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Active, not recruitingNCT07250503Updated Nov 26, 2025

Compare the Difference in Occlusal Force Distribution and Denture Retention Using 2 Different Denture Base Materials in Implant Retained Overdenture

An interventional study of Conventional acrylic resin denture and Flexible resin denture in Edentulous Alveolar Ridge In Mandible, Complete Edentulism and Dental Implant, sponsored by Al-Azhar University. Active, not recruiting at 1 site in Egypt. Open to participants aged 60 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-26.

Sponsored by Al-Azhar University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2026, 9 months ago, but the record still lists the study as active, not recruiting.
  • Registered 1 year 2 months after the study started (first participant enrolled Sep 2024, registered Nov 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
60 Years to 70 Years
Sex
All
01

Study summary

The global increase in the aging population has led to a rise in total edentulism, which remains a major public health concern. two-implant-retained mandibular overdentures have been regarded as the standard of care, offering superior retention, stability, comfort, and masticatory efficiency compared to conventional dentures. Among available attachment systems-bar, ball, stud, and magnet-the Equator attachment has gained popularity due to its low vertical profile, suitability for limited inter-occlusal space, and ease of handling.

Assessment of masticatory performance and occlusal balance can be objectively measured using devices such as bite force analyzers and the computerized T-Scan system, which quantifies occlusion and disocclusion times.

Conventional heat-cured polymethyl methacrylate (PMMA) remains the most widely used denture base material; however, it has mechanical and biological limitations. Flexible denture base materials have been introduced to overcome these drawbacks by enhancing adaptation, distributing occlusal loads more evenly, and improving comfort and retention.

Read the detailed description

24 Patients will be randomly and equally divided into two treatment groups:

  1. Group 1: Each patient in this group will receive conventional maxillary and mandibular complete dentures made of heat-cured acrylic resin PMMA. In the mandible, two implants were inserted in the symphyseal area and retained by equator attachments.
  2. Group 2: Patients in this group received the same type of treatment as the patients in group 1, but the mandibular overdentures were made of the flexible acrylic resin "breflex" The present study will be performed to compare the difference in retention, occlusal force distribution, occlusion and disocclusion time, and bite force for implant retained mandibular over denture using PMMA and flexible dentures base materials
02

Conditions studied

  • Edentulous Alveolar Ridge In Mandible
  • Complete Edentulism
  • Dental Implant
  • Attachments
  • Implant Retained Overdenture
  • Edentulous Mouth

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Keywords

  • Completely edentulous patients
  • Dental Implants
  • Edentulous Ridge
03

In context

Mouth, Edentulous

244 studies on the registry are indexed under Mouth, Edentulous; 37 are open to participants now.

This study's enrollment of 24 is below the median of 30 across 187 interventional studies indexed under Mouth, Edentulous.

Browse Mouth, Edentulous studies →

Lead sponsor

Al-Azhar University is the lead sponsor of 505 studies on the registry; 167 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. All patients age must range from 60-70 years old.
  2. All patients' ridges should be covered with firm mucosa free from any signs of inflammation or ulceration and exhibit adequate height and width of the residual alveolar ridge.
  3. Patients should be free from any metabolic or bone disorder that contraindicate implant installation.
  4. All patients must have sufficient inter arch space

Exclusion criteria

Exclusion Criteria:

  1. Patients with oral or systemic diseases.
  2. Patients with xerostomia or excessive salivation.
  3. Patients with parafunctional habits (bruxism or clenching).
  4. Heavy smoker or alcoholic patients.
  5. Patients with history of temporo-mandibular dysfunction.
  6. Patients with brain disorders or psychiatric disorders
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
24 participants (actual)

Study arms

  • Active comparator
    Mandibular complete dentures processed into heat cured acrylic resin

    Mandibular complete dentures made of heat-cured acrylic resin (PMMA). In the mandible, two implants were inserted in the symphyseal area and retained by Equator attachments.

    Procedure: Conventional acrylic resin denture

  • Experimental
    Mandibular thermoplastic nylon denture

    Mandibular overdentures were made of the flexible acrylic resin breflex, In the mandible, two implants were inserted in the symphyseal area and retained by Equator attachments.

    Procedure: Flexible resin denture

Interventions

  • ProcedureConventional acrylic resin denture

    Mandibular complete dentures made of heat-cured acrylic resin (PMMA). In the mandible, two implants were inserted in the symphyseal area and retained by Equator attachments.

  • ProcedureFlexible resin denture

    Mandibular overdentures were made of the flexible acrylic resin breflex, In the mandible, two implants were inserted in the symphyseal area and retained by Equator attachments

06

What researchers measure

Primary outcomes

  1. Occlusal force distribution

    Occlusal force distribution will be measured by T-Scan, The latest version (T-Scan III) provides a dynamic visual evaluation of a patient's occlusion from initial tooth contact to maximum intercuspation. The system records relative force values and allows objective quantitative evaluation of occlusal balance by recording numerical values for occlusion and disocclusion times

    Time frame: Follow up visits were scheduled at denture insertion, 6, and 12 months

Secondary outcomes

  1. Retention of lower denture

    Retention of lower denture will be measured using digital force gauge, Retention will be measured using digital force gauge A digital force meter was used to measure denture resistance to vertical displacement (i.e., retention) by applying a pulling force on a metal hook located in the geometric center of each mandibular conventional denture that was identified on the lower cast at the intersection of three lines bisecting the angles of the triangle, formed by both retromolar pads and the midline. Measurement of mandibular denture retention: The patient was instructed to place his head on chin rest and occlusal plane was set parallel to the floor. Tongue freedom was checked then and three minutes seating time was allowed before taking the measurements. A vertical pulling force was applied using the metallic probe of the digital force-meter that was attached to the hook present at the geometric center of mandibular denture. Average value of six readings was recorded.

    Time frame: Follow up visits were scheduled at denture insertion, 6, and 12 months

  2. occlusion time

    occlusion and disocclusion time will be measured by T-Scan, The latest version (T-Scan III) provides a dynamic visual evaluation of a patient's occlusion from initial tooth contact to maximum intercuspation. The system records relative force values and allows objective quantitative evaluation of occlusal balance by recording numerical values for occlusion times

    Time frame: Follow up visits were scheduled at denture insertion, 6, and 12 months

  3. Biting force

    Biting force will be measured by bite force meter

    Time frame: Follow up visits were scheduled at denture insertion, 6, and 12 months

  4. Disocclusion time

    will be measured by T-Scan, The latest version (T-Scan III) provides a dynamic visual evaluation of a patient's occlusion from initial tooth contact to maximum intercuspation. The system records relative force values and allows objective quantitative evaluation of occlusal balance by recording numerical values for disocclusion times

    Time frame: Follow up visits were scheduled at denture insertion, 6, and 12 months

07

Study locations

1 site
  • Cairo University
    Cairo, 4470351, Egypt
08

References and documents

Individual participant data

Plan to share: Yes — Study Protocol and Clinical Study Report

Supporting information: Study protocol, Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07250503
Lead sponsor
Al-Azhar University
Responsible party
Noha Taha Kamel Taha Alloush (Lecturer, Misr International University) — Principal investigator
First posted
Nov 26, 2025
Start date
Sep 1, 2024
Primary completion
Jan 1, 2026 (estimated)
Completion
Feb 1, 2026 (estimated)
Last update
Nov 26, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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