Dentistry Commons^™

Investigation Of Fracture Resistance With Different Diameters Of Polyetherketoneketone Post And Core Materials: A Pilot Study, Maya Kabbara, Ryan Harouny, Habib Rahme

International Arab Journal of Dentistry

Objectives: The primary objective of this study is to investigate the resistance to fracture of Polyetherketoneketones PEKK, used as post and core by fabrication in different diameters in the canal, and comparing the test results for each group.

Methods: Thirty extracted mandibular premolars were selected, endodontically treated and prepared to receive the post and cores milled from polyetherketoneketone disk. The specimens were randomly divided into five groups (n = 6) respectively: group 1 received pekk post with diameter = 0.70 mm, group 2 received pekk post with diameter = 0.90 mm, group 3 received pekk post with diameter …

Digital Assessment Of Soft And Hard Tissue Alterations After Anterior Maxillary Tooth Extraction, Robin Jalkh, Stephanie Mrad, Emile Chrabieh, Joe Bassil

International Arab Journal of Dentistry

Objectives: This study aimed to assess dimensional alterations in soft and hard tissues 12 weeks post-extraction using novel computerized methods. Secondary objectives included exploring potential correlations between soft tissue changes and underlying bone variations, as well as investigating relationships between soft and hard tissue alterations and various contributing factors.

Methods: For all patients, preoperative and postoperative CBCT scans and intra-oral scans were obtained. Soft and hard tissue dimensions before extraction and at 12 weeks post-extraction were measured using 3D-slicer software. Both DICOM and STL files were superimposed, and measurements were taken at 2mm and 4mm from the facial …

Bone-To-Implant Surface Contact As A Criterion For Immediate Implant Placement With Simultaneous Sinus Augmentation In The Upper Molars' Interradicular Bone: A Radiological Cbct Study, Nawal Baba, Nabil Ghosn, Abdel Rahman Kassir, Lara Nasr, Gabriel Menassa, Carole Chakar

International Arab Journal of Dentistry

Objectives: The aim of this study is to determine which type of vertical relationship (between molar apices and the sinus floor) is correlated with the most favorable bone to implant contact (BIC).

Methods: The CBCT database of the Faculty of Dental Medicine was used for datasets. For each dataset, a prosthetically-driven virtual implant placement was placed in the remaining interradicular bone. Potential BIC was measured using two different implant macrogeometries (straight and tapered).

Results: The study included 20 maxillary molars with divergent root anatomy: 90% of the molars had a type II vertical relationship with the sinus …

Ai And Radiologist Assessments On The Prevalence Of Tmj Osteoarthritis Using Radiographic Images: A Comparative Study, Louloua Mourad, Nayer Abo El Saad, Yehia El Mahallawy

International Arab Journal of Dentistry

Objectives: This study aims to address the significant discomfort and functional impairment associated with temporomandibular joint osteoarthritis (TMJ OA), which negatively impacts the quality of life. It emphasizes the importance of prompt diagnosis and explores the potential of an Artificial Intelligence (AI) system to enhance TMJ OA diagnosis.

Methods: The prevalence of TMJ OA was evaluated using 3 diagnostic tools: the gold standard, the AI model, and an examiner. In total, 132 patients who performed 190 cone-beam computed tomography (CBCT) images were included.

Results: The prevalence of TMJ OA was 62.11% using the gold standard, 63.68% using …

Assessment And Quantification Of The Microbial Flora In The Output Water Of Two Types Of Dental Chairs: A Comparative Study, Khalil Kharma, Louis Hardan, Cynthia Kassis, Rim Bourgi, Regina Geitani, May Mallah, Elie Maalouf, Carina Mehanna Zogheib

International Arab Journal of Dentistry

Objectives: Dental Unit Waterlines (DUWL) have shown to be a perfect host for different pathogenic microorganisms. The purpose of this study was to analyze and compare the level of bacterial contamination in the output water of 2 types of DUWL.

Methods: Dental unit water samples from the air/water syringe of the A-dec (A-dec™ Performer 200, Newberg, USA) DUWL type and KaVo (ESTETICA™ E30/E70/E80 Vision, Kavo, Biberach, Germany) type were collected and analyzed for total aerobic flora, Pseudomonas aeruginosa, faecal coliforms, total coliforms, faecal streptococci and sulfite-reducing anaerobic flora.

Results: The bacteriological analysis of water samples shows the …

Comparative Evaluation Of Surface Changes And Bond Strength Of Microabrasion-Bleached Enamel Before And After Remineralization With Nano-Hydroxyapatite Paste: An In Vitro Study, Ridhi Dube, Anita Sanap Tandale, Twinkle Kishore Talreja, Karishma Krishnakumar, Prajakta Kokate, Vaishnavi Jemini Kasat

International Arab Journal of Dentistry

Objectives: Comparative evaluation of surface changes and bond strength of Microabrasion Bleached enamel before and after Remineralization with Nano-hydroxyapatite paste, an In vitro study.

Methods: Enamel samples were divided into - Group I - Conventional bleaching (HB), Group II - Conventional bleaching with remineralization (HB+N-Hp), Group III - Microabrasion-assisted bleaching(M+HB), and Group IV - Microabrasion-assisted bleaching with remineralization(M+HB+NHp). Surface roughness was measured using a profilometer. Samples were stored in artificial saliva for two weeks, then bonded with nanofilled composite resin and subjected to shear bond strength (SBS) analysis.

Results: Group IV (M+HB+N-Hp) showed higher surface roughness than …

Aesthetic Rehabilitation Of A Complex Crown-Root Fracture By Fragment Reattachment With A Fiber-Reinforced Post: A Case Report, Sarra Saidi, Meriem Fejjeri, Mahdi Tlili, Sabra Jaafoura, Nadia Frih

International Arab Journal of Dentistry

Complex crown-root fractures are characterized by the involvement of both crown and root with pulp exposure. They pose aesthetic, functional, and psychological problems for the patient. Furthermore, they can pose technical difficulties for the practitioner. The purpose of this case report is to describe the management of a complex crown-root fracture of the right upper central incisor with subgingival limit by reattaching the tooth fragment with fiber-reinforced post. We considered a coronal elongation (gingivectomy and osteoplasty) to recreate the biological space and to expose the limit of the fracture line to guarantee the quality of the bond.

Diagnosis And Endodontic Treatment Of Odontogenic Cutaneous Sinus Tracts: A Report Of Two Cases, Mayada Jemâa, Marwenne Bouatay, Yesmine Neifar, Mohamed Bassem Khattech

International Arab Journal of Dentistry

Introduction: The odontogenic cutaneous sinus tract (OCST), caused by pulp necrosis, creates connections between pathological spaces and anatomical structures. Extraoral manifestations pose diagnostic challenges leading to inappropriate treatments such as multiple surgery and antibiotic therapies. Effective management requires the treatment of dental pathology through endodontic therapy or extraction. This paper presents two cases of OCST and emphasizes the importance of accurate diagnosis and successful non-surgical endodontic treatment.

Observations: Case report 1: A 23-year-old male patient referred by his dermatologist with a cutaneous sinus tract on his chin that had appeared five years ago. During this period, he reported …

Endocrown, From Preparation To Bonding: Case Report, Amira Yousfi, Rihab Dakhli, Jilani Saafi, Belhassen Harzallah

International Arab Journal of Dentistry

The restoration of endodontically treated teeth is a real challenge, particularly teeth with extensively damaged coronal tissues. The use of post-retained restorations has been discussed because of the potential tooth weakening due to the additional removal of sound dental structures. In fact, long-term prognosis of a devitalized tooth is closely related to the coronal restoration’s quality and the remaining dental structure. With the development of adhesive dentistry and minimally invasive preparation, new approaches have emerged. Among them, the endocrown which is monolithic ceramic bonded restoration, anchored to the internal portion of pulp chamber and cavity margins that have been used …

Comparative Study Of Dynamic Cyclic Fatigue Resistance Of Two Files With Different Kinematics, Rahma Abdelshafy, Abeer Mahran, Mahmoud Fahim

International Arab Journal of Dentistry

Objectives: The aim of the study was to determine the dynamic cyclic fatigue resistance (DCFR) of R-motion file and Protaper Next file (PTN) by differential scanning calorimetry (DSC) and scanning electron microscopy (SEM).

Methods: R-motion file (25/.06), PTN file (25/.06) were used and divided into 2 groups (n = 28) according to the file type. DCFR was performed using an artificial canal. Files were allowed to work until separation. The numbers of cycles to failure (NCF) and the time to fracture (TTF) were calculated. The files were subjected to DSC and SEM.

Results: R-motion files had higher …

Clinical Assessment Of The Abutment Teeth Of Children Undergoing Space Maintainer Therapy: A Randomised Controlled Trial, Ayesha Fathima, Ganesh Jeevanandan, Prabhadevi Maganur, Suman Panda, Ather Syed Ahmed, Satish Vishwanathaiah

International Arab Journal of Dentistry

Introduction: The band and loop space maintainer are one of the most commonly used fixed space maintainers in children. However, prolonged use of appliances in the oral cavity may lead to changes in gingival health and an increased risk of caries.

Objectives: This study aims to evaluate the clinical parameters of the abutment teeth, specifically the banded teeth and the tooth to which the loop is extended.

Methods: This prospective clinical study included 35 children between the age group of 5 to 9 years. The children were examined at baseline and 6-month follow-up. The abutment teeth were …

Clinical Management Of Mandibular Permanent Premolars With Periapical Lesion And Bilateral Supernumerary Teeth: A 7-Year Follow-Up Case Report, Chiara Pirani, Shehabeldin Saber, Francesco Iacono

International Arab Journal of Dentistry

Objectives: This 7-years follow-up case report describes two diversified strategies for the management of bilateral mandibular permanent premolars associated with periapical lesion and unerupted supernumerary teeth.

Case Report: A non-syndromic 9 years-old Asian female patient presented pain and swelling of the 35 in anatomical contiguity with an immature and unerupted supernumerary tooth. Clinical examination revealed an intraoral vestibular sinus tract related to the necrotic 35. Periapical radiography and CBCT showed that the 35 had an immature apex associated with a periapical lesion, and a supernumerary tooth in a lingual direction. Endodontic treatment of the 35 was performed by creating …

Assessment Of Clinical Performance Of Universal Adhesives Versus Other Adhesive Systems: A Systematic Review And Meta-Analysis Of Clinical Trials, Rim Bourgi, Naji Kharouf, Carlos Enrique Cuevas-Suárez, Cynthia Kassis, Ana Josefina Monjaras-Avila, Mohammad Qaddomi, Sophie Abi Raad, Mohammed Al Hasani, Youssef Haikel, Louis Hardan

International Arab Journal of Dentistry

Universal adhesives (UAs) often exhibit comparable or even superior bond strength to traditional adhesive systems, ensuring reliable and long-lasting adhesion between the resin composite and the tooth structure. Therefore, this study aimed to assess the clinical performance of UAs compared to other adhesive systems in direct resin composite restorations through a systematic review and meta-analysis. Two reviewers executed a literature search in five electronic databases: PubMed, EMBASE, Scopus, Web of Science, and Scielo. Clinical trials comparing the clinical evaluation of resin composite restorations in Class I, Class II, or Class V cavities placed with an universal adhesive (UA) system against …

Does The Application Of Polywave Light-Curing Units Influence Physico-Mechanical Properties Of Resin-Based Materials? A Meta-Analysis Of In Vitro Studies, Miguel Ángel Fernández-Barrera, Rim Bourgi, Abigailt Flores-Ledesma, Cristina Pereira Isolan, Vincenzo Tosco, Bogdan Dimitriu, Carlos Enrique Cuevas-Suárez, Monika Lukomska-Szymanska, Louis Hardan

International Arab Journal of Dentistry

The objective of this study was to systematically review the existing literature and to assess the effect of the use of polywave light-curing units on the properties of resin-based materials. A thorough search was conducted across five electronic databases: PubMed (MedLine), ISI Web of Science, SciELO, Scopus, and EMBASE. Inclusion criteria comprised in-vitro studies that compared the effects of polywave light-emitting diode (LED) curing units with monowave LED curing units on resin-based material properties. Two reviewers evaluated the methodological quality of the included studies, considering parameters from previous systematic reviews. Meta-analyses were conducted using Review Manager version 5.3.5 (The Cochrane …

Does Reduced Taper Canal Preparation Increase The Load Capacity Of Endodontically Treated Teeth?, Mostafa M.A. Elkholy, Omar Mahmoud Noureldin, Hala Fayek Khalil, Shehabeldin M. Saber

International Arab Journal of Dentistry

Objectives: The aim of this in-vitro study is to assess and compare the load capacity of teeth with canals prepared using progressive taper versus regressive taper.

Methods: Twenty-seven extracted mandibular molars were categorized into three equal groups. The negative control group involved teeth that were accessed and restored with composite resin without canal preparation. The regressive canal preparation group used the TruNatomy file system, while the progressive canal preparation group employed the ProTaper Gold system. Subsequently, all samples underwent loading using a universal testing machine until tooth fracture occurred. The force required to fracture each tooth was recorded …

Caries Risk Prediction In Pediatric Patients Using Machine Learning Techniques: A Retrospective Study, Nagarathna P J, Vishnu Priya Veeraraghavan, Aysha Jebin A, Shikar Daniel, Kaladhar Reddy Aileni, Santosh R Patil

International Arab Journal of Dentistry

Introduction: Dental caries is a multifactorial disease prevalent in children and is often influenced by behavioral, environmental, and genetic factors. Traditional caries risk assessment methods have a limited accuracy and objectivity. Machine learning (ML) models provide a data-driven approach for predicting caries risk, thereby enabling targeted interventions.

Objectives: The main objective of this study is to develop and validate ML models for predicting caries risk in pediatric patients aged 6–12 years by incorporating clinical, behavioral, dietary, and socioeconomic factors.

Methods: This retrospective observational study included 148 children aged 6–12 years. Data, including demographic details, Decayed Missing Filling …

Evaluation Of Post Operative Pain After Obturation Using Two Different Types Of Sealer: A Randomized Clinical Trial, Sara Amin, Mohamed Kataia, Hala Khalil

International Arab Journal of Dentistry

Objective: This study aims to assess the impact of bioceramic and resin based sealers on post endodontic pain after endodontic treatment performed in single visit.

Methods: In this study, forty patients in need of endodontic therapy were chosen. single visit endodontic treatment was done for the patients but obturated using two different types of sealers: in Group 1: AH Plus sealer was used and in Group 2: EndoSequence BC sealer Hiflow was used. Post endodontic pain was measured for 12,24,48 and 72 hours postoperatively.

Results: Both sealer groups’ post-endodontic pain levels did not significantly differ from one …

Analysis Of Changes In Gingiva-Occlusal Parameters As Perceived By Three Middle-East Populations, Nadine Nachabeh, Tony Daher, Elie Maalouf, Khalil Kharma, Eliane Kaydouh, Carina Mehanna

International Arab Journal of Dentistry

Purpose. This study aims to compare the effect of various smile parameters (buccal corridor, gummy smile, midline to face discrepancy, with and without upper lip filling) on the perception of smile attractiveness by applying the digital modification of images judged by one hundred and eighty laypersons from different Middle East populations.

Materials and Methods. A frontal photo of a woman’s smile is manipulated with Photoshop to modify each smile parameter gradually into 3 grades. The total number of smiles to be assessed is 18. One hundred and eighty participants divided into 3 groups (n=60: 30 men and 30 women): …

The Root Canal Morphology Of Premolars In A Sample Of The Lebanese Population: Clinical Considerations, Marie-José Merhej, Roula El Hachem, Hala Sacre, Pascale Salameh, Nabil Ghosn, Alfred Naaman

International Arab Journal of Dentistry

Objectives: The aim of this study was to investigate the root anatomy of the maxillary and mandibular premolars among a sample of the Lebanese population and to explore their incidence by sex and the symmetry between the left and right sides.

Materials and Methods: This retrospective analysis of 250 cone-beam computed tomography (CBCT) scans consisted of 960 maxillary and 972 mandibular premolars. Roots, canals, and morphology types were recorded. Vertucci’s classification was used to categorize the canal morphologies. Fisher’s exact and chi-square tests were applied (P≤.05).

Results: The majority of maxillary first premolars had two roots (85.3%) with …

An Update Of Additive Manufacturing (3d Printing) Technology In Dentistry, Rami Saleh Al Fodeh, Ahed Al-Wahadni, Baker Otman, Mahmoud Almasri

International Arab Journal of Dentistry

Background: The development of procedures known as additive manufacturing, which aim to produce more complex items with a lower overall material consumption compared to processes known as subtractive manufacturing. In addition, in recent years there has been a significant rise in the quantity of dental materials that are produced via the use of these techniques. As a consequence of this, scientific research has been concentrating more and more on such technologies, particularly in order to shed light on the methodology, indicators, and boundaries of the emerging technology.

Methods: The purpose of this paper is to provide a narrative …

Recent Innovations And Technological Advancements In Dentistry And Medicine, Karthik Rajaram Mohan, Saramma Mathew Fenn, Ravikumar Pethagounder Thangavelu

International Arab Journal of Dentistry

The newer innovations play an important role in the earlier diagnosis of dental caries based on near-infrared transillumination imaging such as Diagnocam and Soprocare intraoral digital cameras, which aid in the diagnosis of dental caries and also differentiate old and newer dental plaques, respectively. Nanoparticles used as carriers for effective and targeted drug therapies in the treatment of rheumatoid arthritis of the temporomandibular joint (TMJ) and candidiasis among chronic denture wearers provided better-increased bioavailability than oral formulations. Artificial intelligence (AI) uses machines to simulate intelligent human behavior. Augmented reality has been presented as a cognitive extension of AI in health …

Compound Odontoma: A Clinical Case Presentation, Georgina El Ghoule, Bassam Salameh, Wassim Al Manhal

International Arab Journal of Dentistry

Odontomas are asymptomatic benign odontogenic tumors, generally discovered fortuitously, or when a tooth failed to erupt. They are mainly composed of enamel and dentin, cement and pulp tissue can also be present in variable amounts. In 2005, the World Health Organization classified two main types of odontoma, an amorphous and irregular mass of calcified dental tissues as complex odontoma and multiple miniature tooth-like structures as compound odontoma. This article is a case presentation of a compound odontoma diagnosed for an eleven year old girl upon a routine radiography, making it a lesion of childhood /adolescence. A retro-alveolar radiography of the …

Distal Cantilever Length Comparison In Esthetic Materials For Hybrid Implant Prostheses: An In Vitro Study, Sana Shams Eddin, Elie Jasser, Mohammad Chams Eddin, Carole Abi Ghosn Yared, Joseph Makzoumi, Paul Boulos

International Arab Journal of Dentistry

Objective: the assessment of distal cantilever length in implant supported prothesis (Hybrid prosthesis) by comparing the load to fracture in two different esthetic framework materials (Zirconia and Polyetheretherketone (PEEK)) with two different cantilevers loading distances (10mm, 15mm).

Material and methods: 20 frameworks were fabricated and divided into 4 groups (n=5): according to the material type, Peek, zirconia, and according to the cantilever loading distance (10), or (15) mm and a load-to-fracture test was used until complete fracture of specimens occurs.

Results: The effect of material type and cantilever loading distance were statistically significant for the mean load-to-fracture …

Management Of Pulpal Floor Perforation Using Biodentine™: Case Report, Chaima Bouhajja, Mayada Jemâa, Mohamed Bassem Khattech

International Arab Journal of Dentistry

During endodontic treatment in multi-rooted teeth, furcation perforation refers to an opening in the pulpal floor, leading to a communication with the periodontal ligament space. A three-dimensional hermetic seal, with a biocompatible material, is a key point for the success of pulp floor perforation repair. MTA® has been considered, for a long time, as a gold standard in furcation perforation repair. Besides, BiodentineTM, when used for the same purpose, showed considerable performance and good results. The purpose of this paper was to report the management of an iatrogenic perforation of pulpal floor in the maxillary right first molar, using BiodentineTM.

Pharmacological Management Of Oral Lesions, Tanishka Taori, Bhinika Wadher, Shefali Maheshwari, Swapnil Mohod, Suwarna Dangore

International Arab Journal of Dentistry

Oral ulcerations caused by aphtous lesions, leukoplakia, scarlet fever, syphilis, NOMA, mucormycosis herpetic lesions, candidiasis, discoid lupus erythematous, ulcerative lichen planus, mucous membrane pemphigoid, spongy nevus, oral submoucs fibrosis and pemphigus vulgaris are treated in a step-up fashion that may include topical, intralesional, and systemic pharmaceutical treatment. This page discusses the most often used therapy agents, methods, and dosages. Although the emphasis is on local pharmacologic therapy, systemic illnesses that frequently occur with such oral lesions are briefly discussed, as is the appropriate care.

Effect Of Low-Level Laser On Miniscrew Displacement During Canine Retraction: A Randomized Controlled Clinical Trial, Aly Osman, Nadia El Harouni, Mohamed Shokry

International Arab Journal of Dentistry

Background: Anchorage is an important consideration for successful orthodontic treatment. Skeletal anchorage by miniscrews provided better anchorage control then the ordinary extra-oral and intra-oral appliances. However, the stability of the miniscrews is still questionable since they might move under orthodontic loading.

Objectives: The aim of this study was to evaluate the effect of Low Level Laser on the miniscrew displacement when subjected to orthodontic force during canine retraction using CBCT.

Methods: Twelve patients who required bilateral extraction of upper first premolar and absolute anchorage were recruited from the outpatient clinics of the Department of Orthodontics, Faculty of …

Efficiency Of Hyaluronic Acid Versus Red Injectable Platelet-Rich Fibrin (I-Prf) In Treatment Of Stage Iii Periodontitis: Randomized Controlled Clinical Trial, Toleen Mazloum, Ghanem Abdullah, Ghassan Amhaz, Nayer Aboelsaad

International Arab Journal of Dentistry

Introduction: This study aims to compare clinical efficacy of red injectable platelet-rich fibrin (i-PRF) and hyaluronic acid (HA) as adjuncts to professional mechanical plaque removal (PMPR) in non-surgical management of stage III periodontitis.

Methods: 75 patients were split into groups: group one (G1) received HA, group two (G2) received red i-PRF, and group three (G3), received only PMPR. Periodontal evaluation was done at baseline, 4th, 8th, and 12th weeks following treatment.

Results: The plaque index, gingival index, and bleeding on probing were significantly improved in all groups. Moreover, the probing depth in all three groups displayed lower …

Leukocytic Platelet Rich Fibrin (L-Prf) Versus Subepithelial Connective Tissue Graft (Sctg) Using Tunneling Technique In Treatment Of Gingival Recession: Randomized Controlled Clinical Study, Joulia Jouni, Ahmed Bader, Nayer Aboelsaad

International Arab Journal of Dentistry

Introduction: Gingival recession is a problem encountered daily in clinical practice, its etiology is often a multifactorial one. Surgical treatment is the only method to reverse this condition.

Objective: to evaluate the effectiveness of leukocytic platelet rich fibrins (L-PRF) versus subepithelial connective tissue graft (SCTG) in the management of recession defects Miller’s class I or II (RT1) using the tunnel technique (TUN). Methods: 20 systemically healthy patients were allocated randomly to TUN with L-PRF (group A), and TUN with SCTG (group B). Probing depth, clinical attachment level, recession depth, width of keratinized tissue, gingival thickness, and recession esthetic …

The Effect Of Bevel On Fracture Resistance Of Gic Restorations In Primary Molars: An In Vitro Study, Audrey Fikani, Lara Nasr, Elie Khoury, Marianne Freiha, Marc Krikor Kaloustian, Feriale Abi Zeid Daou, Melissa Chaaya, Marlene Khoury

International Arab Journal of Dentistry

Introduction: Glass ionomer cements (GICs) are commonly used for restorations in primary molars due to their adhesive, hydrophilic, and bioactive properties. However, their low mechanical resistance may limit their use in proximal cavities. Recent advancements in GICs, such as the high viscosity GIC EQUIA Forte®, have improved their mechanical properties. The effect of a Cavo superficial bevel on the mechanical strength of GIC restorations has been previously studied.

Objectives: To investigate the effect of a Cavo superficial bevel on fracture resistance and the type of fracture (adhesive, cohesive, or catastrophic) in EQUIA Forte® GIC restorations in primary molars. …

Influence Of The Margin Design On The Fracture Resistance Of Implant Supported Monolithic Zirconia Crowns: An In Vitro Study, Camille Haddad, Ryan Harouny, Karim Corbani, Lara Nasr, Ronn Tassidis

International Arab Journal of Dentistry

Introduction: The purpose of this in vitro study was to test the influence of the margin design of implant supported monolithic zirconia crowns and test if monolithic zirconia crowns with extra fine finish line thickness cemented on zirconia implant abutments can bare the maximum masticatory forces on molars and hence be used in the posterior region.

Methods: Fourteen identical monolithic zirconia crowns cemented on zirconia implant abutments mounted on titanium bases and fixed on implant replicas embedded in PMMA resin were divided into two groups: group I designed with a 0.5 mm CFL (CFL) and group II with …