Immediate vs Delayed Loading of Two Implants Supporting a Mandibular Over Denture
1 other identifier
interventional
36
1 country
1
Brief Summary
Edentulous patients have to wait after extractions and again after surgical implant placement for healing to occur before the implants can be restored and patients can go back to normal function. This delay in loading of implants can be handicapping for the patient, esthetically and functionally. Hence this project was undertaken with the purpose of reducing this wait period and achieving early rehabilitation in these patients. The aim of the project is to compare immediate loading versus delayed loading of implant supported mandibular dentures.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jul 2010
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2010
CompletedFirst Submitted
Initial submission to the registry
September 19, 2013
CompletedFirst Posted
Study publicly available on registry
September 24, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2014
CompletedDecember 3, 2014
December 1, 2014
3.5 years
September 19, 2013
December 1, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Radiographic bone level change around the implants
12 months
Secondary Outcomes (1)
Implant survival
12 months
Study Arms (2)
Immediate implant loading
EXPERIMENTALThe test group had implant immediately loaded by means of a implant supported mandibular denture connected with locator abutment.
Delayed implant loading group
ACTIVE COMPARATORThe control group had implant loaded after 3 months of submerged healing by means of a implant supported mandibular denture connected with locator abutment.
Interventions
Eligibility Criteria
You may qualify if:
- Males and females at least \>=21y of age
- Provision of informed consent
- Totally edentulous arch requiring or wearing mandibular complete denture
- Tooth in implant sites must have been extracted at least 4 months before the implant placement.
- Adequate amount of bone support to insert a 8mm in length and 4mm in diameter implant without encroaching on vital structures. The amount of bone available should be such that after implant placement there should be minimum of 1mm lingual and buccal bone
- Implant insertion torque \>=20Ncm
- No need for bone augmentation procedures
You may not qualify if:
- Conditions or circumstances as evaluated by the investigator, which would prevent completion of study participation.
- Conditions requiring chronic routine use of antibiotics or requiring prolonged use of steroids.
- History of leukocyte dysfunction or deficiencies, bleeding disorders, neoplastic disease requiring radiation or chemotherapy, metabolic bone disorder, uncontrolled endocrine disorders, HIV infection
- Use of investigational drugs or devices within 30 days of study period,
- Alcoholism or drug abuse and heavy smokers \> 10 cigarettes a day.
- Local factors such as
- untreated periodontitis,
- erosive lichen planus,
- local irradiation history,
- osseous lesion,
- unhealed extraction socket,
- intraoral infection,
- lack of primary stability
- inadequate oral hygiene
- Simultaneous participation in another clinical study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- UConn Healthlead
- Dentsply Astra techcollaborator
Study Sites (1)
University of Connecticut Health Center
Farmington, Connecticut, 06030, United States
Related Publications (2)
Marzola R, Scotti R, Fazi G, Schincaglia GP. Immediate loading of two implants supporting a ball attachment-retained mandibular overdenture: a prospective clinical study. Clin Implant Dent Relat Res. 2007 Sep;9(3):136-43. doi: 10.1111/j.1708-8208.2007.00051.x.
PMID: 17716257BACKGROUNDSchincaglia GP, Rubin S, Thacker S, Dhingra A, Trombelli L, Ioannidou E. Marginal Bone Response Around Immediate- and Delayed-Loading Implants Supporting a Locator-Retained Mandibular Overdenture: A Randomized Controlled Study. Int J Oral Maxillofac Implants. 2016 Mar-Apr;31(2):448-58. doi: 10.11607/jomi.4118.
PMID: 27004292DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Associate Professor
Study Record Dates
First Submitted
September 19, 2013
First Posted
September 24, 2013
Study Start
July 1, 2010
Primary Completion
January 1, 2014
Study Completion
November 1, 2014
Last Updated
December 3, 2014
Record last verified: 2014-12