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Clinical and Radiographic Evaluation of Mandibular Implant Assisted Overdenture Between Bar Attachment and Bar With OT Cap Attachment: Randomized Control Clinical Trial
Sponsor study identifier
interventional
22
1 country
1
Study Start
September 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
March 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
March 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
This clinical study is being conducted at Cairo University to evaluate two different types of attachments used with implant-supported dentures in the mandible. Patients who have lost all their teeth in the lower jaw receive implants to help hold their dentures in place. This study compares two types of attachments for connecting the denture to the implants:
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
March 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
July 5, 2025
Actual (reported)July 16, 2025
Actual (reported)September 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
March 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
March 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Retention of Mandibular Implant-Supported Overdenture
Retention will be measured using a digital force gauge that applies a vertical dislodging force to the mandibular overdenture. The force required to dislodge the denture from the attachments will be recorded in Newtons. Measurements will be performed at two time points: at the time of prosthesis insertion (T0) and six months post-insertion (T6). The retention values will be used to compare the effectiveness of bar-only versus bar with OT Cap attachment systems.
Baseline (T0) and 6 months after overdenture insertion (T6)
Crestal Bone Loss Around Implants
Baseline (T0) and 6 months after overdenture insertion (T6)
Attachment Cap Wear
Participants in this group will receive mandibular implant-supported overdentures retained by a conventional cast bar attachment. Three implants will be placed in the anterior mandible (midline and canine positions), and a single bar will be fabricated and attached to the implants. The overdenture will be adjusted to fit over the bar with no additional retentive components. This group represents the standard treatment modality for implant-retained overdentures.
Participants in this group will receive mandibular implant-supported overdentures using a bar combined with two OT Cap (sphere) attachments for added retention. The same implant placement protocol will be followed as in the comparator group. The bar will include OT Cap housings, and the overdenture will be relined to incorporate the corresponding female caps. This intervention is designed to improve denture retention, reduce component wear, and enhance patient satisfaction.
A rigid cast bar attachment fabricated and screwed onto three mandibular implants (placed at the midline and canine areas). The bar connects the implants to provide splinting and retention for a mandibular overdenture without the use of additional retentive components such as OT Caps. The overdenture is adjusted to fit passively over the bar and picked up intraorally.
A cast bar attachment fitted with two OT Cap attachments, which are designed to improve prosthesis retention and load distribution. This bar system is installed on three mandibular implants (midline and canine regions). The mandibular overdenture is relined to incorporate the female retentive caps that snap onto the OT Caps. This system combines the splinting benefits of the bar with the resilient retention of stud attachments.
Faculty of Oral and Dental Medicine, Cairo University
Cairo, Cairo Governorate, 11553, Egypt
Maisa MF Shaaban Gomaa, PhD candidate
Faculty of Oral and Dental Medicine, Cairo University
Hamdy Abo El-Fotouh, Professor
Faculty of Oral and Dental Medicine, Cairo University
Noha Ali, Assistant Professor
Faculty of Oral and Dental Medicine, Cairo University
Ahmed Hamed, Lecturer
Faculty of Oral and Dental Medicine, Cairo University
First Submitted
July 5, 2025
First Posted
July 16, 2025
Study Start
September 2026
Baseline (T0) and 6 months after overdenture insertion (T6)
Patient Satisfaction with Overdenture
6 months after overdenture insertion (T6)
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This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
March 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
March 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
March 18, 2026
Record last verified: 2026-03
Individual participant data (IPD) will not be shared because this study is self-funded and conducted as part of a doctoral thesis project. No data-sharing mechanism or repository has been established, and participants were not consented for external data sharing. Additionally, confidentiality and ethical guidelines limit redistribution of participant-level data
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Source: ClinicalTrials.gov.
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