Prosthetic Rehabilitation and Its Influence on Masticatory Performance and QoL in Patients Treated for HNC

NCT ID: NCT06124222

Last Updated: 2024-12-05

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-17

Study Completion Date

2025-12-31

Brief Summary

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The main goal of this clinical trial (pilot study) is to evaluate whether prosthetic rehabilitation modifies objective masticatory performance, subjective masticatory performance, quality of life, salivary flow and pH in patients treated for head and neck cancer before and after the placement of fixed and/or removable prostheses.

Hypothesis Prosthetic rehabilitation with fixed and/or removable prostheses modifies objective masticatory performance, subjective masticatory performance, quality of life, salivary flow and pH in non-irradiated patients treated for head and neck cancer compared to irradiated patients.

Study population The study population will consist of patients treated for head and neck cancer who are candidates for prosthetic rehabilitation. The type of prosthetic treatment recommended will be determined by a dental expert in the treatment of these patients.

Interventions

1. \- First session and recruitment:

* Oral health status.
* Sialometry and salivary pH.
* Subjective masticatory performance.
* Objective masticatory performance.
* Quality of life.
2. \- Prosthodontic treatment.
3. \- Second session (after insertion of the prosthesis)

After an adaptation period of ± 15-30 days from the insertion of the prosthesis, the recordings carried out in the first session will be performed again:
* Oral health status.
* Sialometry and salivary pH.
* Subjective masticatory performance.
* Objective masticatory performance.
* Quality of life.
4. \- Third session (follow-up 6 months)

After a period of time of 3 months ± 7 days after the second session, the recordings carried out in the first and second sessions will be performed again:

* Oral health status.
* Sialometry and salivary pH.
* Subjective masticatory performance.
* Objective masticatory performance.
* Quality of life.

Detailed Description

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The adverse effects of oncological treatment can alter both the functional and esthetic capabilities of patients, resulting in a diminished quality of life. Dental rehabilitation with prostheses is used to restore the loss of these parameters. Therefore, it is important to know whether patients treated for head and neck cancer improve their masticatory performance, and therefore their quality of life, when rehabilitated with fixed or removable prostheses.

Masticatory function is altered after oncologic treatment in patients with head and neck cancer, causing a decrease in their quality of life. Therefore, there is a need to know whether patients treated for head and neck cancer improve their masticatory performance and masticatory function, and therefore their quality of life, when rehabilitated with fixed or removable prostheses, as well as to know whether this variation in parameters is maintained over time. In addition, it is important to evaluate other aspects that are also directly related to quality of life and masticatory function, such as oral health, the level of salivary secretion and its pH.

Conditions

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Quality of Life Objective Masticatory Performance Subjective Masticatory Performance Oral Health

Keywords

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Masticatory Performance Quality of Life Head Neck Cancer Oral Rehabilitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

* Group A: patients who have not received radiotherapy (RT) in their oncologic treatment (non-irradiated).
* Group B: patients who have received radiotherapy (RT) in their oncologic treatment (irradiated).
Primary Study Purpose

SCREENING

Blinding Strategy

DOUBLE

Participants Investigators
There will be double-blind blinding, since neither the participant nor the principal investigator will be aware of which group (A/B) each patient belongs to.

Study Groups

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Group A

Patients who have not received RT in their oncologic treatment (non-irradiated).

Group Type ACTIVE_COMPARATOR

Prosthetic oral rehabilitation

Intervention Type PROCEDURE

Prosthetic rehabilitation with fixed and/or removable prosthesis.

Group B

Patients who have received RT in their oncologic treatment (irradiated).

Group Type EXPERIMENTAL

Prosthetic oral rehabilitation

Intervention Type PROCEDURE

Prosthetic rehabilitation with fixed and/or removable prosthesis.

Interventions

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Prosthetic oral rehabilitation

Prosthetic rehabilitation with fixed and/or removable prosthesis.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Subjects over 18 years of age who accept the conditions of the study.
* Patients diagnosed and treated for head and neck cancer in the stable phase of their oncologic pathology.
* Patients in need of prosthetic rehabilitation treatment and who agree to be treated.

* Present a tumor recurrence at the time of the study, undefined oncologic evolutionary situation or under oncologic treatment.
* Presence of orofacial pain or craniomandibular dysfunction hindering mandibular movement and or participation in the study.
* Present a disability to complete the different records.

Exclusion Criteria

* Subjects under 18 years of age and/or who do not accept the conditions of the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Barcelona

OTHER

Sponsor Role lead

Responsible Party

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Carlos Moreno Soriano

MSc

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Carlos Moreno Soriano

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Countries

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Spain

Other Identifiers

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17/2021

Identifier Type: -

Identifier Source: org_study_id