Short Implants - An Alternative to Bone Grafting?
Study on ASTRA TECH Implant System, Short Implants (OsseoSpeed™) Compared to Standard Length Implants (OsseoSpeed™) in Combination With Bone Grafting
1 other identifier
interventional
101
5 countries
5
Brief Summary
The study, with the ASTRA TECH Implant System, is comparing short implants (OsseoSpeed™) to standard length implants (OsseoSpeed™) in combination with bone grafting. The hypothesis is that the use of short implants in posterior maxilla with inadequate bone is as safe and predictable as placing standard length implants in combination with bone augmentation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Oct 2009
Longer than P75 for not_applicable
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2009
CompletedFirst Submitted
Initial submission to the registry
December 10, 2009
CompletedFirst Posted
Study publicly available on registry
December 11, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedResults Posted
Study results publicly available
September 7, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 22, 2022
CompletedApril 6, 2023
March 1, 2023
7.2 years
December 10, 2009
August 20, 2020
March 9, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Implant Survival Rate
Any implant that is removed after implant placement will be considered a failure, whatever the reason for removal. Implant survival will be evaluated clinically and radiographically by counting the number of remaining implants. Implant survival rate will be calculated by dividing the number of non-failures by the number of installed implant.
5 years after permanent restoration
Secondary Outcomes (8)
Average Marginal Bone Level (MBL) Change From Permanent Restoration on Implant Level
Time of permanent restoration and 5 years after permanent restoration
Average Marginal Bone Level (MBL) Change From Permanent Restoration on Implant Level
Time of permanent restoration and 10 years after permanent restoration
Condition of Periimplant Mucosa Measured Through Bleeding on Probing (BoP)
5 years after permanent restoration
Condition of Periimplant Mucosa Measured Through Bleeding on Probing (BoP)
10 years after permanent restoration
Condition of Periimplant Mucosa Measure by Average Change in Probing Pocket Depth (PPD) From Permanent Restoration
Time of permanent restoration and 5 years after permanent restoration
- +3 more secondary outcomes
Study Arms (2)
Short Implants
EXPERIMENTALASTRA TECH Implant System, OsseoSpeed™ 4.0 S (length: 6 mm)
Long Implants in combination with bone grafting
ACTIVE COMPARATORASTRA TECH Implants System, OsseoSpeed™ implants (lengths: 11, 13, 15 mm) in combination with bone grafting
Interventions
ASTRA TECH Implant System, OsseoSpeed™ 4.0 S (length: 6 mm)
ASTRA TECH Implant System, OsseoSpeed™ implants (lengths: 11, 13, 15 mm) in combination with bone grafting
Eligibility Criteria
You may qualify if:
- Provision of informed consent
- Aged 20-75 years at enrolment
- History of edentulism in the study area of at least four months
- In need for 1-4 implants in either side of the posterior maxilla (premolar and molar region)
- Neighboring tooth/teeth to the planned implant/s must have natural root(s) or implant supported restoration, with absence of pathology or excessive bone loss, as judged by the investigator
- Presence of natural tooth/teeth, partial prosthesis and/or implants in the opposite jaw in contact with the planned crown/s
- Deemed by the investigator to have a bone height between 5 and 7 mm and a bone width of a minimum of 6 mm
- Deemed by the investigator as likely to present an initially stable implant situation
You may not qualify if:
- Unlikely to be able to comply with study procedures, as judged by the investigator
- Earlier bone graft procedures in the study area
- Uncontrolled pathologic processes in the oral cavity
- Known or suspected current malignancy
- History of radiation therapy in the head and neck region
- History of chemotherapy within 5 years prior to surgery
- Systemic or local disease or condition that could compromise post-operative healing and/or osseointegration
- Uncontrolled diabetes mellitus
- Corticosteroids, iv bisphosphonates or any other medication that could influence post-operative healing and/or osseointegration
- Smoking more than 10 cigarettes/day
- Bruxism
- Present alcohol and/or drug abuse
- Involvement in the planning and conduct of the study (applies to both Astra Tech staff and staff at the study site)
- Previous enrolment in the present study
- Simultaneous participation in another clinical study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (5)
Department of Oral Rehabilitation, Skeletal Development and Biomaterials, University of Connecticut, School of Dental Medicine
Farmington, Connecticut, 06030, United States
Ärztegesellschaft für Zahn- Mund- und Kieferheilkunde, Akademie für Orale Implantologie: Fürhauser, Haas, Mailath-Pokorny & Watzek OG
Vienna, A-1090, Austria
Aesthetic Dent
Szczecin, P-71-403, Poland
Facultad de Medicina y Odontologia, Universidade de Santiago de Compostela
Santiago de Compostela, ES-15782, Spain
Zentrum für Zahn-, Mund- und Kieferheilkunde der Universität Zürich
Zurich, CH-8032, Switzerland
Related Publications (5)
Thoma DS, Haas R, Tutak M, Garcia A, Schincaglia GP, Hammerle CH. Randomized controlled multicentre study comparing short dental implants (6 mm) versus longer dental implants (11-15 mm) in combination with sinus floor elevation procedures. Part 1: demographics and patient-reported outcomes at 1 year of loading. J Clin Periodontol. 2015 Jan;42(1):72-80. doi: 10.1111/jcpe.12323. Epub 2014 Dec 26.
PMID: 25418606RESULTSchincaglia GP, Thoma DS, Haas R, Tutak M, Garcia A, Taylor TD, Hammerle CH. Randomized controlled multicenter study comparing short dental implants (6 mm) versus longer dental implants (11-15 mm) in combination with sinus floor elevation procedures. Part 2: clinical and radiographic outcomes at 1 year of loading. J Clin Periodontol. 2015 Nov;42(11):1042-51. doi: 10.1111/jcpe.12465. Epub 2015 Nov 27.
PMID: 26425812RESULTPohl V, Thoma DS, Sporniak-Tutak K, Garcia-Garcia A, Taylor TD, Haas R, Hammerle CH. Short dental implants (6 mm) versus long dental implants (11-15 mm) in combination with sinus floor elevation procedures: 3-year results from a multicentre, randomized, controlled clinical trial. J Clin Periodontol. 2017 Apr;44(4):438-445. doi: 10.1111/jcpe.12694. Epub 2017 Mar 6.
PMID: 28081288RESULTThoma DS, Haas R, Sporniak-Tutak K, Garcia A, Taylor TD, Hammerle CHF. Randomized controlled multicentre study comparing short dental implants (6 mm) versus longer dental implants (11-15 mm) in combination with sinus floor elevation procedures: 5-Year data. J Clin Periodontol. 2018 Dec;45(12):1465-1474. doi: 10.1111/jcpe.13025. Epub 2018 Nov 25.
PMID: 30341961RESULTThoma DS, Haas R, Sporniak-Tutak K, Garcia A, Taylor TD, Tutak M, Pohl V, Hammerle CHF. Randomized controlled multi-centre study comparing shorter dental implants (6 mm) to longer dental implants (11-15 mm) in combination with sinus floor elevation procedures: 10-year data. J Clin Periodontol. 2024 Apr;51(4):499-509. doi: 10.1111/jcpe.13954. Epub 2024 Jan 31.
PMID: 38296249DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Manager of Global Clinical Research
- Organization
- Dentsply Sirona Implants
Study Officials
- PRINCIPAL INVESTIGATOR
Christoph Hämmerle, Prof. Dr.
Zentrum für Zahn-, Mund- und Kieferheilkunde der Universität Zürich
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 10, 2009
First Posted
December 11, 2009
Study Start
October 1, 2009
Primary Completion
December 1, 2016
Study Completion
March 22, 2022
Last Updated
April 6, 2023
Results First Posted
September 7, 2020
Record last verified: 2023-03