Dynamic Navigation System in Implantology

NCT ID: NCT04344808

Last Updated: 2020-04-14

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-30

Study Completion Date

2021-02-28

Brief Summary

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This study consists in a randomized controlled trial which objective is to assess the accuracy of a dynamic navigation system in dental implant placement in partially edentulous patients compared with the conventional freehand method.

Detailed Description

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This is a prospective randomized clinical trial.

Each patient enrolled in this trial will be randomly allocated to one group ( Navigation group or Freehand groups). Preoperative virtual planification of dental implants on a pre-acquired cone beam computed tomography (CBCT) will be performed for each patient using the same system.

During the surgical phase, depending on which group is allocated the patient one surgical approach or other will be used. Then after the surgical procedure a PROMs questionnaire will be asked to the patients.

Finally a postoperative CBCT will be performed and overlapped with the preoperative CBCT (with the implants planification) and implant position deviations between the planned and final position will be measured.

The study devices are CE- (Conformité Européenne, meaning European Conformity) marked products and used within their intended use.

Conditions

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Surgery, Computer-Assisted Dental Implants

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Patient will be unaware of which group since during the surgical procedure patient eyes' will be covered.

Outcome assessor won't take part of the clinical process and will be blinded regarding which group is allocated each patient.

Study Groups

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Navigation group

Dental implants will be placed using a dynamic computer assisted surgery system

Group Type EXPERIMENTAL

Dynamic navigation system

Intervention Type DEVICE

The navigation system allows clinicians, using a specific software, to visualize the position of the surgical drill (tip location and shaft axis direction) on the reconstructed 3D image of the pre-acquired CBCT. The software guides the surgeon, in real-time, to the preoperative planned position.

Freehand group

Dental implants will be place without any guidance. Only virtually planning the ideal position on a 3D image (Cone beam computed tomography)

Group Type ACTIVE_COMPARATOR

Freehand implant placement

Intervention Type DEVICE

Dental implants will be placed without any guidance once a virtually planning of the ideal position on the CBCT is done

Interventions

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Dynamic navigation system

The navigation system allows clinicians, using a specific software, to visualize the position of the surgical drill (tip location and shaft axis direction) on the reconstructed 3D image of the pre-acquired CBCT. The software guides the surgeon, in real-time, to the preoperative planned position.

Intervention Type DEVICE

Freehand implant placement

Dental implants will be placed without any guidance once a virtually planning of the ideal position on the CBCT is done

Intervention Type DEVICE

Other Intervention Names

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Dynamic computer assisted surgery Non-guided implant placement

Eligibility Criteria

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Inclusion Criteria

* Partially edentulous patients that requires at least the placement of one dental implant
* Healthy patients ASA I and II (American Society of Anesthesiologists classification)
* Over 18 years old patients

Exclusion Criteria

* Totally edentulous patients
* Systemic or local conditions that contraindicates dental implant surgery
* Patients with less than 3 teeth in the jaw.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Barcelona

OTHER

Sponsor Role lead

Responsible Party

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Rui Figueiredo

Associate Professor. PhD, MD, DDS

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adrià Jorba-García

Role: PRINCIPAL_INVESTIGATOR

University of Barcelona

Rui Figueiredo

Role: STUDY_DIRECTOR

University of Barcelona

Eduard Valmaseda-Castellón

Role: STUDY_CHAIR

University of Barcelona

Octavi Camps-Font

Role: STUDY_CHAIR

University of Barcelona

Javier Bara-Casaus

Role: STUDY_CHAIR

University of Barcelona

Locations

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Universitat de Barcelona

Barcelona, , Spain

Site Status

Countries

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Spain

Central Contacts

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Adrià Jorba-García, DDS

Role: CONTACT

0034 699183949

Rui Figueiredo

Role: CONTACT

Facility Contacts

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Adrià Jorba-García, DDS

Role: primary

0034 699183949

References

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Vercruyssen M, Fortin T, Widmann G, Jacobs R, Quirynen M. Different techniques of static/dynamic guided implant surgery: modalities and indications. Periodontol 2000. 2014 Oct;66(1):214-27. doi: 10.1111/prd.12056.

Reference Type BACKGROUND
PMID: 25123770 (View on PubMed)

Aydemir CA, Arisan V. Accuracy of dental implant placement via dynamic navigation or the freehand method: A split-mouth randomized controlled clinical trial. Clin Oral Implants Res. 2020 Mar;31(3):255-263. doi: 10.1111/clr.13563. Epub 2019 Dec 29.

Reference Type BACKGROUND
PMID: 31829457 (View on PubMed)

D'haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol 2000. 2017 Feb;73(1):121-133. doi: 10.1111/prd.12175.

Reference Type BACKGROUND
PMID: 28000275 (View on PubMed)

Jorba-Garcia A, Figueiredo R, Gonzalez-Barnadas A, Camps-Font O, Valmaseda-Castellon E. Accuracy and the role of experience in dynamic computer guided dental implant surgery: An in-vitro study. Med Oral Patol Oral Cir Bucal. 2019 Jan 1;24(1):e76-e83. doi: 10.4317/medoral.22785.

Reference Type BACKGROUND
PMID: 30573712 (View on PubMed)

Block MS, Emery RW. Static or Dynamic Navigation for Implant Placement-Choosing the Method of Guidance. J Oral Maxillofac Surg. 2016 Feb;74(2):269-77. doi: 10.1016/j.joms.2015.09.022. Epub 2015 Sep 30.

Reference Type BACKGROUND
PMID: 26452429 (View on PubMed)

Emery RW, Merritt SA, Lank K, Gibbs JD. Accuracy of Dynamic Navigation for Dental Implant Placement-Model-Based Evaluation. J Oral Implantol. 2016 Oct;42(5):399-405. doi: 10.1563/aaid-joi-D-16-00025. Epub 2016 Jun 6.

Reference Type BACKGROUND
PMID: 27267658 (View on PubMed)

Jung RE, Schneider D, Ganeles J, Wismeijer D, Zwahlen M, Hammerle CH, Tahmaseb A. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants. 2009;24 Suppl:92-109.

Reference Type BACKGROUND
PMID: 19885437 (View on PubMed)

Other Identifiers

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NavigationSystem

Identifier Type: -

Identifier Source: org_study_id

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