Trial Outcomes & Findings for Short vs Long Dental Implants for the Fixed Rehabilitation of the Fully Edentulous Mandible (NCT NCT03509402)

NCT ID: NCT03509402

Last Updated: 2025-01-13

Results Overview

Marginal bone level (MBL) is measured as the distance in millimiters calculated on periapical radiographs from the implant neck to the most coronal bone-to-implant contact point at both the mesial and the distal side of each implant. The radiographs will be taken with an X-ray apparatus supplied with a long cone and Rinn's film holders.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

5 years from baseline (prosthetic loading)

Results posted on

2025-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
Short Implants
A full-arch screw-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm)
Long Implants
A full-arch srew-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal long implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm)
Overall Study
STARTED
15
15
Overall Study
COMPLETED
13
14
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Short vs Long Dental Implants for the Fixed Rehabilitation of the Fully Edentulous Mandible

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Short Implants
n=15 Participants
A full-arch screw-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm)
Long Implants
n=15 Participants
A full-arch srew-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal long implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm)
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
63 years
STANDARD_DEVIATION 6.3 • n=5 Participants
61 years
STANDARD_DEVIATION 8.6 • n=7 Participants
63 years
STANDARD_DEVIATION 7.5 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
3 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
12 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Italy
15 participants
n=5 Participants
15 participants
n=7 Participants
30 participants
n=5 Participants
Smoking habit
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 years from baseline (prosthetic loading)

Marginal bone level (MBL) is measured as the distance in millimiters calculated on periapical radiographs from the implant neck to the most coronal bone-to-implant contact point at both the mesial and the distal side of each implant. The radiographs will be taken with an X-ray apparatus supplied with a long cone and Rinn's film holders.

Outcome measures

Outcome measures
Measure
Short Implants
n=13 Participants
A full-arch screw-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm)
Long Implants
n=14 Participants
A full-arch srew-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal long implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm)
Marginal Bone Level (MBL) Change
0.30 mm
Standard Deviation 0.31
0.40 mm
Standard Deviation 0.23

SECONDARY outcome

Timeframe: 5 years from baseline (prosthetic loading)

A surviving implant is defined as an implant in place at the time of the follow-up. Any implant loss shall be assessed as an early loss (implant fails before being osseointegrated) or late loss (after being osseointegrated).

Outcome measures

Outcome measures
Measure
Short Implants
n=13 Participants
A full-arch screw-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm)
Long Implants
n=14 Participants
A full-arch srew-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal long implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm)
Implant Survival Rate
65 Implants
70 Implants

SECONDARY outcome

Timeframe: 5 years from baseline (prosthetic loading)

A surviving prosthesis is defined as still in place at the time of the follow-up.

Outcome measures

Outcome measures
Measure
Short Implants
n=13 Participants
A full-arch screw-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm)
Long Implants
n=14 Participants
A full-arch srew-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal long implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm)
Prosthesis Survival
13 Prostheses
14 Prostheses

SECONDARY outcome

Timeframe: 5 years from baseline (prosthetic loading)

Peri-implant mucositis and peri-implantitis

Outcome measures

Outcome measures
Measure
Short Implants
n=13 Participants
A full-arch screw-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm)
Long Implants
n=14 Participants
A full-arch srew-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal long implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm)
Biological Complications
2 Participants
3 Participants

SECONDARY outcome

Timeframe: 5 years from baseline (prosthetic loading)

Technical complications are categorized in minor and major complications. The formers require only chair-side repair and include screw loosening and veneer material fracture. The latters require additional laboratory procedures and/or replacement components and include prosthesis or framework fracture, screw fracture, implant fracture, and extended wear requiring veneer renewal.

Outcome measures

Outcome measures
Measure
Short Implants
n=13 Participants
A full-arch screw-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: 6 mm)
Long Implants
n=14 Participants
A full-arch srew-retained mandibular prosthesis with distal cantilevers supported by five interforaminal short implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm) ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm: Rehabilitation of the edentulous mandible by a full-arch srew-retained prosthesis with distal cantilevers supported by five interforaminal long implants (ASTRA TECH Implant System, OsseoSpeed™ 4.0 S, length: ≥11mm)
Technical Complications
7 Participants
5 Participants

Adverse Events

Short Implants

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Long Implants

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof. Marco Annunziata

University of Campania "Luigi Vanvitelli"

Phone: 0815665515

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place