Accuracy of Dynamic Navigation System on Zygomatic Implant Placement

NCT ID: NCT06155799

Last Updated: 2023-12-04

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

RECRUITING

Clinical Phase

NA

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-15

Study Completion Date

2024-07-15

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 zygomatic implant placement in partially or total edentulous patients in the upper jaw compared with the conventional freehand method.

Detailed Description

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The present study is a prospective randomized clinical trial.

Each patient enrolled in this trial will be randomly allocated to on group (Navigation group (test group) or Freehand group (control group)). Preoperative virtual planification of zygomatic an conventional implants on a prerequired cone beam computed tomography (CBCT) with radiographic markers (tooth if possible or micro implants if not possible) will be performed for each patient.

The patient will be randomly allocated in one group just before the surgery, and the surgical procedure will be performed according the surgery protocol of each group. 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 European Conformity (CE) marked products and used within their intended use.

Conditions

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Dental Implants Surgery, Computer-Assisted

Keywords

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Surgery, Computer-Assisted Dental implant Navigation system

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

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

Zygomatic implant placement by dynamic computer assisted surgery system.

Group Type EXPERIMENTAL

Freehand zygomatic implant placement

Intervention Type DEVICE

Zygomatic implants will be placed without any guidance after preoperative virtual planning has been performed.

Freehand group

Zygomatic implant placement by Freehand, without any guidance.

Group Type ACTIVE_COMPARATOR

Freehand zygomatic implant placement

Intervention Type DEVICE

Zygomatic implants will be placed without any guidance after preoperative virtual planning has been performed.

Interventions

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Freehand zygomatic implant placement

Zygomatic implants will be placed without any guidance after preoperative virtual planning has been performed.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Partial or total edentulous maxilla
* Large bone atrophy that avoids possible conventional implant placement
* Over 18 years old patients

Exclusion Criteria

* Patients with facial bone disease that contraindicates conventional or zygomatic implants placement.
* Systemic or local conditions that contraindicates oral surgery.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Principal Investigator: Bassel Traboulsi-Garet. Master of Oral Surgery and Implantology. University of Barcelona

UNKNOWN

Sponsor Role collaborator

Study Chair: Javier Bara-Casaus. Head of the Oral and Maxillofacial Surgery Institute. University Hospital Sagrat Cor, Barcelona.

UNKNOWN

Sponsor Role collaborator

Study Chair: Eduard Valmaseda-Castellón. Full professor of Oral Surgery. University of Barcelona

UNKNOWN

Sponsor Role collaborator

Study Chair: Octavi Camps-Font. Lecturer in Oral Surgery. University of Barcelona

UNKNOWN

Sponsor Role collaborator

Study Director: Maria Angels Sanchez-Garces. Associate professor in Oral Surgery. University of Barcelona

UNKNOWN

Sponsor Role collaborator

University of Barcelona

OTHER

Sponsor Role lead

Responsible Party

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Adrià Jorba García

DDS

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Odontológic de Barcelona

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Bassel Traboulsi garet, DDS

Role: CONTACT

Phone: 616239499

Email: [email protected]

Facility Contacts

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BASSEL TRABOULSI GARET, DDS

Role: primary

References

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Bhalerao A, Marimuthu M, Wahab A, Ayoub A. Dynamic navigation for zygomatic implant placement: A randomized clinical study comparing the flapless versus the conventional approach. J Dent. 2023 Mar;130:104436. doi: 10.1016/j.jdent.2023.104436. Epub 2023 Jan 31.

Reference Type RESULT
PMID: 36736529 (View on PubMed)

Tao BX, Wang F, Shen YH, Fan SQ, Huang W, Wang YP, Wu YQ. [Accuracy and clinical outcome of a real-time surgical navigation system for the placement of quad zygomatic implants]. Zhonghua Kou Qiang Yi Xue Za Zhi. 2020 Nov 9;55(11):845-850. doi: 10.3760/cma.j.cn112144-20200614-00343. Chinese.

Reference Type RESULT
PMID: 33171557 (View on PubMed)

Wu Y, Tao B, Lan K, Shen Y, Huang W, Wang F. Reliability and accuracy of dynamic navigation for zygomatic implant placement. Clin Oral Implants Res. 2022 Apr;33(4):362-376. doi: 10.1111/clr.13897. Epub 2022 Feb 15.

Reference Type RESULT
PMID: 35113463 (View on PubMed)

Tao B, Shen Y, Sun Y, Huang W, Wang F, Wu Y. Comparative accuracy of cone-beam CT and conventional multislice computed tomography for real-time navigation in zygomatic implant surgery. Clin Implant Dent Relat Res. 2020 Dec;22(6):747-755. doi: 10.1111/cid.12958. Epub 2020 Oct 28.

Reference Type RESULT
PMID: 33112508 (View on PubMed)

Fan S, Saenz-Ravello G, Diaz L, Wu Y, Davo R, Wang F, Magic M, Al-Nawas B, Kammerer PW. The Accuracy of Zygomatic Implant Placement Assisted by Dynamic Computer-Aided Surgery: A Systematic Review and Meta-Analysis. J Clin Med. 2023 Aug 21;12(16):5418. doi: 10.3390/jcm12165418.

Reference Type RESULT
PMID: 37629460 (View on PubMed)

Kammerer PW, Fan S, Aparicio C, Bedrossian E, Davo R, Morton D, Raghoebar GM, Zarrine S, Al-Nawas B. Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review. Int J Implant Dent. 2023 May 17;9(1):11. doi: 10.1186/s40729-023-00478-y.

Reference Type RESULT
PMID: 37198345 (View on PubMed)

Related Links

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Other Identifiers

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11/2023

Identifier Type: -

Identifier Source: org_study_id