Supplementary Implants Supporting Conventional Removable Dental Prosthesis (RDPs) in Kennedy Class I
Study Details
Study Description
Brief Summary
In this study the additional effect of supplementary implants in patients with Kennedy Class I in terms of patient-reported outcome measures (PROMs) and cost-benefit-analyses comparing costs of maintenance care will be investigated
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Experimental All included participants receive each side 1 posterior implant in the edentulous areas bilaterally in Kennedy class I. Participants are provided with a conventional clasp retained removable partial denture (RPD) worn for 3 months. When implant osseointegration is ensured (3 months healing period), patients are assigned to retentive components (Group A, Test) which are connected to the implants to retain the RPD |
Device: dental implants and retentive implant components
retentive components (Group A Test), which are connected to the implants to retain the RPD
|
| Experimental: Control All included participants receive each side 1 posterior implant in the edentulous areas bilaterally in Kennedy class I. Participants are provided with a conventional clasp retained removable partial denture (RPD) worn for 3 months. When implant osseointegration is ensured (3 months healing period), patients are assigned to supportive components (Group B, Control), which are connected to the implants to support the RPD |
Device: dental implants and supportive implant components
supportive components (Group B Control), which are connected to the implants to support the RPD
|
Outcome Measures
Primary Outcome Measures
- Changes in patient-reported outcome measures (PROM) [assessment before implant placement, -1 week and 3 months after RPD insertion, 1 week and 3 months after connecting the implant components, 1 to 5 years after implant placement (5-year study period)]
Assessment of patient's perception of function and oral health comparing conventional RPDs to implant-supported RPDs with and without retentive components in posterior sites of Kennedy Class I. PROMs are evaluated using the Oral Health Impact Profile (OHIP 14), i.e. the short form of OHIP with 14 items measuring oral health-related quality of life (OHQoL). The frequency of impairment in different areas (functional limitation, physical discomfort or disability, psychological discomfort or disability, social disability, and handicap) are indicated on a multi-level scale ("never"=0, "hardly"=1, "sometimes"=2, "often"=3, "very often"=4)
- Changes in chewing efficiency [assessment before implant placement, -1 week and 3 months after RPD insertion, 1 week and 3 months after connecting the implant components, 1 to 5 years after implant placement (5-year study period)]
Assessment of the chewing Efficiency by masticating standardized fruit gum with three varying degree of hardness. A complete chewing function test comprises 9 chewing sequences: the different hardness of the model food is chewed once on the right, then on the left and finally on both sides. The study participants have 30 seconds for each chewing sequence and 30 seconds between each chewing sequence. Only one fruit gum is chewed per chewing sequence. The samples are placed on a defined area, photographed in standardized manner and analyzed with a computer program. The mean size and amounts of the chewed particles are calculated and determines the chewing efficiency
Secondary Outcome Measures
- prosthetic and implant survival rates [during follow-ups, 1 of 5 years after implant placement]
prosthetic and implant survival rates (%) accounting for any technical and biological complication over 5 years
- cost-benefit-analyses [during follow-ups, 1 of 5 years after implant placement]
cost-benefit-analyses over time, including costs during maintenance care during follow-up of 5 years will be conducted to compare test and control
- Evaluation of success of entire treatment [during follow-ups, 1 of 5 years after implant placement]
evaluation of success of the entire treatment including assessments of technical (prosthesis adjustment or implant abutment adjustment or exchange) and biological complications (peri-implant diseases)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Subjects must have voluntarily signed the informed consent before any study action, are willing and able to attend scheduled follow-up visits, and agree that the encoded data will be collected and analyzed
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Males and females with at least 18 years of age
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intraoral situation with bilateral edentulous areas located posterior to the remaining natural teeth (Kennedy class I) in the upper or lower jaw
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remaining dentition includes a first premolar, canine or incisor as the most posterior tooth
Exclusion Criteria:
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Uncontrolled systemic disease that would interfere with dental implant therapy;
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Patients who smoke > 10 cigarettes per day or tobacco equivalents;
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Patients with alcohol and/or drug abuse;
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Patients with chronic pain;
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Patients with untreated periodontitis and / or inadequate oral hygiene (Plaque Index < 30%);
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Medical conditions requiring chronic high dose steroid therapy or anti-resorptive treatment;
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Conditions or circumstances, in the opinion of the investigators, which would prevent completion of study participation or interfere with analysis of study results such as history of non-compliance or unreliability.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel | Basel | Switzerland | 4058 |
Sponsors and Collaborators
- University Hospital, Basel, Switzerland
- ITI International Team for Implantology, Switzerland
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2019-02167; ex19Joda2