Influence of Mucosa Tissue Thickness on Marginal Bone Loss of Implants With Smooth Collars

NCT ID: NCT02925078

Last Updated: 2020-10-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-21

Study Completion Date

2019-12-16

Brief Summary

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The primary objective of this study is to compare the amount of implant marginal bone loss radiographically and probing depth in between thin and thick mucosa group that will receive a machined collar implant.

Null hypothesis is mucosa thickness does not affect implant marginal bone loss on implant with smooth collar.

Detailed Description

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Twenty eight adult patients who fulfill the inclusion criteria will be divided into 2 groups based upon the mucosa thickness (\<2 mm and ≥2 mm). A signed written informed consent will be obtained from all subjects. Subjects will not be screened or treated until an informed consent has been obtained. Patient information will be protected according to the privacy regulations of the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA).

The enrolled patients will receive implants with 1 mm polished collar. Implants will be restored at 4 (±1) months after placement. Outcome analyses will be performed until 1 (±1 month) year after loading and clinical and radiographic parameters will be evaluated to compare clinical outcomes between groups. The primary outcome is implant marginal bone loss and probing depth from clinical and radiographic measurements.

Conditions

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Gingival Tissue

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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<2 mm mucosa thickness

A Biohorizons Tapered Internal Implant, Laser-Lok, Resorbable Blast Textured (RBT) will be placed in subjects that have \<2 mm mucosa thickness.

Group Type OTHER

Biohorizons Tapered Internal Implant, Laser-Lok, Resorbable Blast Textured (RBT)

Intervention Type DEVICE

Placement of implant in a subject with \<2 mm mucosa thickness or a subject with ≥2 mm mucosa thickness.

≥2 mm mucosa thickness

A Biohorizons Tapered Internal Implant, Laser-Lok, Resorbable Blast Textured (RBT) will be placed in subjects that have ≥2 mm mucosa thickness.

Group Type OTHER

Biohorizons Tapered Internal Implant, Laser-Lok, Resorbable Blast Textured (RBT)

Intervention Type DEVICE

Placement of implant in a subject with \<2 mm mucosa thickness or a subject with ≥2 mm mucosa thickness.

Interventions

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Biohorizons Tapered Internal Implant, Laser-Lok, Resorbable Blast Textured (RBT)

Placement of implant in a subject with \<2 mm mucosa thickness or a subject with ≥2 mm mucosa thickness.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male or Female
* Aged ≥18
* In need of one dental implant in the Maxillary or Mandibular area, can be an anterior, premolar, or 1st molar tooth
* Natural adjacent teeth
* Bone height of ≥10mm
* Bone width of ≥5mm
* Good oral hygiene
* Stable periodontium
* Willingness to fulfill all study requirements

Exclusion Criteria

* Need bone augmentation
* Need one dental implant that is a 2nd or 3rd molar tooth
* Current smoker or quit smoking less than one year
* Pregnant or plan to get pregnant
* Uncontrolled diabetes (HbA1C \> 7)
* Medical conditions that may influence the outcome of the study (neurologic or psychiatric disorders, systemic infections )
* Current use of oral bisphosphonates
* History of IV bisphosphonates
* History of radiation therapy in the head and neck area within 4 years
* Poor oral hygiene (plaque score more than 40% based on O'Leary plaque score)
* Once a group has been filled, subjects who meet the criteria of that group will be excluded
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Hom-Lay Wang, DDS, MSD, Ph D

Professor of Dentistry and Director of Graduate Periodontics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hom-Lay Wang, DDS MSD PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Periodontics and Oral Medicine University of Michigan School of Dentistry

Locations

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University of Michigan School of Dentistry

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

References

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Berglundh T, Lindhe J. Dimension of the periimplant mucosa. Biological width revisited. J Clin Periodontol. 1996 Oct;23(10):971-3. doi: 10.1111/j.1600-051x.1996.tb00520.x.

Reference Type BACKGROUND
PMID: 8915028 (View on PubMed)

Linkevicius T, Apse P, Grybauskas S, Puisys A. The influence of soft tissue thickness on crestal bone changes around implants: a 1-year prospective controlled clinical trial. Int J Oral Maxillofac Implants. 2009 Jul-Aug;24(4):712-9.

Reference Type BACKGROUND
PMID: 19885413 (View on PubMed)

Balshe AA, Assad DA, Eckert SE, Koka S, Weaver AL. A retrospective study of the survival of smooth- and rough-surface dental implants. Int J Oral Maxillofac Implants. 2009 Nov-Dec;24(6):1113-8.

Reference Type BACKGROUND
PMID: 20162117 (View on PubMed)

Ochsenbein C, Ross S. A reevaluation of osseous surgery. Dent Clin North Am. 1969 Jan;13(1):87-102. No abstract available.

Reference Type BACKGROUND
PMID: 5249439 (View on PubMed)

Anderegg CR, Metzler DG, Nicoll BK. Gingiva thickness in guided tissue regeneration and associated recession at facial furcation defects. J Periodontol. 1995 May;66(5):397-402. doi: 10.1902/jop.1995.66.5.397.

Reference Type BACKGROUND
PMID: 7623260 (View on PubMed)

Claffey N, Shanley D. Relationship of gingival thickness and bleeding to loss of probing attachment in shallow sites following nonsurgical periodontal therapy. J Clin Periodontol. 1986 Aug;13(7):654-7. doi: 10.1111/j.1600-051x.1986.tb00861.x.

Reference Type BACKGROUND
PMID: 3531244 (View on PubMed)

Abrahamsson I, Berglundh T, Wennstrom J, Lindhe J. The peri-implant hard and soft tissues at different implant systems. A comparative study in the dog. Clin Oral Implants Res. 1996 Sep;7(3):212-9. doi: 10.1034/j.1600-0501.1996.070303.x.

Reference Type BACKGROUND
PMID: 9151585 (View on PubMed)

Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986 Summer;1(1):11-25. No abstract available.

Reference Type BACKGROUND
PMID: 3527955 (View on PubMed)

Peri-implant mucositis and peri-implantitis: a current understanding of their diagnoses and clinical implications. J Periodontol. 2013 Apr;84(4):436-43. doi: 10.1902/jop.2013.134001. No abstract available.

Reference Type BACKGROUND
PMID: 23537178 (View on PubMed)

Aparna IN, Dhanasekar B, Lingeshwar D, Gupta L. Implant crest module: a review of biomechanical considerations. Indian J Dent Res. 2012 Mar-Apr;23(2):257-63. doi: 10.4103/0970-9290.100437.

Reference Type BACKGROUND
PMID: 22945720 (View on PubMed)

Wennerberg A, Albrektsson T, Andersson B. Design and surface characteristics of 13 commercially available oral implant systems. Int J Oral Maxillofac Implants. 1993;8(6):622-33.

Reference Type BACKGROUND
PMID: 8181824 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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HUM00095933

Identifier Type: -

Identifier Source: org_study_id