4 vs 6 Implants in Totally Edentulous Patient in Maxilla With Ti. Cad-cam Framework
Four Versus Six Endosseous Implants to be Used in the Rehabilitation of Totally Edentulous Patient in the Maxilla With Titanium Milled Framework
1 other identifier
interventional
56
1 country
1
Brief Summary
The primary objective of the present study is to evaluate the marginal bone level changes occurring in total edentulous patients treated with six or four implants. Secondary objective
- overall survival rate
- soft tissue status by assessment of bleeding on probing (BoP) and probing pocket depth (PPD) at baseline and after 1,3,5 years
- prosthetic survival rates including screw or abutment loosening, framework or veneer fractures
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 Dec 2013
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
December 1, 2013
CompletedFirst Submitted
Initial submission to the registry
March 16, 2015
CompletedFirst Posted
Study publicly available on registry
April 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2024
CompletedFebruary 4, 2025
February 1, 2025
10.8 years
March 16, 2015
February 1, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Marginal bone resorption in millimeter from the the implant to the bone crest.
1 year
Marginal bone resorption in millimeter from the the implant to the bone crest.
3 year
Marginal bone resorption in millimeter from the the implant to the bone crest.
5 year
Secondary Outcomes (3)
Fracture of the prosthetic components
1 year
Fracture of the prosthetic components
3 year
Fracture of the prosthetic components
5 year
Study Arms (2)
Test -4 implants-
EXPERIMENTALEvaluate marginal bone level (MBL) changes at implants that are placed in total edentulous patient when they are treated with four with titanium Cad/Cam framework.
Control -6 implants-
ACTIVE COMPARATOREvaluate marginal bone level (MBL) changes at implants that are placed in total edentulous patient when they are treated with six with titanium Cad/Cam framework
Interventions
Eligibility Criteria
You may qualify if:
- age \> 18 years;
- edentulous maxilla or having hopeless remaining teeth that are intended to be extracted;
- willingness to comply with all study requirements and to sign the IC;
- have sufficient amount of bone (8mm or more) in the recipient site to allow implant placement without bone augmentation procedures.
You may not qualify if:
- bone defects associated with severe knife-edge ridges;
- bone defects resulting from tumor resection;
- tobacco abuse (\> 10 cigarettes/day);
- severe kidney and liver disease;
- history of radiotherapy in the head and neck region;
- chemotherapy for treatment of malignant tumors at the time of the surgical procedure;
- uncontrolled diabetes;
- active periodontal disease involving the residual opposite dentition;
- mucosal disease, such as lichen planus, in the areas to be treated;
- poor oral hygiene;
- non-compliant patients;
- situations judged inconvenient(by the investigator) for the surgical treatment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Institute Francilead
Study Sites (1)
Franci Institute
Padua, 35121, Italy
Related Publications (1)
Toia M, Moreira CS, Dias DR, Corra E, Ravida A, Cecchinato D. Fixed Full-Arch Maxillary Prostheses Supported by Four Versus Six Implants: 5-Year Results of a Multicenter Randomized Clinical Trial. Clin Oral Implants Res. 2025 Mar;36(3):298-313. doi: 10.1111/clr.14383. Epub 2024 Nov 24.
PMID: 39581887DERIVED
Study Officials
- STUDY DIRECTOR
Denis Cecchinato, DDS
Franci Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Four versus six endosseous implants to be used in the rehabilitation of totally edentulous patient in the maxilla with titanium milled framework: a randomized, controlled clinical trial.
Study Record Dates
First Submitted
March 16, 2015
First Posted
April 1, 2015
Study Start
December 1, 2013
Primary Completion
September 1, 2024
Study Completion
September 1, 2024
Last Updated
February 4, 2025
Record last verified: 2025-02