Clinical Study Comparing Submerged Versus Trans-mucosal Healing of P.004 Implants in the Anterior Mandible and Maxilla

NCT ID: NCT00906425

Last Updated: 2016-03-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

145 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Study Completion Date

2013-10-31

Brief Summary

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The purpose of this study is To demonstrate that there is no difference in change in bone level around P.004 implants between 1st stage surgery and 6 months post surgery when transmucosal implant placement is compared to submerged implant placement

Detailed Description

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The primary objective of this study is to determine the level at which the bone can be maintained in relation to the implant shoulder for the P.004 two-stage implant when placed in a submerged or a trans-mucosal procedure in single tooth gaps in the anterior region. The primary parameter will be measured by radiography 26 weeks after loading of the implant.

Conditions

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Jaw, Edentulous, Partially

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Submerged healing

The Straumann Bone Level Implant(s) will be placed using a submerged healing treatment

Group Type ACTIVE_COMPARATOR

Straumann Bone Level Implant

Intervention Type DEVICE

Straumann Bone Level Implant, SLActive surface, diameter 4.1, length 8, 10, 12, and 14 mm

Trans-mucosal healing

The Straumann Bone Level Implant(s) will be placed using a trans-mucosal healing treatment

Group Type ACTIVE_COMPARATOR

Straumann Bone Level Implant

Intervention Type DEVICE

Straumann Bone Level Implant, SLActive surface, diameter 4.1, length 8, 10, 12, and 14 mm

Interventions

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Straumann Bone Level Implant

Straumann Bone Level Implant, SLActive surface, diameter 4.1, length 8, 10, 12, and 14 mm

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Males and females \>18 years of age.
* Implant placement planned in the anterior maxilla or mandible (FDI tooth numbers 21 - 25, 11 - 15, 31-35, 41-45).
* Tooth site must have a natural tooth both mesially and distally in the adjacent tooth positions
* Opposing dentition of natural teeth, or tooth or implant-supported fixed restorations.
* Adequate bone quality and quantity at the implant site to permit the insertion of a Straumann P.004 SLActive implant of 8, 10, 12, or 14 mm length.
* Presence of a sufficient band of keratinized mucosa (min. 2 mm) to allow surgical manipulation and suturing according to the protocol
* Signed informed consent document before being treated in the study

Exclusion Criteria

* Systemic disease that would interfere with dental implant therapy (e.g. uncontrolled diabetes)
* Any contraindications for oral surgical procedures
* Current untreated periodontitis or gingivitis
* Probing pocket depth of more than 4 mm at one of the adjacent teeth
* Mucosal diseases (e.g. erosive lichen planus)
* History of local irradiation therapy
* Bone augmentation procedures if the procedure require healing time of more than 12 weeks after implant placement
* Implants in adjacent position to planned implant
* Severe bruxing or clenching habits
* Heavy smokers: Patients who smoke more than 20 cigarettes per day
* Conditions or circumstances, in the opinion of the investigator, which would prevent completion of study participation.
* Patients with inadequate oral hygiene or unmotivated for adequate home care


* Lack of primary stability of the implant
* Inappropriate implant position to insert implants according to the prosthetic requirements.
* Patients with augmentation procedures requiring more than 12 weeks healing time.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut Straumann AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christoph Hammerle

Role: PRINCIPAL_INVESTIGATOR

University of Zurich

Locations

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Dr. Jeffery Ganeles

Boca Raton, Florida, United States

Site Status

Dr. William C. Martin

Gainesville, Florida, United States

Site Status

Dr. Stephen T. Chen

Melbourne, , Australia

Site Status

Prof. Wiltfang

Kiel, Schleswig-Holstein, Germany

Site Status

Michael Gahlert

München, , Germany

Site Status

Katharinenhospital

Stuttgart, , Germany

Site Status

Private Universität Witten/ Herdecke

Witten/ Herdecke, , Germany

Site Status

Dr. Luca Cordaro

Rome, , Italy

Site Status

Prof. Mariano Sanz

Madrid, , Spain

Site Status

Dr. Carl-Johan Ivanoff

Mölndal, , Sweden

Site Status

Christoph Hämmerle

Zurich, , Switzerland

Site Status

Countries

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United States Australia Germany Italy Spain Sweden Switzerland

References

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Hammerle CHF, Jung RE, Sanz M, Chen S, Martin WC, Jackowski J; this multicenter study group; Ivanoff CJ, Cordaro L, Ganeles J, Weingart D, Wiltfang J, Gahlert M. Submerged and transmucosal healing yield the same clinical outcomes with two-piece implants in the anterior maxilla and mandible: interim 1-year results of a randomized, controlled clinical trial. Clin Oral Implants Res. 2012 Feb;23(2):211-219. doi: 10.1111/j.1600-0501.2011.02210.x. Epub 2011 Jul 4.

Reference Type RESULT
PMID: 21722188 (View on PubMed)

Cordaro L, Torsello F, Chen S, Ganeles J, Bragger U, Hammerle C. Implant-supported single tooth restoration in the aesthetic zone: transmucosal and submerged healing provide similar outcome when simultaneous bone augmentation is needed. Clin Oral Implants Res. 2013 Oct;24(10):1130-6. doi: 10.1111/j.1600-0501.2012.02521.x. Epub 2012 Jun 15.

Reference Type RESULT
PMID: 22697581 (View on PubMed)

Other Identifiers

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CR 05/05

Identifier Type: -

Identifier Source: org_study_id

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