Comparative Study of Mandibular Dentures Immediately Loaded on Implants or Mini-implants

NCT ID: NCT03866031

Last Updated: 2023-02-09

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

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-03

Study Completion Date

2022-12-12

Brief Summary

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3 groups of immediately Loaded implant-supported overdenture patients will be evaluated (overdentures supported by two standard-sized implant, overdentures supported by 4 mini implant d: 3.2 mm ,overdentures supported by 4 mini implant d: 2.75 mm) regarding stability, masticatory efficiency, patient's satisfaction, oral health related quality of life, Peri-implant crestal alveolar bone loss.

Detailed Description

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The implant-supported overdentures will be placed in immediate functional loading on the same day of implants placement. A direct restorative protocol will be applied to modify the existing prosthesis to implant-supported overdentures.

The evaluations of the primary outcomes will be conducted before implantation and after (1 - 3 - 6 - 12 - 18), except Peri-implant crestal alveolar bone loss will be conducted only after (0 - 3 - 6 - 12 - 18).

Conditions

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Problem With Dentures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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M:2.75

12 Patients will be provided with 4 mini implant-supported mandibular overdentures d: 2.75 mm

Group Type EXPERIMENTAL

implant-supported mandibular overdenture

Intervention Type OTHER

The implant-supported overdentures will be placed in immediate functional loading on the same day of implants placement. A direct restorative protocol will be applied to modify the existing prosthesis to implant-supported overdentures.

M3.25

12 Patients will be provided with 4 mini implant-supported mandibular overdentures d: 3.25 mm

Group Type EXPERIMENTAL

implant-supported mandibular overdenture

Intervention Type OTHER

The implant-supported overdentures will be placed in immediate functional loading on the same day of implants placement. A direct restorative protocol will be applied to modify the existing prosthesis to implant-supported overdentures.

S3.75

12 Patients will be provided with 2 standard sized implant-supported mandibular overdentures d: 3.75 mm

Group Type EXPERIMENTAL

implant-supported mandibular overdenture

Intervention Type OTHER

The implant-supported overdentures will be placed in immediate functional loading on the same day of implants placement. A direct restorative protocol will be applied to modify the existing prosthesis to implant-supported overdentures.

Interventions

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implant-supported mandibular overdenture

The implant-supported overdentures will be placed in immediate functional loading on the same day of implants placement. A direct restorative protocol will be applied to modify the existing prosthesis to implant-supported overdentures.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. the patient should be completely edentulous for at least 6 months.
2. first class jaw relation.
3. adequate bone for an implant length of at least 10 mm and diameter of at least 2.75 mm.
4. the patients should be able to speak and write in arabic.

Exclusion Criteria

1\) patients who received radiotherapy to the head or neck region for tumors. (2) a history of chemotherapy. (3) patients on long-term steroids, or bisphosphonates. (4) heavy smokers. (5) patients with physical and mental dis -abilities that interfere with the maintenance of implants.

(6) uncontrolled systematic disease that could compromise implant surgery. (7) extreme bruxism. (8) infectious disease. (9) temporomandibular joint dysfunction.
Minimum Eligible Age

25 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Damascus University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Heba M Moftah, DDS MSc

Role: PRINCIPAL_INVESTIGATOR

PhD student at Removable Prosthodontics Department, faculty of dental medicine, Damascus Univ

Mohannad H Al-saadi, DDS MSc PhD

Role: STUDY_DIRECTOR

Professor of Removable Prosthodontics, faculty of dental medicine, Damascus Univ

Khaldoun A Darwich, DDS Msc PhD

Role: STUDY_DIRECTOR

Professor of Oral and Maxillofacial surgery, faculty of dental medicine, Damascus Univ

Locations

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Removable prosthodontics department and implantation department / Faculty of dental medicine / Damascus univ

Damascus, , Syria

Site Status

Countries

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Syria

References

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Zygogiannis K, Aartman IH, Parsa A, Tahmaseb A, Wismeijer D. Implant Mandibular Overdentures Retained by Immediately Loaded Implants: A 1-Year Randomized Trial Comparing the Clinical and Radiographic Outcomes Between Mini Dental Implants and Standard-Sized Implants. Int J Oral Maxillofac Implants. 2017 Nov/Dec;32(6):1377-1388. doi: 10.11607/jomi.5981.

Reference Type BACKGROUND
PMID: 29140382 (View on PubMed)

Kanazawa M, Tanoue M, Miyayasu A, Takeshita S, Sato D, Asami M, Lam TV, Thu KM, Oda K, Komagamine Y, Minakuchi S, Feine J. The patient general satisfaction of mandibular single-implant overdentures and conventional complete dentures: Study protocol for a randomized crossover trial. Medicine (Baltimore). 2018 May;97(20):e10721. doi: 10.1097/MD.0000000000010721.

Reference Type BACKGROUND
PMID: 29768340 (View on PubMed)

ALHarthi SS, BinShabaib MS, Ahmed HB, Mehmood A, Khan J, Javed F. Comparison of peri-implant clinical and radiographic inflammatory parameters among cigarette and waterpipe (narghile) smokers and never-smokers. J Periodontol. 2018 Feb;89(2):213-218. doi: 10.1902/jop.2017.170358.

Reference Type BACKGROUND
PMID: 28777038 (View on PubMed)

Kappel S, Giannakopoulos NN, Eberhard L, Rammelsberg P, Eiffler C. Immediate Loading of Dental Implants in Edentulous Mandibles by Use of Locator(R) Attachments or Dolder(R) Bars: Two-Year Results from a Prospective Randomized Clinical Study. Clin Implant Dent Relat Res. 2016 Aug;18(4):752-61. doi: 10.1111/cid.12349. Epub 2015 May 7.

Reference Type BACKGROUND
PMID: 25950679 (View on PubMed)

Kroll P, Hou L, Radaideh H, Sharifi N, Han PP, Mulligan R, Enciso R. Oral Health-Related Outcomes in Edentulous Patients Treated With Mandibular Implant-Retained Dentures Versus Complete Dentures: Systematic Review With Meta-Analyses. J Oral Implantol. 2018 Aug;44(4):313-324. doi: 10.1563/aaid-joi-D-17-00210. Epub 2018 Feb 19.

Reference Type BACKGROUND
PMID: 29457932 (View on PubMed)

Other Identifiers

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UDDS-RemPro-01-2019

Identifier Type: -

Identifier Source: org_study_id

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