Comparison of Patient Satisfaction and Primary Implant Stability Between Two Different Magnetic Attachment

NCT ID: NCT04438616

Last Updated: 2020-06-19

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

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-01

Study Completion Date

2021-04-30

Brief Summary

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* Patients were randomly divided in to two groups by using computerized software ; the first group received flat magnetic attachment design while the second group received dome magnetic attachment design.which the inclusion criteria is completely edentulous patient ,Age range from 40 to 70 year old ,skeletal class 1, both sexes
* Implant stability will be measured for both groups using smart peg /osstell at the day of implant installation and after 2,4,8,12 weeks.
* Patient satisfaction measure in 2 weak and after 12 weak by Denture satisfaction questionnaire

Detailed Description

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* The selected patients will be informed of the nature of the research work and informed consent will be obtained then randomized in equal proportions between control group flat magnetic attachment design and study group dome magnetic attachment design technique
* Radiographic examination included a preoperative digital panoramic radiograph with 1:1 magnification for each patient as a primary survey to obtain an approximation of the available bone height and detect the presence of remaining roots and localized pathosis.
* All patients will receive complete denture before implant installation .Constructed as the following
* Primary impression to construct diagnostic cast and special tray .
* Secondary impression with selective pressure impression technique to have master caste and occlusion block
* Face bow transfer and centric relation record will be utilized to mount the master cast on semi adjuctable articulator ,then setting the teeth and trying the denture in patient mouth.
* Processing of acrylic and lab remounting ,then delivery of the denture.
* The complete denture will be duplication to be used as a guide to fabricate the radiographic stent after placement radio opaque marker in two lower canines then send patient to perform CBCT and these duplicate denture use as surgical template to place two implant.
* CBCT machine: planmeca / CBCT soft ware : blue sky / FOV: single arch mandible /voxel size :400 Mm ( KV:90 / MA: 8 / S:11,997)
* The CBCT examination where performed in radiology department / collage of dentistry /cairo university
* serial follow up CBCT not need
* Patients were randomly divided in to two groups by using computerized software ; the first group received flat magnetic attachment design while the second group received dome magnetic attachment design e. All surgeries were performed by the same prosthodontic.
* All surgical procedures were performed under strict aseptic conditions, all patients received infiltration local anesthesia (Articaine 4% 1:100 000 epinephrine).
* A crestal incision is made using No. 15 c blade extending over the crest of anterior mandible and a full mucoperiosteum flaps elevated to provide access to the alveolar ridge for implant installed.
* Full sequential drilling under copious saline irrigation will be made as indicated by the company guide lines. insertion of two implant in each group by the contra angle handpiece with special adaptor.(control and study groups)
* The flap will then be closed using interrupted 4/0 resorbable sutures.
* We connect magnetic attachment(flat,dome) for each groups on complete denture by pick up procedure at day of implant installation.
* Relief space from the denture for the magnetic attachment will be made and a rubber dam will be used to closed the under cute under the magnetic attachment. pickup material will be added in the relief area to connect the housing to the denture intra orally.
* Implant stability will be measured for both groups using smart peg /osstell at the day of implant installation and after 2,4,8,12 weeks.
* Patient satisfaction measure in 2 weak and after 12 weak by Denture satisfaction questionnaire

Conditions

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Edentulous Alveolar Ridge

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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dome magnetic attachment

* A crestal incision is made using No. 15 c blade extending over the crest of anterior mandible and a full mucoperiosteum flaps elevated to provide access to the alveolar ridge for implant installed.
* Full sequential drilling under copious saline irrigation will be made as indicated by the company guide lines. insertion of two implant in each group by the contra angle handpiece with special adaptor
* We connect magnetic attachment(dome) for each groups on complete denture by pick up procedure at day of implant installation

Group Type ACTIVE_COMPARATOR

dome magnetic attachment

Intervention Type PROCEDURE

* All patients will receive complete denture before implant installation .
* The CBCT examination should be take
* patients received infiltration local anesthesia
* A crestal incision is made using No. 15 c blade .
* Full sequential drilling under copious saline irrigation will be made . insertion of two implant by the contra angle handpiece with special adaptor
* We connect magnetic attachment(dome) on complete denture by pick up procedure at day of implant installation.
* Implant stability will be measured using smart peg /osstell at the day of implant installation and after 2,4,8,12 weeks.
* Patient satisfaction measure

flat magnetic attachment

* A crestal incision is made using No. 15 c blade extending over the crest of anterior mandible and a full mucoperiosteum flaps elevated to provide access to the alveolar ridge for implant installed.
* Full sequential drilling under copious saline irrigation will be made as indicated by the company guide lines. insertion of two implant in each group by the contra angle handpiece with special adaptor
* We connect magnetic attachment(flat) for each groups on complete denture by pick up procedure at day of implant installation

Group Type ACTIVE_COMPARATOR

flat magnetic attachment

Intervention Type PROCEDURE

* All patients will receive complete denture before implant installation .
* The CBCT examination should be take
* patients received infiltration local anesthesia.
* A crestal incision is made using No. 15 c blade
* Full sequential drilling under copious saline irrigation will be made as indicated by the company guide lines. insertion of two implant by the contra angle handpiece with special adaptor
* We connect magnetic attachment(flat) on complete denture by pick up procedure at day of implant installation.
* Implant stability will be measured using smart peg /osstell at the day of implant installation and after 2,4,8,12 weeks.
* Patient satisfaction measure in 2 weak and after 12 weak by Denture satisfaction questionnaire

Interventions

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dome magnetic attachment

* All patients will receive complete denture before implant installation .
* The CBCT examination should be take
* patients received infiltration local anesthesia
* A crestal incision is made using No. 15 c blade .
* Full sequential drilling under copious saline irrigation will be made . insertion of two implant by the contra angle handpiece with special adaptor
* We connect magnetic attachment(dome) on complete denture by pick up procedure at day of implant installation.
* Implant stability will be measured using smart peg /osstell at the day of implant installation and after 2,4,8,12 weeks.
* Patient satisfaction measure

Intervention Type PROCEDURE

flat magnetic attachment

* All patients will receive complete denture before implant installation .
* The CBCT examination should be take
* patients received infiltration local anesthesia.
* A crestal incision is made using No. 15 c blade
* Full sequential drilling under copious saline irrigation will be made as indicated by the company guide lines. insertion of two implant by the contra angle handpiece with special adaptor
* We connect magnetic attachment(flat) on complete denture by pick up procedure at day of implant installation.
* Implant stability will be measured using smart peg /osstell at the day of implant installation and after 2,4,8,12 weeks.
* Patient satisfaction measure in 2 weak and after 12 weak by Denture satisfaction questionnaire

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* completely edentulous patient.
* Age range from 40 to 70 year old
* Skeletal class 1
* Both sexes.

Exclusion Criteria

* No intra oral soft and hard tissue pathology
* Heavy smokers more than 20 cigarettes per day.
* Patients with systemic disease that may affect normal healing.
* Patient with sever parafunctional occlusal activity.
* Immunodeficiency pathology, bruxism, stress situation (socially or professionally), emotional instability,.
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Hussein Hatam Jawad

Main-Supervisor :Dr.Ahmed fahmy (Ass.professor of prosthodontics, faculity of dentistry ,cairo university ) \co-supervisor :Amr ahmednaguib (lecturer of prosthodontic ) \ Principle Investigator.:Hussein hatam jawad

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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hussein H moalla, bachelor

Role: CONTACT

02201021422480

runnd s zwain, bachelor

Role: CONTACT

01101034909

References

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Boerrigter EM, Geertman ME, Van Oort RP, Bouma J, Raghoebar GM, van Waas MA, van't Hof MA, Boering G, Kalk W. Patient satisfaction with implant-retained mandibular overdentures. A comparison with new complete dentures not retained by implants--a multicentre randomized clinical trial. Br J Oral Maxillofac Surg. 1995 Oct;33(5):282-8. doi: 10.1016/0266-4356(95)90038-1.

Reference Type BACKGROUND
PMID: 8555143 (View on PubMed)

Allen PF, McMillan AS, Walshaw D. A patient-based assessment of implant-stabilized and conventional complete dentures. J Prosthet Dent. 2001 Feb;85(2):141-7. doi: 10.1067/mpr.2001.113214.

Reference Type BACKGROUND
PMID: 11208203 (View on PubMed)

Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais J, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. Int J Oral Maxillofac Implants. 2002 Jul-Aug;17(4):601-2. No abstract available.

Reference Type BACKGROUND
PMID: 12182304 (View on PubMed)

Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. J Prosthet Dent. 1972 Feb;27(2):120-32. doi: 10.1016/0022-3913(72)90188-6. No abstract available.

Reference Type BACKGROUND
PMID: 4500507 (View on PubMed)

Barao VA, Assuncao WG, Tabata LF, Delben JA, Gomes EA, de Sousa EA, Rocha EP. Finite element analysis to compare complete denture and implant-retained overdentures with different attachment systems. J Craniofac Surg. 2009 Jul;20(4):1066-71. doi: 10.1097/SCS.0b013e3181abb395.

Reference Type BACKGROUND
PMID: 19553853 (View on PubMed)

Other Identifiers

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3042020

Identifier Type: -

Identifier Source: org_study_id

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