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. 2018 Apr 4;2018(4):CD012256. doi: 10.1002/14651858.CD012256.pub2

Firtell 1992.

Methods Study design: parallel‐group RCT
 Conducted in University of California, USA
 Number of centres: not stated
 Recruitment period: not stated
 Funding source: not stated
 Study duration: not stated
Participants 30 edentulous participants who had worn dentures previously were randomly assigned into two groups of 15
Interventions Preliminary impression was made with irreversible hydrocolloid in stock metal tray for 30 participants
 Group 1 ‐ final‐impression wax used. 15 randomised; 13 completed study
 Group 2 ‐ light body polysulfide impression. 15 randomised; 14 completed study
 Dentures were inserted and adjustments were recorded over one year.
Outcomes Dentures inserted were evaluated for stability, patient comfort, health of oral tissues, and need for denture adjustments, checked after 24 hours, one week, six months, and one year.
Notes Only one‐year denture adjustment results were reported; other outcomes were not reported in the study.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Fifteen patients were randomly selected for final impression materials either a light‐body polysulfide rubber or wax."
 Comment: method of randomisation not stated in the article
Allocation concealment (selection bias) Unclear risk Comment: not stated in the article
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Comment: not stated in the article, but blinding of personnel not possible
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: not stated in the article
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: three participants in the wax final‐impression group and one participant in the polysulfide group were lost to follow‐up after one year; this was not stated clearly in the text of the article.
Selective reporting (reporting bias) High risk Quote: "Complete dentures made from these impressions were checked after 24 h, one week, six months, and one year to determine denture stability, patient comfort, health of oral tissues, and need for denture adjustments."
 Comment: only denture adjustments were reported for one year as planned.
Other bias Low risk Comment: no other bias found