Comparative Aesthetic Analysis Between Titanium and Ceramic Implants

NCT ID: NCT04707677

Last Updated: 2021-12-27

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-15

Study Completion Date

2020-03-30

Brief Summary

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Objective: The aim of this randomized clinical trial was to compare ceramic and titanium implants with respect to the esthetic and clinical parameters, and patient reported outcome measures (PROMs).

Material and methods: Thirty patients received thirty implants (8-12 mm in length, 3.3 mm diameter and a tissue level design) to replace the absence of a single tooth in the anterior maxilla. Patients were randomly allocated to receive a ceramic or a titanium implant. Esthetic and clinical parameters and PROMs were evaluated 18 months after surgery.

Detailed Description

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The study was a double-blind randomized controlled clinical trial (RCT), with a parallel design, comparing ceramic (test group) and titanium (control group) implants, for the replacement of a single-tooth in the anterior maxilla.

All patients were randomized and assigned to each of the study groups through a computer-generated randomization.

Surgical and restorative procedures In the test group, a Tissue Level Ceramic monotype implant was placed (Straumann PURE Ceramic implants®; Institut Straumann, Basel, Switzerland) and in the control group a Tissue Level SLA Titanium implant (Straumann Standard Plus Narrow Neck CrossFit®; Institut Straumann, Basel, Switzerland). The length of the implants was 8, 10 and 12 mm.

The primary outcome was the Implant Crown Aesthetic Index (ICAI). It consists of nine sections: mesiodistal dimension of the crown, position of the incisal edge of the crown, labial convexity of the crown, color and translucency of the crown, crown surface, position of the gingival margin of the peri-implant mucosa, position of the interdental papilla, contour of the vestibular mucosa and color and surface of the vestibular mucosa. These sections were compared with the adjacent and contralateral tooth as a reference and assigned the following score: 0, excellent; 1 or 2 satisfactory; 3 or 4 moderate; 5 or more bad.

Conditions

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Dental Implants

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Two study groups, test (titanium implants) and control (ceramic implants)
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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CONTROL GROUP

Implant surgery placement. Tissue Level SLA Titanium implant (Straumann Standard Plus Narrow Neck CrossFit®; Institut Straumann, Basel, Switzerland). The implant had a diameter of 3.3 mm and a polished neck of 1.8 mm. The length of the implants was 8, 10 and 12 mm and was chosen according to the patient's anatomy.

Group Type ACTIVE_COMPARATOR

Titanium and ceramic dental Implants

Intervention Type DEVICE

Two types of implant placement and follow-up to compare the esthetic, clinical and radiographic parameters between them.

TEST GROUP

Implant surgery placement. Tissue Level Ceramic monotype implant was placed (Straumann PURE Ceramic implants®; Institut Straumann, Basel, Switzerland). The implant had a diameter of 3.3 mm and a polished neck of 1.8 mm. The length of the implants was 8, 10 and 12 mm and was chosen according to the patient's anatomy.

Group Type EXPERIMENTAL

Titanium and ceramic dental Implants

Intervention Type DEVICE

Two types of implant placement and follow-up to compare the esthetic, clinical and radiographic parameters between them.

Interventions

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Titanium and ceramic dental Implants

Two types of implant placement and follow-up to compare the esthetic, clinical and radiographic parameters between them.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Periodontal and systemically healthy patients \> 18 years of age, with good plaque control (\< 25%).
* Patients with a missing tooth in the anterior maxilla (from 13 to 23) with the presence of adjacent natural dentition mesially and distally (single gap). A minimum of 4 months of healing after tooth extraction was required before implant insertion.
* Presence of ≥ 2mm of keratinized tissue.
* Simultaneous bone regeneration was allowed during surgery.

Exclusion Criteria

* Intake any medication or presence of any systemic disease that could affect bone metabolism.
* Pregnancy, or lactating women.
* Active periodontal disease
* Smoking \>10 cig/day
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Santiago de Compostela

OTHER

Sponsor Role lead

Responsible Party

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Juan Blanco Carrión

Doctorate in Dentistry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juan Blanco

Role: STUDY_DIRECTOR

University of Santiago de Compostela

Locations

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Master Periodoncia

Santiago de Compostela, , Spain

Site Status

Countries

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Spain

Other Identifiers

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CI_RCT_US16

Identifier Type: -

Identifier Source: org_study_id