NCT02931968

Brief Summary

This study is designed to recall all patients who have received a full-arch monolithic zirconia implant supported fixed dental prosthesis in the University of North Carolina (UNC) School of Dentistry Graduate Prosthodontic and/or Dental Faculty Practice clinics between January 1, 2008 to September 1, 2015. The main purpose is to evaluate the biological and technical complications associated with this form of prosthetic treatment. Additionally patient centered outcomes will be evaluated.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
22

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Jan 2017

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

October 11, 2016

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 13, 2016

Completed
3 months until next milestone

Study Start

First participant enrolled

January 1, 2017

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 5, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 5, 2018

Completed
Last Updated

September 23, 2020

Status Verified

September 1, 2020

Enrollment Period

1.8 years

First QC Date

October 11, 2016

Last Update Submit

September 21, 2020

Conditions

Keywords

Monolithic ZirconiaImplant supported prosthesisFixed partial denture

Outcome Measures

Primary Outcomes (1)

  • Percent Incidence of Prosthetic Complications

    Implant and prosthetic survivals are going to be reported by number of occurrence and will be analyzed by using descriptive tabular methods; Prosthetic screw loosening (number of complications calculated by percent), Repair of prosthesis (zirconia fracture)

    At time of study visit (anywhere from 1-8 years from prosthesis delivery)

Secondary Outcomes (4)

  • Percent Incidence of Biological Complications

    At time of study visit (anywhere from 1-8 years from prosthesis delivery)

  • Quantitative measurement of bone level

    At time of study visit (anywhere from 1-8 years from prosthesis delivery)

  • Patient self-reported OHIP-14 satisfaction scores

    At time of study visit (anywhere from 1-8 years from prosthesis delivery)

  • Patient self-reported QoLFAST-10 scores

    At time of study visit (anywhere from 1-8 years from prosthesis delivery)

Study Arms (1)

Monolithic zirconia prosthesis

Subjects previously treated with at least one arch (maxilla/mandible) of dental implants restored with a full-arch monolithic zirconia implant supported fixed dental prosthesis will be recalled for clinical and radiographic examination.

Device: Monolithic zirconia prosthesis

Interventions

Edentulous arch subjects treated with a monolithic zirconia implant supported fixed dental prosthesis.

Monolithic zirconia prosthesis

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

All adult patients treated in the UNC School of Dentistry Graduate Prosthodontic and/or Dental Faculty Practice clinic(s) between January 1, 2008 to September 1, 2015 with at least one full-arch monolithic zirconia implant supported fixed dental prosthesis.

You may qualify if:

  • years and older
  • Good physical health (American Society of Anesthesiologist classification I (ASA I) and II (ASA II) to undergo routine comprehensive recall examination
  • ASA I - A normal healthy patient
  • ASA II - A patient with mild systemic health.
  • Able to give informed consent
  • At least one edentulous arch (maxilla and/or mandible) that were treatment planned and restored with full arch MZISFDP by UNC Graduate Prosthodontic clinic and/or UNC Dental Faculty Practice between January 1, 2008- September 1, 2015
  • Pregnancy status during the time of recall
  • Women of non-childbearing potential - defined as those who have no uterus, ligation of the fallopian tubes, or permanent cessation of ovarian function due to ovarian failure or surgical removal of the ovaries (i.e. permanently sterilized, postmenopausal). Postmenopausal is defined as 12 months with no menses without an alternative medical cause "Non-childbearing potential" status will be determined with a questionnaire.
  • Women of childbearing potential - Female patient who don't fulfill the "non-childbearing potential" status will be considered of childbearing potential. Status of pregnancy will be determined by administering urine pregnancy tests If a subject is found to be pregnant and they consent to remaining in the study then any data from the intraoral exam will be included and the subject will be excluded from the radiographic examination.

You may not qualify if:

  • History of radiotherapy in the head and neck region
  • History of intravenous bisphosphonate therapy
  • Medical conditions that contraindicate elective dental therapy and routine recall appointment
  • American Society of Anesthesiologist Classification III (ASA III), IV (ASA IV), V (ASA V) and VI (ASA VI)
  • ASA III - a patient with severe systemic disease
  • ASA IV -a patient with severe systemic disease that is a constant threat to life.
  • ASA V - a moribund patient who is not expected to survive without the operation.
  • ASA VI - a declared brain-dead patient whose organs are being removed for donor purposes.
  • Psychological and/or behavioral conditions that make routine recall appointments very difficult to impossible
  • Known alcohol and/or drug abuse

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Graduate Prosthodontic Clinic, Dept. of Prosthodontics, UNC School of Dentistry

Chapel Hill, North Carolina, 27599, United States

Location

Related Publications (43)

  • Abdulmajeed AA, Lim KG, Narhi TO, Cooper LF. Complete-arch implant-supported monolithic zirconia fixed dental prostheses: A systematic review. J Prosthet Dent. 2016 Jun;115(6):672-677.e1. doi: 10.1016/j.prosdent.2015.08.025. Epub 2016 Jan 23.

    PMID: 26809220BACKGROUND
  • Al-Amleh B, Lyons K, Swain M. Clinical trials in zirconia: a systematic review. J Oral Rehabil. 2010 Aug;37(8):641-52. doi: 10.1111/j.1365-2842.2010.02094.x. Epub 2010 Apr 9.

    PMID: 20406352BACKGROUND
  • Allen F, McMillan A. Food selection and perceptions of chewing ability following provision of implant and conventional prostheses in complete denture wearers. Clin Oral Implants Res. 2002 Jun;13(3):320-6. doi: 10.1034/j.1600-0501.2002.130313.x.

    PMID: 12010164BACKGROUND
  • Attard NJ, Zarb GA. Long-term treatment outcomes in edentulous patients with implant-fixed prostheses: the Toronto study. Int J Prosthodont. 2004 Jul-Aug;17(4):417-24.

    PMID: 15382777BACKGROUND
  • Balshi TJ, Wolfinger GJ, Slauch RW, Balshi SF. A retrospective analysis of 800 Branemark System implants following the All-on-Four protocol. J Prosthodont. 2014 Feb;23(2):83-8. doi: 10.1111/jopr.12089. Epub 2013 Jul 25.

    PMID: 23890014BACKGROUND
  • Bozini T, Petridis H, Garefis K, Garefis P. A meta-analysis of prosthodontic complication rates of implant-supported fixed dental prostheses in edentulous patients after an observation period of at least 5 years. Int J Oral Maxillofac Implants. 2011 Mar-Apr;26(2):304-18.

    PMID: 21483883BACKGROUND
  • Carames J, Tovar Suinaga L, Yu YC, Perez A, Kang M. Clinical Advantages and Limitations of Monolithic Zirconia Restorations Full Arch Implant Supported Reconstruction: Case Series. Int J Dent. 2015;2015:392496. doi: 10.1155/2015/392496. Epub 2015 Jun 1.

    PMID: 26124835BACKGROUND
  • Cheng CW, Chien CH, Chen CJ, Papaspyridakos P. Complete-mouth implant rehabilitation with modified monolithic zirconia implant-supported fixed dental prostheses and an immediate-loading protocol: a clinical report. J Prosthet Dent. 2013 Jun;109(6):347-52. doi: 10.1016/S0022-3913(13)00109-1. No abstract available.

    PMID: 23763777BACKGROUND
  • Cooper LF. The current and future treatment of edentulism. J Prosthodont. 2009 Feb;18(2):116-22. doi: 10.1111/j.1532-849X.2009.00441.x.

    PMID: 19254301BACKGROUND
  • Davis DM, Packer ME, Watson RM. Maintenance requirements of implant-supported fixed prostheses opposed by implant-supported fixed prostheses, natural teeth, or complete dentures: a 5-year retrospective study. Int J Prosthodont. 2003 Sep-Oct;16(5):521-3.

    PMID: 14651238BACKGROUND
  • de Avila ED, Avila-Campos MJ, Vergani CE, Spolidorio DM, Mollo Fde A Jr. Structural and quantitative analysis of a mature anaerobic biofilm on different implant abutment surfaces. J Prosthet Dent. 2016 Apr;115(4):428-36. doi: 10.1016/j.prosdent.2015.09.016. Epub 2015 Nov 17.

    PMID: 26597465BACKGROUND
  • Douglass CW, Shih A, Ostry L. Will there be a need for complete dentures in the United States in 2020? J Prosthet Dent. 2002 Jan;87(1):5-8. doi: 10.1067/mpr.2002.121203.

    PMID: 11807476BACKGROUND
  • Ekelund JA, Lindquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: a prospective study on Branemark system implants over more than 20 years. Int J Prosthodont. 2003 Nov-Dec;16(6):602-8.

    PMID: 14714838BACKGROUND
  • Felton DA. Edentulism and comorbid factors. Tex Dent J. 2010 Apr;127(4):389-401.

    PMID: 20446489BACKGROUND
  • Fueki K, Kimoto K, Ogawa T, Garrett NR. Effect of implant-supported or retained dentures on masticatory performance: a systematic review. J Prosthet Dent. 2007 Dec;98(6):470-7. doi: 10.1016/S0022-3913(07)60147-4.

    PMID: 18061741BACKGROUND
  • Guess PC, Schultheis S, Bonfante EA, Coelho PG, Ferencz JL, Silva NR. All-ceramic systems: laboratory and clinical performance. Dent Clin North Am. 2011 Apr;55(2):333-52, ix. doi: 10.1016/j.cden.2011.01.005. Epub 2011 Mar 3.

    PMID: 21473997BACKGROUND
  • Jemt T, Johansson J. Implant treatment in the edentulous maxillae: a 15-year follow-up study on 76 consecutive patients provided with fixed prostheses. Clin Implant Dent Relat Res. 2006;8(2):61-9. doi: 10.1111/j.1708-8208.2006.00003.x.

    PMID: 16774591BACKGROUND
  • Kordatzis K, Wright PS, Meijer HJ. Posterior mandibular residual ridge resorption in patients with conventional dentures and implant overdentures. Int J Oral Maxillofac Implants. 2003 May-Jun;18(3):447-52.

    PMID: 12814322BACKGROUND
  • Kwon T, Bain PA, Levin L. Systematic review of short- (5-10 years) and long-term (10 years or more) survival and success of full-arch fixed dental hybrid prostheses and supporting implants. J Dent. 2014 Oct;42(10):1228-41. doi: 10.1016/j.jdent.2014.05.016. Epub 2014 Jun 26.

    PMID: 24975989BACKGROUND
  • Larsson C, Vult von Steyern P. Five-year follow-up of implant-supported Y-TZP and ZTA fixed dental prostheses. A randomized, prospective clinical trial comparing two different material systems. Int J Prosthodont. 2010 Nov-Dec;23(6):555-61.

    PMID: 21209993BACKGROUND
  • Larsson C, Vult Von Steyern P. Implant-supported full-arch zirconia-based mandibular fixed dental prostheses. Eight-year results from a clinical pilot study. Acta Odontol Scand. 2013 Sep;71(5):1118-22. doi: 10.3109/00016357.2012.749518. Epub 2012 Dec 4.

    PMID: 23210793BACKGROUND
  • Le M, Papia E, Larsson C. The clinical success of tooth- and implant-supported zirconia-based fixed dental prostheses. A systematic review. J Oral Rehabil. 2015 Jun;42(6):467-80. doi: 10.1111/joor.12272. Epub 2015 Jan 10.

    PMID: 25580846BACKGROUND
  • Limmer B, Sanders AE, Reside G, Cooper LF. Complications and patient-centered outcomes with an implant-supported monolithic zirconia fixed dental prosthesis: 1 year results. J Prosthodont. 2014 Jun;23(4):267-75. doi: 10.1111/jopr.12110. Epub 2014 Jan 6.

    PMID: 24393461BACKGROUND
  • Lund JP, Mojon P, Pho M, Feine JS. Alzheimer's disease and edentulism. Age Ageing. 2003 Mar;32(2):228-9. doi: 10.1093/ageing/32.2.228. No abstract available.

    PMID: 12615571BACKGROUND
  • MacEntee MI, Nolan A, Thomason JM. Oral mucosal and osseous disorders in frail elders. Gerodontology. 2004 Jun;21(2):78-84. doi: 10.1111/j.1741-2358.2004.00008.x.

    PMID: 15185987BACKGROUND
  • Mehra M, Vahidi F. Complete mouth implant rehabilitation with a zirconia ceramic system: a clinical report. J Prosthet Dent. 2014 Jul;112(1):1-4. doi: 10.1016/j.prosdent.2013.12.016. Epub 2014 Mar 24.

    PMID: 24674807BACKGROUND
  • Mertens C, Steveling HG. Early and immediate loading of titanium implants with fluoride-modified surfaces: results of 5-year prospective study. Clin Oral Implants Res. 2011 Dec;22(12):1354-60. doi: 10.1111/j.1600-0501.2010.02123.x. Epub 2011 Mar 8.

    PMID: 21382092BACKGROUND
  • Nascimento CD, Pita MS, Fernandes FHNC, Pedrazzi V, de Albuquerque Junior RF, Ribeiro RF. Bacterial adhesion on the titanium and zirconia abutment surfaces. Clin Oral Implants Res. 2014 Mar;25(3):337-343. doi: 10.1111/clr.12093. Epub 2013 Jan 14.

    PMID: 23316996BACKGROUND
  • Oh SH, Kim Y, Park JY, Jung YJ, Kim SK, Park SY. Comparison of fixed implant-supported prostheses, removable implant-supported prostheses, and complete dentures: patient satisfaction and oral health-related quality of life. Clin Oral Implants Res. 2016 Feb;27(2):e31-7. doi: 10.1111/clr.12514. Epub 2014 Oct 24.

    PMID: 25346286BACKGROUND
  • Papaspyridakos P, Chen CJ, Chuang SK, Weber HP, Gallucci GO. A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patients. Int J Oral Maxillofac Implants. 2012 Jan-Feb;27(1):102-10.

    PMID: 22299086BACKGROUND
  • Papaspyridakos P, Lal K. Complete arch implant rehabilitation using subtractive rapid prototyping and porcelain fused to zirconia prosthesis: a clinical report. J Prosthet Dent. 2008 Sep;100(3):165-72. doi: 10.1016/S0022-3913(08)00110-8.

    PMID: 18762028BACKGROUND
  • Papaspyridakos P, Lal K. Computer-assisted design/computer-assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function. Clin Oral Implants Res. 2013 Jun;24(6):659-65. doi: 10.1111/j.1600-0501.2012.02447.x. Epub 2012 Mar 13.

    PMID: 22413889BACKGROUND
  • Papaspyridakos P, Lal K. Immediate loading of the maxilla with prefabricated interim prosthesis using interactive planning software, and CAD/CAM rehabilitation with definitive zirconia prosthesis: 2-year clinical follow-up. J Esthet Restor Dent. 2010 Aug;22(4):223-32. doi: 10.1111/j.1708-8240.2010.00343.x.

    PMID: 20690950BACKGROUND
  • Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials. 1999 Jan;20(1):1-25. doi: 10.1016/s0142-9612(98)00010-6.

    PMID: 9916767BACKGROUND
  • Pozzi A, Holst S, Fabbri G, Tallarico M. Clinical reliability of CAD/CAM cross-arch zirconia bridges on immediately loaded implants placed with computer-assisted/template-guided surgery: a retrospective study with a follow-up between 3 and 5 years. Clin Implant Dent Relat Res. 2015 Jan;17 Suppl 1:e86-96. doi: 10.1111/cid.12132. Epub 2013 Aug 5.

    PMID: 23910539BACKGROUND
  • Purcell BA, McGlumphy EA, Holloway JA, Beck FM. Prosthetic complications in mandibular metal-resin implant-fixed complete dental prostheses: a 5- to 9-year analysis. Int J Oral Maxillofac Implants. 2008 Sep-Oct;23(5):847-57.

    PMID: 19014154BACKGROUND
  • Rimondini L, Cerroni L, Carrassi A, Torricelli P. Bacterial colonization of zirconia ceramic surfaces: an in vitro and in vivo study. Int J Oral Maxillofac Implants. 2002 Nov-Dec;17(6):793-8.

    PMID: 12507238BACKGROUND
  • Rojas-Vizcaya F. Full zirconia fixed detachable implant-retained restorations manufactured from monolithic zirconia: clinical report after two years in service. J Prosthodont. 2011 Oct;20(7):570-6. doi: 10.1111/j.1532-849X.2011.00784.x.

    PMID: 22003832BACKGROUND
  • Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997 Aug;25(4):284-90. doi: 10.1111/j.1600-0528.1997.tb00941.x.

    PMID: 9332805BACKGROUND
  • Slade GD, Akinkugbe AA, Sanders AE. Projections of U.S. Edentulism prevalence following 5 decades of decline. J Dent Res. 2014 Oct;93(10):959-65. doi: 10.1177/0022034514546165. Epub 2014 Aug 21.

    PMID: 25146182BACKGROUND
  • Thalji GN, Cooper LF. Implant-supported fixed dental rehabilitation with monolithic zirconia: a clinical case report. J Esthet Restor Dent. 2014 Mar-Apr;26(2):88-96. doi: 10.1111/jerd.12078. Epub 2014 Jan 2.

    PMID: 24382100BACKGROUND
  • Turkyilmaz I, Company AM, McGlumphy EA. Should edentulous patients be constrained to removable complete dentures? The use of dental implants to improve the quality of life for edentulous patients. Gerodontology. 2010 Mar;27(1):3-10. doi: 10.1111/j.1741-2358.2009.00294.x. Epub 2009 Mar 8.

    PMID: 19291086BACKGROUND
  • Venezia P, Torsello F, Cavalcanti R, D'Amato S. Retrospective analysis of 26 complete-arch implant-supported monolithic zirconia prostheses with feldspathic porcelain veneering limited to the facial surface. J Prosthet Dent. 2015 Oct;114(4):506-12. doi: 10.1016/j.prosdent.2015.02.010. Epub 2015 Jun 5.

    PMID: 25979446BACKGROUND

MeSH Terms

Conditions

Mouth, Edentulous

Condition Hierarchy (Ancestors)

Mouth DiseasesStomatognathic DiseasesTooth Diseases

Study Officials

  • Ingeborg De Kok, DDS MS

    UNC Associate Professor

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 11, 2016

First Posted

October 13, 2016

Study Start

January 1, 2017

Primary Completion

November 5, 2018

Study Completion

November 5, 2018

Last Updated

September 23, 2020

Record last verified: 2020-09

Data Sharing

IPD Sharing
Will not share

Locations