The aim of this study is assessing the effect of provisionalization with a glass fiber composite framework on patients' quality of life and bone height changes before the insertion of a definitive PEKKTON framework of screw-retained maxillary implant-supported prosthesis at a one-year follow-up period.
• Completely edentulous patients with Angle's Class I maxillomandibular relationship
Age ranges from 40 to 65 years old.
Adequate zone of keratinized attached mucosa (≥ 8mm) over the maxillary crest.
Absence of any medical disorder that could complicate the surgical phase or affect osseointegration.
• Patients with recent extraction (less than three months).
Patients with an inflamed ridge or candida infection
Patients with the flabby ridge.
Para functional habits.
Parallel
PROVSIONALIZATION
Procedure/Surgeryglass fiber composite as a temporary framework followed by PEKKTON definitive framework.
Oral health related to quality of life
A translated form from a validated questionnaire will be used to address the Egyptian population; all patients have to answer the same questionnaire. Each answer will be given a score from 0 to 4 where the lesser the score the better the quality of life, data will be collected, and privacy will be ensured.
Bone height changes assessments
Digital periapical radiographs (Digora System) at the time of implant loading, three months, six-months, one year post-operatively will be done utilizing periapical radiographs following the standardized long cone paralleling technique and evaluated. For further standardization, the same x-ray machine will be used at 8 milliamperes and 70 kilovolts for 0.6 seconds with a focal film distance of 35 cm. Marginal bone height changes around the implants will be evaluated using the measurement software system supplied with the Digora radiographs system.
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