Peri-implant Bone Loss Clinical Trial
Official title:
Influence of the Design of the Transmucosal Abutment on the Marginal Periimplant Bone Loss. Randomized Clinical Trial
The objective of this study is to evaluate the radiographic changes on the marginal peri-implant bone level on bone level implants with a narrower transmucosal abutment, in comparison to the conventional abutment, both of 3mm height
Status | Recruiting |
Enrollment | 36 |
Est. completion date | November 1, 2024 |
Est. primary completion date | October 31, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Absence of systemic and periodontal pathology, over 18 years of age, with a plaque index below 25%. - Absence of at least one tooth, with natural adjacent teeth, allowing a prosthetic rehabilitation with an osseointegrated implant and a prosthetic unit. - Adequate bone quality available, allowing placement of MOZO GRAU® implants InHex STD QUATTRO with diameters of 3.75 mm or 4.25 mm and lengths of 8, 10 and 11.5 mm. - Natural teeth or implants with fixed restoration as antagonists. Exclusion Criteria: - Systemic factors: - Continuous administration of systemic medication that can interfere with the bone metabolism or medical conditions requiring prolonged use of steroids and / or medications that can interfere with bone metabolism. - History of leukocyte dysfunction and deficiency, immunodeficiency syndromes, kidney failure or bone metabolic disorders, such as osteoporosis. - Physical disability that may interfere with proper oral hygiene. - Use of any investigational medication or device within the previous 30 days to implant surgery in the study. - Alcoholism or drug addiction - Smoker of more than 10 cigarettes per day. - Conditions or circumstances that could prevent compliance with participation in study or interfere with the analysis of results, such as a history of breach or unreliability. Local factors: - History of local radiotherapy. - Bruxism. - Diseases that affect the oral mucosa, such as oral lichen planus. - Untreated periodontitis. - Persistent intraoral infection. - Post-extraction alveoli not cured (less than 6 weeks after extraction). |
Country | Name | City | State |
---|---|---|---|
Spain | University of Santiago de Compostela | Santiago De Compostela | La Coruña |
Lead Sponsor | Collaborator |
---|---|
University of Santiago de Compostela | Mozo Grau Ticare Implants |
Spain,
Alves CC, Muñoz F, Cantalapiedra A, Ramos I, Neves M, Blanco J. Marginal bone and soft tissue behavior following platform switching abutment connection/disconnection--a dog model study. Clin Oral Implants Res. 2015 Sep;26(9):983-91. doi: 10.1111/clr.12385. Epub 2014 Apr 16. — View Citation
Berglundh T, Lindhe J. Dimension of the periimplant mucosa. Biological width revisited. J Clin Periodontol. 1996 Oct;23(10):971-3. — View Citation
Blanco J, Pico A, Caneiro L, Nóvoa L, Batalla P, Martín-Lancharro P. Effect of abutment height on interproximal implant bone level in the early healing: A randomized clinical trial. Clin Oral Implants Res. 2018 Jan;29(1):108-117. doi: 10.1111/clr.13108. Epub 2017 Dec 8. Erratum in: Clin Oral Implants Res. 2020 Oct;31(10):1037. — View Citation
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Koutouzis T, Adeinat B, Ali A. The influence of abutment macro-design on clinical and radiographic peri-implant tissue changes for guided, placed, and restored implants: A 1-year randomized controlled trial. Clin Oral Implants Res. 2019 Sep;30(9):882-891. doi: 10.1111/clr.13493. Epub 2019 Jun 24. — View Citation
Nóvoa L, Batalla P, Caneiro L, Pico A, Liñares A, Blanco J. Influence of Abutment Height on Maintenance of Peri-implant Crestal Bone at Bone-Level Implants: A 3-Year Follow-up Study. Int J Periodontics Restorative Dent. 2017 Sep/Oct;37(5):721-727. doi: 10.11607/prd.2762. — View Citation
Souza AB, Alshihri A, Kämmerer PW, Araújo MG, Gallucci GO. Histological and micro-CT analysis of peri-implant soft and hard tissue healing on implants with different healing abutments configurations. Clin Oral Implants Res. 2018 Oct;29(10):1007-1015. doi: 10.1111/clr.13367. Epub 2018 Sep 23. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Radiographic marginal periimplant bone level changes | Measured as the distance from the bone crest to the first implant-to-bone contact. This will be assessed on parallelized periapical radiographies | from baseline (connection of the definitive abutment) to 6 and 12 months after the definitive prostheses will be connected, and finally 3 years later | |
Secondary | Probing pocket depth | measured with a CP12 probe as the distance from the soft tissue margin to the bottom of the peri-implant pocket | 6 and 12 months after the definitive prostheses will be connected, and finally 3 years later | |
Secondary | Papilla refill | Evaluated according to the Jemt 1997 index | 6 and 12 months after the definitive prostheses will be connected, and finally 3 years later | |
Secondary | Bleeding on probing | Evaluated according to the Mombelli 1987 index, presence of bleeding after probing | 6 and 12 months after the definitive prostheses will be connected, and finally 3 years later | |
Secondary | Plaque index | Evaluated according to the Mombelli 1987 index, presence of plaque | 6 and 12 months after the definitive prostheses will be connected, and finally 3 years later | |
Secondary | Patient Reported Outcomes Measurements | Using a visual analoge scale from 1 to 10 to evaluate patient's satisfaction parameters related to the aesthetics, masticatory ability, confort, general satisfaction and phonetics | 6 and 12 months after the definitive prostheses will be connected, and finally 3 years later | |
Secondary | Adverse effects frequency | Presence of adverse effects during the follow-up, such as fracture of the implant or the prosthetic unit or presence of periimplantitis or mucositis | 6 and 12 months after the definitive prostheses will be connected, and finally 3 years later |
Status | Clinical Trial | Phase | |
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Completed |
NCT04761445 -
Comparison Between Two Different Tissue-Level Implant Systems: A Prospective Clinical Study
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N/A |