NCT05989061

Brief Summary

The study suggests that if the investigators used customized healing abutments synthesized from PEEK may have a favorable effect on peri-implant soft tissues regarding decreased plaque accumulation and healing stimulation compared to the customized conventional titanium healing abutments.

Trial Health

57
Monitor

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 not_applicable

Timeline
Completed

Started Sep 2023

Geographic Reach
1 country

1 active site

Status
recruiting

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

July 21, 2023

Completed
24 days until next milestone

First Posted

Study publicly available on registry

August 14, 2023

Completed
18 days until next milestone

Study Start

First participant enrolled

September 1, 2023

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2024

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2024

Completed
Last Updated

June 4, 2024

Status Verified

June 1, 2024

Enrollment Period

1 year

First QC Date

July 21, 2023

Last Update Submit

June 3, 2024

Conditions

Keywords

Customized Healing AbutmentPEEKPeri-implant soft tissueDental implantsTitaniumEsthetic Zone

Outcome Measures

Primary Outcomes (5)

  • Clinical evaluation of peri-implant soft tissue changes

    Clinical evaluation of peri-implant soft tissue changes the Probing Depth (PD).

    1 month after implantation and 4 months after implantation (just before prosthetic procedures)

  • Clinical evaluation of peri-implant soft tissue changes

    Clinical evaluation of peri-implant soft tissue changes the Plaque Index (PI) score.

    1 month after implantation and 4 months after implantation (just before prosthetic procedures)

  • Clinical evaluation of peri-implant soft tissue changes

    Clinical evaluation of peri-implant soft tissue changes the Gingival Index (GI)score.

    1 month after implantation and 4 months after implantation (just before prosthetic procedures)

  • Clinical evaluation of peri-implant soft tissue changes

    Clinical evaluation of peri-implant soft tissue changes the Gingival Bleeding Time Index (GBTI).

    1 month after implantation and 4 months after implantation (just before prosthetic procedures)

  • Clinical evaluation of peri-implant soft tissue changes

    Clinical evaluation of peri-implant soft tissue changes the Width of keratinized tissue (WKT).

    1 month after implantation and 4 months after implantation (just before prosthetic procedures)

Secondary Outcomes (1)

  • Biochemical evaluation

    1 month after implantation and 4 months after implantation (just before prosthetic procedures)

Study Arms (2)

PEEK customized healing abutment.

EXPERIMENTAL

Group I (Customized PEEK Healing Abutment): 13 patients will receive guided delayed implant and a customized PEEK healing abutment placed simultaneously with implant surgery

Device: PEEK customized healing abutment

Titanium customized healing abutment.

ACTIVE COMPARATOR

Group II (Customized Titanium Healing Abutment): 13 patients will receive guided delayed implant and a customized titanium healing abutment placed simultaneously with implant surgery.

Device: Titanium customized healing abutment

Interventions

Guided delayed implant and a customized PEEK healing abutment placed simultaneously with implant surgery

PEEK customized healing abutment.

Guided delayed implant and a customized Titanium healing abutment placed simultaneously with implant surgery

Titanium customized healing abutment.

Eligibility Criteria

Age20 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Patients should be systematically free from any disease as according to Cornell Medical Index-Health Questionnaire .
  • Both genders.
  • Age from 20-50 years.
  • Missing tooth in esthetic zone (Anterior/Premolar) to be restored with standard implant, with no need for additional bone and soft tissue augmentation procedures.
  • Implants primary stability ISQ ≥ 70 unites using the Osstell Mentor
  • BuccoLingual bone width ≥ 6 mm.
  • Mesio distal space ≥ 7 mm
  • Sound Mesial and distal neighboring teeth.
  • At least 6 natural teeth remaining in the same arch .
  • Mouth opening ≥ 30mm.
  • Enough keratinized mucosa.
  • Thick phenotype.

You may not qualify if:

  • Poor oral hygiene condition.
  • Pregnant and lactating females.
  • Smokers.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of Dentistry Ain Shams University

Cairo, Egypt

RECRUITING

Related Publications (25)

  • Baltayan S, Pi-Anfruns J, Aghaloo T, Moy PK. The Predictive Value of Resonance Frequency Analysis Measurements in the Surgical Placement and Loading of Endosseous Implants. J Oral Maxillofac Surg. 2016 Jun;74(6):1145-52. doi: 10.1016/j.joms.2016.01.048. Epub 2016 Feb 1.

    PMID: 26917203BACKGROUND
  • Beretta M, Poli PP, Pieriboni S, Tansella S, Manfredini M, Cicciu M, Maiorana C. Peri-Implant Soft Tissue Conditioning by Means of Customized Healing Abutment: A Randomized Controlled Clinical Trial. Materials (Basel). 2019 Sep 19;12(18):3041. doi: 10.3390/ma12183041.

    PMID: 31546800BACKGROUND
  • Cakan U, Delilbasi C, Er S, Kivanc M. Is it safe to reuse dental implant healing abutments sterilized and serviced by dealers of dental implant manufacturers? An in vitro sterility analysis. Implant Dent. 2015 Apr;24(2):174-9. doi: 10.1097/ID.0000000000000198.

    PMID: 25706262BACKGROUND
  • Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants. 2009;24 Suppl:186-217.

    PMID: 19885446BACKGROUND
  • Chen ST, Buser D. Esthetic outcomes following immediate and early implant placement in the anterior maxilla--a systematic review. Int J Oral Maxillofac Implants. 2014;29 Suppl:186-215. doi: 10.11607/jomi.2014suppl.g3.3.

    PMID: 24660198BACKGROUND
  • Chew M, Tompkins G, Tawse-Smith A, Waddell JN, Ma S. Reusing Titanium Healing Abutments: Comparison of Two Decontamination Methods. Int J Prosthodont. 2018 November/December;31(6):613-618. doi: 10.11607/ijp.5881. Epub 2018 Jul 30.

    PMID: 30339159BACKGROUND
  • Cochran DL, Nummikoski PV, Schoolfield JD, Jones AA, Oates TW. A prospective multicenter 5-year radiographic evaluation of crestal bone levels over time in 596 dental implants placed in 192 patients. J Periodontol. 2009 May;80(5):725-33. doi: 10.1902/jop.2009.080401.

    PMID: 19405825BACKGROUND
  • de Almeida EO, Pellizzer EP, Goiatto MC, Margonar R, Rocha EP, Freitas AC Jr, Anchieta RB. Computer-guided surgery in implantology: review of basic concepts. J Craniofac Surg. 2010 Nov;21(6):1917-21. doi: 10.1097/SCS.0b013e3181f4b1a0.

    PMID: 21119455BACKGROUND
  • Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.

    PMID: 17695343BACKGROUND
  • Finelle G, Lee SJ. Guided Immediate Implant Placement with Wound Closure by Computer-Aided Design/Computer-Assisted Manufacture Sealing Socket Abutment: Case Report. Int J Oral Maxillofac Implants. 2017 Mar/Apr;32(2):e63-e67. doi: 10.11607/jomi.4770.

    PMID: 28291855BACKGROUND
  • Jemt T. Measurements of tooth movements in relation to single-implant restorations during 16 years: a case report. Clin Implant Dent Relat Res. 2005;7(4):200-8. doi: 10.1111/j.1708-8208.2005.tb00065.x.

    PMID: 16336911BACKGROUND
  • Joda T, Ferrari M, Braegger U. A digital approach for one-step formation of the supra-implant emergence profile with an individualized CAD/CAM healing abutment. J Prosthodont Res. 2016 Jul;60(3):220-3. doi: 10.1016/j.jpor.2016.01.005. Epub 2016 Feb 9.

    PMID: 26868927BACKGROUND
  • Lang LA, Sierraalta M, Hoffensperger M, Wang RF. Evaluation of the precision of fit between the Procera custom abutment and various implant systems. Int J Oral Maxillofac Implants. 2003 Sep-Oct;18(5):652-8.

    PMID: 14579952BACKGROUND
  • Margonar R, Queiroz TP, Luvizuto ER, Betoni-Junior W, Zocal EA. Mandibular rehabilitation using immediate implant loading after computer-guided surgery. J Craniofac Surg. 2012 Mar;23(2):e129-32. doi: 10.1097/SCS.0b013e31824cdb74.

    PMID: 22446446BACKGROUND
  • Mehra M, Somohano T, Choi M. Mandibular fibular graft reconstruction with CAD/CAM technology: A clinical report and literature review. J Prosthet Dent. 2016 Jan;115(1):123-8. doi: 10.1016/j.prosdent.2015.05.012. Epub 2015 Sep 11.

    PMID: 26372630BACKGROUND
  • Molina A, Sanz-Sanchez I, Martin C, Blanco J, Sanz M. The effect of one-time abutment placement on interproximal bone levels and peri-implant soft tissues: a prospective randomized clinical trial. Clin Oral Implants Res. 2017 Apr;28(4):443-452. doi: 10.1111/clr.12818. Epub 2016 Mar 25.

    PMID: 27016157BACKGROUND
  • Akoglan M, Tatli U, Kurtoglu C, Salimov F, Kurkcu M. Effects of different loading protocols on the secondary stability and peri-implant bone density of the single implants in the posterior maxilla. Clin Implant Dent Relat Res. 2017 Aug;19(4):624-631. doi: 10.1111/cid.12492. Epub 2017 May 10.

    PMID: 28493347BACKGROUND
  • Pow EH, McMillan AS. A modified implant healing abutment to optimize soft tissue contours: a case report. Implant Dent. 2004 Dec;13(4):297-300. doi: 10.1097/01.id.0000144510.66524.87.

    PMID: 15591990BACKGROUND
  • Priest G. Virtual-designed and computer-milled implant abutments. J Oral Maxillofac Surg. 2005 Sep;63(9 Suppl 2):22-32. doi: 10.1016/j.joms.2005.05.158.

    PMID: 16125013BACKGROUND
  • Proussaefs P. Immediate provisionalization with a CAD/CAM interim abutment and crown: a guided soft tissue healing technique. J Prosthet Dent. 2015 Feb;113(2):91-5. doi: 10.1016/j.prosdent.2014.09.003. Epub 2014 Oct 28.

    PMID: 25438739BACKGROUND
  • Pyo SW, Lim YJ, Koo KT, Lee J. Methods Used to Assess the 3D Accuracy of Dental Implant Positions in Computer-Guided Implant Placement: A Review. J Clin Med. 2019 Jan 7;8(1):54. doi: 10.3390/jcm8010054.

    PMID: 30621034BACKGROUND
  • Rea M, Ricci S, Ghensi P, Lang NP, Botticelli D, Soldini C. Marginal healing using Polyetheretherketone as healing abutments: an experimental study in dogs. Clin Oral Implants Res. 2017 Jul;28(7):e46-e50. doi: 10.1111/clr.12854. Epub 2016 Apr 15.

    PMID: 27080305BACKGROUND
  • Susin C, Finger Stadler A, Fiorini T, de Sousa Rabelo M, Ramos UD, Schupbach P. Safety and efficacy of a novel anodized abutment on soft tissue healing in Yucatan mini-pigs. Clin Implant Dent Relat Res. 2019 Mar;21 Suppl 1:34-43. doi: 10.1111/cid.12755. Epub 2019 Mar 12.

    PMID: 30859699BACKGROUND
  • Wadhwani C, Schonnenbaum TR, Audia F, Chung KH. In-Vitro Study of the Contamination Remaining on Used Healing Abutments after Cleaning and Sterilizing in Dental Practice. Clin Implant Dent Relat Res. 2016 Dec;18(6):1069-1074. doi: 10.1111/cid.12385. Epub 2015 Dec 7.

    PMID: 26640198BACKGROUND
  • Yunus N, Masood M, Saub R, Al-Hashedi AA, Taiyeb Ali TB, Thomason JM. Impact of mandibular implant prostheses on the oral health-related quality of life in partially and completely edentulous patients. Clin Oral Implants Res. 2016 Jul;27(7):904-9. doi: 10.1111/clr.12657. Epub 2015 Jul 14.

    PMID: 26173463BACKGROUND

Study Officials

  • Ahmed E. Amr, Assoc Prof

    Ain Shams University

    STUDY DIRECTOR

Central Study Contacts

Samar F. El Desouki, Master student

CONTACT

Hadeel G. Al Malahy, Lecturer

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 21, 2023

First Posted

August 14, 2023

Study Start

September 1, 2023

Primary Completion

September 1, 2024

Study Completion

October 1, 2024

Last Updated

June 4, 2024

Record last verified: 2024-06

Locations