NCT04922372

Brief Summary

Research question: For patients requiring posterior single crowns, does the use of Milled BioHPP PEEK copings veneered with CAD/CAM composite resin offer better surface texture and clinical performance when compared Milled BioHPP PEEK copings veneered with manual layering? Statement of the problem Nowadays, metal free restorations are widely used. PEEK is one among these restorations that has many applications in dental field. Owing to PEEK's excellent mechanical properties, it is gaining popularity in prosthodontics. The opaque nature of PEEK allows its use as a framework material in fixed prosthodontics and composite resin material is used as a veneering material to achieve aesthetics . The compatible composite veneering material can be manufactured by both manual and CAD/CAM techniques. Yet, there is no enough research regarding the influence of the veneering technique on the surface texture and clinical performance of these restorations. Rationale PEEK combination of mechanical properties and high biocompatibility make it a very promising material . PEEK based crowns are veneered by composite resin material. Among the methods of fabrication of veneering composite is the manual layering and CAD/CAM techniques . The surface flaws and internal defects determine the strength of the material and affects its performance . Accordingly the evaluation of the veneering technique is mandatory. The rationale for carrying out this study lies in providing an alternative solution to the manual veneering technique, which will, in-turn, provide better surface properties and clinical performance of the restoration and accordingly increase its longevity. Aim of the study: \- The aim of this study is to evaluate the surface texture and clinical performance of milled BioHPP PEEK veneered with CAD/CAM composite resin and compare them to milled BioHPP PEEK veneered manually. Null hypothesis: There is no difference in the surface texture and clinical performance between milled BioHPP PEEK veneered with CAD/CAM composite resin and milled BioHPP PEEK veneered manually. Primary objective:

  • Primary outcome: (surface texture) of the two groups will be assessed using the modified USPHS.
  • Secondary outcome: (fracture) of the two groups will be assessed using the modified Ryge criteria.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
26

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Jul 2021

Status
unknown

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

First Submitted

Initial submission to the registry

June 5, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 10, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

July 22, 2021

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 22, 2022

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 22, 2022

Completed
Last Updated

June 16, 2021

Status Verified

June 1, 2021

Enrollment Period

1 year

First QC Date

June 5, 2021

Last Update Submit

June 11, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • surface texture

    Alpha: Surface is smooth as the surrounding, Bravo: Surface is rough than the surrounding, Charlie: Surface is very rough avoiding movement of the explorer, Delta: New restoration is needed.

    one year

Secondary Outcomes (1)

  • fracture

    one year

Study Arms (2)

intervention arm copping veneered with composite resin

EXPERIMENTAL
Combination Product: peek

control arm copping veneered with manual layering

ACTIVE COMPARATOR
Combination Product: peek

Interventions

peekCOMBINATION_PRODUCT

After tooth preparation, adequate 2ry Impression using non aqueous elastomeric impression materials and bite registration will be taken. 5. Fabrication of the temporary restoration using composite resin temporary material and cemented using non Eugenol Zinc Oxide temporary cement. 11.a.iii. Fabrication and cementation of restoration: Bio-HPP will be supplied in the form of discs to fabricate crown core by CAD/CAM technology then veneered with two veneering techniques; the CAD/ CAM and the manual technique using the visio.lign system of appropriate shade. The finished Bio HPP crown will be cemented by adhesive resin cement according to manufacturer instruction

control arm copping veneered with manual layeringintervention arm copping veneered with composite resin

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • All subjects are required to be:
  • From 18-50 years old, be able to read and sign the informed consent document.
  • Have no active periodontal or pulpal diseases, have teeth with good restorations.
  • Psychologically and physically able to withstand conventional dental procedures.
  • Patients in a need for posterior crown.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

polyetheretherketone

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
principal investigator

Study Record Dates

First Submitted

June 5, 2021

First Posted

June 10, 2021

Study Start

July 22, 2021

Primary Completion

July 22, 2022

Study Completion

December 22, 2022

Last Updated

June 16, 2021

Record last verified: 2021-06

Data Sharing

IPD Sharing
Will share

The patient will be treated in visits designated as follows: * Visit 1: Preoperative records, face-to-face adherence reminder session, clinical, radiographic examination, intraoral photographs and primary impression (alginate impression\*) for diagnostic cast construction. * Visit 2: Teeth preparation, secondary impression using addition silicone rubber base material and temporary restoration. * Visit 3: placement and temporary cementation of the interim restoration using temporary cement. * Visit 4: try in of the coping. * Visit 5: placement of final restoration. Evaluation of the restoration immediately and follow up visit every 3 months at (T0, T6, T12)