared abutment tooth was air-dried. Light-body silicone was immediately injected around the gingival sulcus and into the preliminary impression tray, followed by seating of the preliminary impression tray to obtain the final impression.

gingival retraction cord+hemostatic gel: Appropriately sized retraction cords (Ultrapak, sizes #000-#0) were pre-soaked in hemostatic gel prior to use. After tooth preparation, the prepared abutment tooth was rinsed and dried. A preliminary impression was taken using heavy-body silicone. The gel-soaked retraction cords were gently packed into the gingival sulcus using a cord packer. After 7-8 minutes, the cords were removed, followed by rinsing and drying of the prepared abutment tooth. Light-body silicone was immediately injected around the gingival sulcus and into the preliminary impression tray, followed by seating of the preliminary impression tray to obtain the final impression.

Study summary

The goal of this clinical trial is to find the best gingival displacement method for taking impressions of artificial full crowns with subgingival margins. The main question it aims to answer is:

Which of the three common gingival displacement methods works best? Researchers will compare three methods: gingival retraction cord, gingival retraction paste, and gingival retraction cord + hemostatic gel, to see which is optimal.

Participants will:

Receive one of the three gingival displacement treatments during impression taking.

Fill out a VAS form to rate their pain.

Eligibility

Primary outcome measure(s)

• horizontal sulcus width of gingival displacement — baseline
  After tooth preparation, gingival displacement material was applied to each group and then silicone impressions were taken using the two-step impression technique, and die stone models were poured.The horizontal displacement width of the sulcus was measured on the cast, defined as the linear distance between the margin of the prepared tooth and the adjacent gingival replica on the cast. The mearsurement procedure was carried out with an optical microscope.

Trial sites (1)

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