NCT01411683

Brief Summary

This study aims to compare mandibular overdentures retained either by mini or standard size implants as a treatment for edentulous adults, in terms of patient-reported satisfaction and oral health-related quality of life. We will also evaluate post surgical discomfort, the success rate of prostheses and implants in the long term, denture quality and costs.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2011

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

August 5, 2011

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 8, 2011

Completed
24 days until next milestone

Study Start

First participant enrolled

September 1, 2011

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
2.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2017

Completed
Last Updated

April 17, 2017

Status Verified

April 1, 2017

Enrollment Period

3.3 years

First QC Date

August 5, 2011

Last Update Submit

April 13, 2017

Conditions

Keywords

Cost estimatesComplete DentureDental EconomicsDental ImplantsDental Prosthesis, Implant-SupportedDenture RetentionEdentulousEdentulismMini dental implantOral Health-Related Quality of LifeOverdenturePatient Acceptance of Health CareQuality of Health CareQuality of LifePatient Satisfaction

Outcome Measures

Primary Outcomes (2)

  • Denture satisfaction

    To be assessed by specific questionnaires

    2 years

  • Oral health-related quality of life

    To be assessed by means of the Brazilian version of the OHIP-EDENT.

    2 years

Secondary Outcomes (4)

  • Post-surgical discomfort

    7 days

  • Success rate of implant-retained mandibular overdentures

    2 years

  • Denture quality

    2 years

  • Treatment costs

    2 years

Study Arms (3)

4 mini dental implants

EXPERIMENTAL

Retention of an overdenture by means of 4 mini implants.

Device: Implant-retained mandibular overdenture

2 mini dental implants

EXPERIMENTAL

Retention of an overdenture by means of 2 mini implants.

Device: Implant-retained mandibular overdenture

2 conventional dental implants

ACTIVE COMPARATOR

Retention of an overdenture by means of 2 conventional implants associated to ball attachments.

Device: Implant-retained mandibular overdenture

Interventions

Insertion of implants in the lower arch in order to retain existing complete dentures. Tested implants are approved by the Brazilian National Health Surveillance Agency for clinical use.

Also known as: - Mini-implant overdenture.
2 conventional dental implants2 mini dental implants4 mini dental implants

Eligibility Criteria

Age45 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Complete edentulism;
  • Request of implant stabilization of the existing lower conventional denture;
  • Clinically acceptable maxillary and mandibular complete dentures;
  • Adequate space in the anterior mandible for the placement of four mini implants and two conventional implants (regular diameter);
  • Ability to maintain adequate oral hygiene and clean dentures;
  • Systemic health status that permits minor surgical procedures;
  • Adequate understanding of written and spoken Portuguese;
  • Capacity of giving written informed consent.

You may not qualify if:

  • Lack of minimum vertical mandibular bone height of 11mm in the interforaminal region;
  • Acute or chronic symptoms of parafunctional disorders;
  • History of radiation therapy to the orofacial region;
  • Specific conditions that may jeopardize the treatment, i.e. alcoholism and smoking;
  • Severe/serious illness that requires frequent hospitalization;
  • Impaired cognitive function;
  • Impossibility to return for evaluations/study recalls.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ribeirão Preto Dental School

Ribeirão Preto, São Paulo, 14040-904, Brazil

Location

Related Publications (5)

  • Chaves CA, Souza RF, Cunha TR, Vecchia MP, Ribeiro AB, Bruniera JF, Silva-Sousa YT. Preliminary In Vitro Study on O-Ring Wear in Mini-Implant-Retained Overdentures. Int J Prosthodont. 2016 Jul-Aug;29(4):357-9. doi: 10.11607/ijp.4677.

  • Ribeiro AB, Della Vecchia MP, Cunha TR, Sorgini DB, Dos Reis AC, Muglia VA, de Albuquerque RF Jr, de Souza RF. Short-term post-operative pain and discomfort following insertion of mini-implants for retaining mandibular overdentures: a randomized controlled trial. J Oral Rehabil. 2015 Aug;42(8):605-14. doi: 10.1111/joor.12287. Epub 2015 Mar 13.

  • de Souza RF, Ribeiro AB, Della Vecchia MP, Costa L, Cunha TR, Reis AC, Albuquerque RF Jr. Mini vs. Standard Implants for Mandibular Overdentures: A Randomized Trial. J Dent Res. 2015 Oct;94(10):1376-84. doi: 10.1177/0022034515601959. Epub 2015 Aug 20.

  • dos Reis AC, Leon JE, Ribeiro AB, Della Vecchia MP, Cunha TR, de Souza RF. Traumatic ulcerative granuloma with stromal eosinophilia around mini dental implants without the protection of a denture base. J Prosthodont. 2015 Jan;24(1):83-6. doi: 10.1111/jopr.12184. Epub 2014 Jun 27.

  • Della Vecchia MP, Leles CR, Cunha TR, Ribeiro AB, Sorgini DB, Muglia VA, Reis AC, Albuquerque RF Jr, de Souza RF. Mini-Implants for Mandibular Overdentures: Cost-Effectiveness Analysis alongside a Randomized Trial. JDR Clin Trans Res. 2018 Jan;3(1):47-56. doi: 10.1177/2380084417741446. Epub 2017 Nov 20.

Related Links

MeSH Terms

Conditions

Mouth, EdentulousJaw, EdentulousPatient Acceptance of Health CarePatient Satisfaction

Condition Hierarchy (Ancestors)

Mouth DiseasesStomatognathic DiseasesTooth DiseasesJaw DiseasesMusculoskeletal DiseasesTreatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Raphael F de Souza, DDS, PhD

    University of Sao Paulo

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

August 5, 2011

First Posted

August 8, 2011

Study Start

September 1, 2011

Primary Completion

December 1, 2014

Study Completion

April 1, 2017

Last Updated

April 17, 2017

Record last verified: 2017-04

Data Sharing

IPD Sharing
Will not share

Locations