Patients Satisfaction Clinical Trial
Official title:
Patient Satisfaction, Peri-implant Parameters and Crestal Bone Evaluation of PEEK (Polyetheretherketone) Abutments Versus Zirconium Abutments Restored With PEEK Based Superstructure: A Randomized Clinical Trial
The aim of the study is to evaluate the patients` satisfaction, peri-implant parameters (bleeding on probing, probing depth and plaque index) and crestal bone resorption of implants restored with PEEK abutments restored with PEEK superstructure compared to implants restored with zirconia abutments with PEEK superstructure.the NULL HYPOTHESIS;There is no difference between the two groups
Trial design:
Randomized Controlled Trial., Parallel Design., Allocation ratio 1:1
This study will be carried out on patients enrolled from the Outpatient clinic in the Fixed
Prosthodontics clinic, Faculty of Dentistry, Cairo University.
First Visit: ( Diagnosis and records Making)
Patients will be recalled to the outpatient clinic, treatment will be discussed with the
patient in details with the expected timeline and full duration of the treatment and a signed
consent will be obtained from the patient.
Thorough medical history will be taken from the patient to identify any causes preventing the
patient from undergoing the surgery and to eliminate any risk factors. Primary alginate
impressions and bite registration will be made to obtain mounted study casts for case study,
intra-oral photographs will be taken and the patient will be asked for a CBCT for the area of
interest to be studied and discussed .
Second visit: (Implant insertion)
The patient will be locally anaesthetized using Articaine 4% (Septanest, France) , and
patient will be left for 5 -10 minutes after which he/she will be examined for
objective/subjective signs. If the patient shows any signs of pain or discomfort during
examination, another carpule will be administrated.
A full thickness flap will be opened at the surgical site using #15 blade with a sub-crestal
incision to expose the crest of the bone and two vertical releasing incisions. The flap will
be reflected using a mucoperiosteal elevator. Sequential drilling will be performed according
to the desired implant diameter using the drills provided by the surgical kit and the implant
will be inserted manually into the osteotomy using the ratchet wrench and driver. The initial
stability of the implant will be tested with the torque wrench and the implant opening will
be closed using a cover screw. A peri-apical radiograph will be taken to confirm the implant
position and assure it is away from vital structures by 2mm.
Flap will be repositioned using a tissue forceps and suturing will be done to secure the flap
in position using a 4-0 silk suture material.
Patient will be given the post-operative instructions and hygiene measures and Augmentin 1gm
/ 12 hours for 7 days and analgesics ( Brufen 400 mg when needed)
Third visit: (Re-entry)
After three to four months, the patient will be recalled for the 2nd stage surgery and
implant exposure. Peri-apical radiographs and intra-oral photographs will be taken. The
patient will be anaesthetized and the implant will be exposed by a crestal incision using a
#15 blade. The cover screw will be replaced with a healing collar which will be left for 2
weeks.
Fourth visit: (Impression making):
After 2 weeks the healing collar will be removed and the transfer copings will be placed for
impression making, after setting the impression will be disinfected and send to the
laboratory along with the implant replicas for fabrication of the abutments and the
prosthesis. The healing collar is replaced till the next visit.
Fifth visit: ( Delivery of the final restoration)
The healing collar will be removed and the abutment and final restoration will be placed over
the implant, a peri-apical radiographs will be taken to ensure tightening of the abutment
screw and absence of any gaps. Patient will be given oral hygiene instructions
Relevant care/interventions that will be permitted or prohibited during the trial:
- Patients will receive antibiotics and pain killers after the implant insertion
- Patients will be educated with proper hygiene measures and motivated to keep good oral
hygiene
- Patients will be advised to stop/ decrease the frequency of smoking to maximum one pack
per day and will be prohibited from drinking alcohol.
Primary outcome:
Patients` satisfaction will be measured used the Visual analogue scale; a numerical scale
from 0-10 with 0 being the lowest value (dis-satisfied) and 10 being the highest (highly
satisfied). The patient will be asked to fill the VAS at time of crown delivery (0) ,
3months, 6 months and 12 months
Secondary outcome: will be assessed at 0,3,6 and 12 months
1. Bleeding on Probing Visual Inspection combined with Plastic Periodontal Probe 2 Binary
(Yes or No)
2. Probing Depth Graduated periodontal probe 2 Millimeters (m.m)
3. Plaque accumulation Visually 2 Binary (Yes & No)
Tertiary outcome:
Will be assessed at 0,3,6 and 12 months using the standardized peri-apical radiographs and
image super-imposition on the software to measure the difference in bony crest height.
Where 0= time of prosthesis delievery.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT01418807 -
Transumbilical Versus Transvaginal Specimen Retrieval at Minilaparoscopy
|
Phase 2/Phase 3 |