Dental Implant Care and Oral Hygiene Practices

Peri-Implantitis Clinical Trial

Official title:

Awareness of Dental Implant Care and Its Correlation With Oral Hygiene Practices and the Presence of Peri-Implant Diseases

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03497065
• Other study ID #: 2017/00027
• Status: Completed
• First received: March 30, 2018
• Last updated: April 5, 2018
• Start date: April 1, 2017
• Est. completion date: September 30, 2017

Study information

• Verified date: April 2018
• Source: National University Health System, Singapore
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Objective: This study investigated how patients' knowledge, attitude, and perceptions influence their oral hygiene practices as well as peri-implant health. Materials and Methods: Participants with single implant crowns placed in 2007-2011 completed a questionnaire that examined their knowledge, attitude, and perceptions on oral hygiene practices and peri-implant health before receiving a periodontal examination, prophylaxis, and oral hygiene education. Clinical parameters recorded were peri-implant probing depths and plaque index, width of keratinized mucosa, implant crown characteristics, reason for tooth loss, and diagnosis of peri-implant health.

Description:

First, a trained clinical research dental assistant interviewed the participants and showed them pictures of oral hygiene aids so that the participants could answer the survey questions accurately. Subsequently, a periodontal examination, dental prophylaxis, and oral hygiene education were performed. Participants with active diseases e.g. caries, periodontitis, or peri-implantitis were referred for further management. The following clinical parameters were recorded during the examination:

1. Probing depths at 6 sites around the implant (mesiobuccal, midbuccal, distobuccal, distolingual, midlingual and mesiolingual)

2. Plaque index (Silness & Loe 1964) at 4 sites around the implant (mesial, buccal, distal and lingual)

3. Amount of keratinized mucosa at the implant site

4. Characteristics of the implant crown:

• Type of implant crown (screw- or cement-retained) and

• Position of crown margins (supra-, equi- or sub-gingival)

5. Reason(s) for tooth loss

6. Diagnosis of peri-implant health

• Normal

• Mucositis, defined as 3 or more bleeding points per implant

• Peri-implantitis, defined as implant thread exposure that was either clinically visible or detectable with a periodontal probe.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 79
• Est. completion date: September 30, 2017
• Est. primary completion date: September 30, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years to 80 Years

Eligibility

Inclusion Criteria:

• English speaking patient

• Aged 21 years old or above

• Received at least 1 implant-supported single crown from NUH in the year 2007-2011 (in functional loading for at least 5 years)

Exclusion Criteria:

• Implant is used to restore overdentures or multi-unit restorations such as splinted crowns, fixed partial dentures, and cantilevers.

• Pregnant/lactating women

• Parkinson's disease or any other debilitating diseases

• Physical or mental disabilities that may impair oral hygiene practices

• Poorly controlled diabetes

• Heavy smoker (10 or more cigarettes per day)

• Radiation therapy in head and neck region

• HIV, TB, hepatitis or other infectious diseases

• Drug and alcohol abuse

Related Conditions & MeSH terms

• Dental Plaque
• Mucositis
• Peri-implant Mucositis
• Peri-Implantitis

Intervention

Procedure:
• non-surgical periodontal treatment
scaling, root planing, polishing, and oral hygiene education was performed

Locations

Country	Name	City	State
Singapore	National University Hospital	Singapore

Sponsors (1)

Lead Sponsor	Collaborator
National University Health System, Singapore

Country where clinical trial is conducted

Singapore, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	qualitative assessment of patient's knowledge on care and maintenance of dental implants using a questionnaire based on a 5 point Likert scale	patient's knowledge of peri-implant diseases	1 day