3D-printed Implant Overdentures
Primary Purpose
Edentulous Mouth
Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
(DLP)-printed photo-polymerizable PMMA Nextdent mandibular implant overdenture
Sponsored by
About this trial
This is an interventional treatment trial for Edentulous Mouth
Eligibility Criteria
Inclusion Criteria:
- completely edentulous
- ranging in age from 50 to 65 years
- Angle's class I skeletal relationship, normal facial symmetry.
- Adequate quantity of bone (class IV -VI ) and quality (classes 1 - 3 ) in the mandibular inter-foraminal area to accommodate standard implants of at least 11 mm length and 3.7 mm diameter
- appropriate inter-arch space of at least 15 mm (class I ) to accept all types of tested dentures
Exclusion Criteria:Metabolic disorders affecting osseointegration such as hepatic disorders
- osteoporosis and diabetes mellitus.
- Temporomandibular disorders, anticoagulant therapy or bleeding disorders
- sharp mandibular residual ridge or flabby tissues
- neuromuscular disorders, and class II and III Angle's classification skeletal relationship
- Smokers and patients on chemotherapy or radiotherapy or suffering from psychiatric conditions
Sites / Locations
- Msa Uni
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
control
intervention
Arm Description
conventionally manufactured Polymethyl Methacrylate (PMMA) mandibular implant overdentures
digital light processed (DLP)-printed photo-polymerizable PMMA Nextdent mandibular implant overdentures
Outcomes
Primary Outcome Measures
. OHRQoL (oral health related quality of life)
Oral Health Impact Profile 19 (OHIPEDENT19) was used to assess the OHRQoL (oral health related quality of life). The questionnaire was translated to Arabic and validated (S2).24 The profile consisted of 19 questions each with score 0 to 4 (impaired) on Likert scale; accordingly, for each patient the minimum score was 0 and maximum score was 76.
Secondary Outcome Measures
Overdentures' retention
The retention was measured at baseline (day of delivery), three months thereafter, after six months then after 12m by a digital force gauge device (Extech's Model 475055 Digital Force Gauge FLIR Commercial Systems, Inc.) that measures tension or compression force (pull/push) to values of up to 980 Newton.25 The snap hook of the device engaged a screw fixed to the geometric center of denture bases using self-cure acrylic resin. Then pulling action was applied till the denture separation recording the amount of retention in Newton.
Full Information
NCT ID
NCT04569929
First Posted
September 23, 2020
Last Updated
December 14, 2020
Sponsor
October University for Modern Sciences and Arts
1. Study Identification
Unique Protocol Identification Number
NCT04569929
Brief Title
3D-printed Implant Overdentures
Official Title
Clinical Evaluation of Implant Overdentures Fabricated Using 3D -Printing Technology Versus Conventional Fabrication Technique: A Randomized Trial
Study Type
Interventional
2. Study Status
Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
January 1, 2019 (Actual)
Primary Completion Date
June 5, 2020 (Actual)
Study Completion Date
August 10, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
October University for Modern Sciences and Arts
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
A randomized clinical trial (RCT) was designed. Fourteen completely edentulous participants were randomly allocated into two equal groups. All participants received two implants in the inter-foraminal area with ball attachments. Participants in the control group were rehabilitated with conventionally manufactured Polymethyl Methacrylate (PMMA) maxillary complete denture and mandibular implant overdentures while participants in intervention group received digital light processed (DLP)-printed photo-polymerizable PMMA Nextdent maxillary complete denture and mandibular implant overdentures. Follow-up appointments were scheduled at 3,6, and 12 months where data of Oral Health Impact Profile 19(OHIPEDENT19) was used to assess the OHRQoL (oral health related quality of life). In addition, denture retention was measured using digital force gauge device. Data were collected and statistically analyzed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Edentulous Mouth
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
14 (Actual)
8. Arms, Groups, and Interventions
Arm Title
control
Arm Type
Active Comparator
Arm Description
conventionally manufactured Polymethyl Methacrylate (PMMA) mandibular implant overdentures
Arm Title
intervention
Arm Type
Experimental
Arm Description
digital light processed (DLP)-printed photo-polymerizable PMMA Nextdent mandibular implant overdentures
Intervention Type
Other
Intervention Name(s)
(DLP)-printed photo-polymerizable PMMA Nextdent mandibular implant overdenture
Intervention Description
The bite registration records with their corresponding master casts were digitalized using an extra oral desktop 3D scanner (3shape D850) and then stored as standard triangulation language (STL) files (Figure 1). The STL files were then imported to Dental system PREMIUM3 design software (3Shape Dental System 2018) for model analysis, surveying and blocking out, designing full permanent denture bases, and for virtual teeth set-up following the recorded inter-arch space
Primary Outcome Measure Information:
Title
. OHRQoL (oral health related quality of life)
Description
Oral Health Impact Profile 19 (OHIPEDENT19) was used to assess the OHRQoL (oral health related quality of life). The questionnaire was translated to Arabic and validated (S2).24 The profile consisted of 19 questions each with score 0 to 4 (impaired) on Likert scale; accordingly, for each patient the minimum score was 0 and maximum score was 76.
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Overdentures' retention
Description
The retention was measured at baseline (day of delivery), three months thereafter, after six months then after 12m by a digital force gauge device (Extech's Model 475055 Digital Force Gauge FLIR Commercial Systems, Inc.) that measures tension or compression force (pull/push) to values of up to 980 Newton.25 The snap hook of the device engaged a screw fixed to the geometric center of denture bases using self-cure acrylic resin. Then pulling action was applied till the denture separation recording the amount of retention in Newton.
Time Frame
12 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
60 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
completely edentulous
ranging in age from 50 to 65 years
Angle's class I skeletal relationship, normal facial symmetry.
Adequate quantity of bone (class IV -VI ) and quality (classes 1 - 3 ) in the mandibular inter-foraminal area to accommodate standard implants of at least 11 mm length and 3.7 mm diameter
appropriate inter-arch space of at least 15 mm (class I ) to accept all types of tested dentures
Exclusion Criteria:Metabolic disorders affecting osseointegration such as hepatic disorders
osteoporosis and diabetes mellitus.
Temporomandibular disorders, anticoagulant therapy or bleeding disorders
sharp mandibular residual ridge or flabby tissues
neuromuscular disorders, and class II and III Angle's classification skeletal relationship
Smokers and patients on chemotherapy or radiotherapy or suffering from psychiatric conditions
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dina Elawady, PHD
Organizational Affiliation
MSA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Msa Uni
City
Giza
Country
Egypt
12. IPD Sharing Statement
Plan to Share IPD
No
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3D-printed Implant Overdentures
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