ISSN : 2663-2187

Comprehensive Evaluation of Esthetic Outcomes of Maxillary Anterior Implant Retained Prosthesis using Two Different Gingival Masks: An Original Research Study

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Amrita Pritam , Dr. Nivedita Mall , Dr. Richa Dokania
ยป doi: 10.48047/AFJBS.6.7.2024.3062-3067

Abstract

Background & Aim: Optimal esthetics is one of the major requirements and prerequisite of anterior teeth restoration. There are several ways of restoring missing teeth in anterior region. In implant therapy, laboratory procedures and application of right kind of gingival mask is highly imperative. Therefore, this study was planned, outlined and conducted to evaluate the esthetic outcomes of maxillary anterior implant retained prosthesis using two different gingival masks Materials and Methods: This study was performed with two different gingival masks used during prosthetic phase of implant therapy. After one week of placement, healing abutments were removed and impressions were attempted using open tray technique by elastomeric impression material polyether. Total 18 patients were studied in detail and 2 different commercially available gingival masks were used to replicate the topography, position and consistency of gingiva. All 18 patients were subdivided in to 2 groups of 9 patients each. Group 1 utilized Waldent FlexiGum while Group 2 utilized Detax Esthetic Mask Automix. All ceramic crowns were fabricated and cemented. All patients were recalled after 1 week of their final crown placement. Esthetic outcomes were noted as Satisfactory, Non-satisfactory and Questionable. Visual Analogue Scale (VAS) was used to quantify the responses. Statistical Analysis and Results: Statistical analysis was completed with SPSS software (statistical package for the Social Sciences version 22 for Windows). Out of 18 studied patients, 10 were males and 8 were females. P-value was highly significant for age group 30-33 years. In Group 1 after 48 hours of cementation of crown, total 5 patients were found to be Satisfactory while 3 patients were not satisfied. Here, the p value was highly significant (0.02). After 72 hours of cementation of crown, total 6 patients were found to be Satisfactory while 2 patients were not satisfied. In Group 2 after 48 hours of cementation of crown, total 6 patients were found to be Satisfactory while 2 patients were not satisfied. Evaluation amongst all studied Groups using one-way ANOVA confirmed highly significant P value for the measurements done between Groups. It was 0.001. Conclusion: It was concluded that both of the gingival masks showed acceptable esthetic outcomes however, number of satisfied patients were higher with Detax Esthetic Mask Automix as compared to Waldent FlexiGum. So, Detax Esthetic Mask Automix is better than other tested gingival mask. Authors also expect other similar future studies with larger sample size and wider parameter to authenticate results of present study.

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