The Use of Bone-, Tooth- and Mucosa- Supported Stereolithographic Guides for Dental Implant Placement

NCT ID: NCT01027442

Last Updated: 2013-11-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2009-12-31

Brief Summary

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Introduction:

The use stereolithographic (SLA) guides may provide significant benefits in simultaneous placement of multiple implants, especially in large edentulous areas lacking anatomic landmarks for surgical reference. Planning of the implant positions prior to surgery may shorten the duration of the surgery spent by exploring and determining the suitable implant location on the edentulous alveolar crest in the standard technique . Previous studies have demonstrated the use of many SLA guide in this manner, however; most were designed to be used as placed on the alveolar crest (bone-supported) following a flap exposure, and there was no depth-control of the osteotomy drills. Further advances in stereolithography allowed flapless surgeries to be performed via mucosa-supported guides (Rosenfeld, et al. 2006c, Tardieu, et al. 2007). The use of these guides eliminates not only the time required for incision and flap exposure but post-operative patient morbidity and discomfort may also be reduced, due to the non-invasive nature of the procedure. The aim of this study is to investigate the accuracy, surgical and post-operative complications and post-loading outcomes of implants placed by the conventional and aforementioned computer-aided methods.

Detailed Description

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Conditions

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Stereolithography Dental Implants Prosthesis

Keywords

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Stereolithography Dental implants, Prosthetics positioning-errors logistic regression analysis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Conventional implant placement method

The patients in ths group will be treated by conventional, "free-hand" implant placement

Group Type PLACEBO_COMPARATOR

Dental Implants

Intervention Type DEVICE

Dental implants placed via conventional free-hand method

Computer-guidedimplant placement

In this group, the patients will be treated by implants placed via computer generated SLA guides

Group Type ACTIVE_COMPARATOR

Mucosa-supported single-type guides

Intervention Type DEVICE

Compute generated Mucosa-supported single-type guides

Bone-supported guides

Intervention Type DEVICE

Computer generated, Multiple type Bone-supported guides

Interventions

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Mucosa-supported single-type guides

Compute generated Mucosa-supported single-type guides

Intervention Type DEVICE

Bone-supported guides

Computer generated, Multiple type Bone-supported guides

Intervention Type DEVICE

Dental Implants

Dental implants placed via conventional free-hand method

Intervention Type DEVICE

Other Intervention Names

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Simplant, SAFEsystem, Materialise Dental, Leuven , Belgium Aytasarim, Classic. Odtu-Kosgep, Ankara, Turkey Thommen Medical SPI, Waldenburg, Switzerland Frident Xixe, dentsply Friadent-Turkey

Eligibility Criteria

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Inclusion Criteria

* Healthy patient with at leat one edentuşous jaw

Exclusion Criteria

* Patients with at least one edentulous jaw with healthy systemic and oral status without severe alveolar bone athrophy, major alveolar hard and/or soft tissue deficiency, mouth opening restriction, heavy smoking (\> 10 /per day) and parafunctional habits were included in the study.
* All patients were initially evaluated for the suitability of an implant supported fixed prosthesis and any patients unsuitable for such prosthetic superstructure (i.e. severe hard and soft tissue athrophy, insufficient hygiene practice etc.) were excluded.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Risus medikal, Thommen medical (Switzerland) Turkish partner

UNKNOWN

Sponsor Role collaborator

Dentsply Implants Manufacturing GmbH

INDUSTRY

Sponsor Role collaborator

Istanbul University

OTHER

Sponsor Role lead

Responsible Party

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Faculty of Dentistry

Principal Investigators

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Tayfun Ozdemir, Prof.Dr.

Role: STUDY_CHAIR

Section head: Department of Implantology, Faculty of Dentistry, Istabul University

Volkan Arısan, Dr.Med.Dent

Role: PRINCIPAL_INVESTIGATOR

Department of Oral Implantology, Istanbul University

Cuneyt Z Karabuda, Prof.Dr.

Role: STUDY_DIRECTOR

Department of Oral Implantology, Istanbul University

Locations

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Department of Oral Implantology, Faculty of Dentistry, ıstnabul University

Istanbul, Capa, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Arisan V, Karabuda ZC, Ozdemir T. Accuracy of two stereolithographic guide systems for computer-aided implant placement: a computed tomography-based clinical comparative study. J Periodontol. 2010 Jan;81(1):43-51. doi: 10.1902/jop.2009.090348.

Reference Type RESULT
PMID: 20059416 (View on PubMed)

Arisan V, Karabuda CZ, Ozdemir T. Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques. Clin Oral Implants Res. 2010 Sep;21(9):980-8. doi: 10.1111/j.1600-0501.2010.01957.x. Epub 2010 May 24.

Reference Type RESULT
PMID: 20497439 (View on PubMed)

Arisan V, Karabuda CZ, Mumcu E, Ozdemir T. Implant positioning errors in freehand and computer-aided placement methods: a single-blind clinical comparative study. Int J Oral Maxillofac Implants. 2013 Jan-Feb;28(1):190-204. doi: 10.11607/jomi.2691.

Reference Type RESULT
PMID: 23377066 (View on PubMed)

Arisan V, Bolukbasi N, Oksuz L. Computer-assisted flapless implant placement reduces the incidence of surgery-related bacteremia. Clin Oral Investig. 2013 Dec;17(9):1985-93. doi: 10.1007/s00784-012-0886-y. Epub 2012 Dec 6.

Reference Type RESULT
PMID: 23224042 (View on PubMed)

Other Identifiers

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Implant with SLA

Identifier Type: OTHER

Identifier Source: secondary_id

Stereolithographic guides

Identifier Type: -

Identifier Source: org_study_id