NCT03540316

Brief Summary

This study evaluates the use of short dental implants to support mandibular overdenture together with the use of laser therapy for treatment of patients with atrophic ridges. All participants will receive laser therapy; half of participants will receive two short implants and the other half will receive four short implants.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
12

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started May 2018

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

May 1, 2018

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

May 2, 2018

Completed
28 days until next milestone

First Posted

Study publicly available on registry

May 30, 2018

Completed
5.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2023

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2024

Completed
Last Updated

July 27, 2021

Status Verified

July 1, 2021

Enrollment Period

5.6 years

First QC Date

May 2, 2018

Last Update Submit

July 25, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Assessment of changes in implant stability (Implant Stability Quotient).

    Implant stability can be defined as the absence of clinical mobility. It will be assessed at the time of implant placement (baseline) ,then six months and twelve months later, by the resonance frequency analysis using Osstel devise which measure implant oscillation frequency on the bone;Implant Stability Quotient (ISQ) .

    Baseline, 6 months &12 months.

Secondary Outcomes (3)

  • Peri-implant marginal bone changes.

    Baseline, 6 months &12 months.

  • Assessment of changes in peri-implant probing depth .

    Baseline, 6 months &12 months.

  • Assessment of changes in modified gingival index

    Baseline, 6 months &12 months.

Study Arms (4)

Two short implants and 2 minutes LLLT

ACTIVE COMPARATOR

Patients receiving 2 short dental implants assisted mandibular over-denture and Low level laser therapy (LLLT) for 2 minutes .

Combination Product: Two short implants and 2 minutes LLLT

Two short implants and 4 minutes LLLT

ACTIVE COMPARATOR

Patients receiving 2 short dental implants assisted mandibular over-denture and LLLT for 2 minutes .

Combination Product: Two short implants and 4 minutes LLLT

Four short implants and 2 minutes LLLT

ACTIVE COMPARATOR

Patients receiving 4 short dental implants assisted mandibular over-denture and LLLT for 2 minutes .

Combination Product: Four short implants and 2 minutes LLLT

Four short implants and 4 minutes LLLT

ACTIVE COMPARATOR

Patients receiving 4 short dental implants assisted mandibular over-denture and LLLT for 4 minutes .

Combination Product: Four short implants and 4 minutes LLLT

Interventions

Patients with edentulous atrophied mandibular ridge will receive 2 short dental implants and LLLT for 2 minutes.

Two short implants and 2 minutes LLLT

Patients with edentulous atrophied mandibular ridge will receive 2 short dental implants and LLLT for 4 minutes.

Two short implants and 4 minutes LLLT

Patients with edentulous atrophied mandibular ridge will receive 4 short dental implants and LLLT for 2 minutes.

Four short implants and 2 minutes LLLT

Patients with edentulous atrophied mandibular ridge will receive 4 short dental implants and LLLT for 4 minutes.

Four short implants and 4 minutes LLLT

Eligibility Criteria

Age45 Years - 65 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Completely edentulous patients.
  • Patients with mandibular resorbed edentulous ridge.
  • Medically fit patients with no systemic conditions.
  • Class I ridge relation.
  • Adequate zone of keratinized mucosa.

You may not qualify if:

  • Metabolic bone disease or unstable systemic condition.
  • Heavy smokers.
  • A history of radiotherapy in the head and neck region.
  • Physical or mental disability.
  • Temporomandibular and neuromuscular disorders.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of dentistry

Alexandria, Egypt

Location

Related Publications (5)

  • Thomason JM, Feine J, Exley C, Moynihan P, Muller F, Naert I, Ellis JS, Barclay C, Butterworth C, Scott B, Lynch C, Stewardson D, Smith P, Welfare R, Hyde P, McAndrew R, Fenlon M, Barclay S, Barker D. Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients--the York Consensus Statement. Br Dent J. 2009 Aug 22;207(4):185-6. doi: 10.1038/sj.bdj.2009.728.

    PMID: 19696851BACKGROUND
  • Maniewicz S, Buser R, Duvernay E, Vazquez L, Loup A, Perneger TV, Schimmel M, Muller F. Short Dental Implants Retaining Two-Implant Mandibular Overdentures in Very Old, Dependent Patients: Radiologic and Clinical Observation Up to 5 Years. Int J Oral Maxillofac Implants. 2017 Mar/Apr;32(2):415-422. doi: 10.11607/jomi.5361.

    PMID: 28291859BACKGROUND
  • Mandic B, Lazic Z, Markovic A, Mandic B, Mandic M, Djinic A, Milicic B. Influence of postoperative low-level laser therapy on the osseointegration of self-tapping implants in the posterior maxilla: a 6-week split-mouth clinical study. Vojnosanit Pregl. 2015 Mar;72(3):233-40. doi: 10.2298/vsp131202075m.

    PMID: 25958474BACKGROUND
  • Malo P, de Araujo Nobre M, Rangert B. Short implants placed one-stage in maxillae and mandibles: a retrospective clinical study with 1 to 9 years of follow-up. Clin Implant Dent Relat Res. 2007 Mar;9(1):15-21. doi: 10.1111/j.1708-8208.2006.00027.x.

    PMID: 17362493BACKGROUND
  • Zayed SM, Noureldin MG. Rehabilitation of Atrophic Mandible with Ultrashort Implants Combined with Photobiomodulation Therapy: A Split-Mouth Design Study. Saudi J Med Med Sci. 2022 Sep-Dec;10(3):198-206. doi: 10.4103/sjmms.sjmms_635_21. Epub 2022 Aug 22.

MeSH Terms

Interventions

Low-Level Light Therapy

Intervention Hierarchy (Ancestors)

Laser TherapyTherapeuticsPhototherapy

Study Officials

  • Sara Zayed

    Alexandria University

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Director

Study Record Dates

First Submitted

May 2, 2018

First Posted

May 30, 2018

Study Start

May 1, 2018

Primary Completion

December 1, 2023

Study Completion

January 1, 2024

Last Updated

July 27, 2021

Record last verified: 2021-07

Locations