Prospective Registry of Prosthodontic Rehabilitation in Oncology Patients Undergoing Jaw Reconstruction (O-BRIDGE)
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
The number of patients requiring major ablative surgery in the oral cavity, including partial/radical mandibular or maxillary resection, due to a head and neck carcinoma, osteoradionecrosis (ORN), or medication-related osteonecrosis of the jaw (MRONJ) has not been accurately reported. Surgical reconstruction to restore oral function and aesthetics forms a challenge to maxillofacial surgeons, and greatly impacts patient' quality of life (QOL). Recently, an active collaboration between the surgeons of the Oral and Maxillofacial Surgery Unit and the prosthodontist (LB) of the Department of Dentistry at the General Hospital Saint-John Bruges led to the development of the "Oncology-bridge (O-bridge)" protocol, which offers (immediate/delayed) fixed prosthetic rehabilitation in a minimum of sessions and a strongly reduced two-week treatment time, consequently accelerating patient' improved QOL at a considerably reduced cost.
The investigators aim to develop a prospective database in which patient demographics, surgical, dental, prosthetic and QOL parameters collected during consecutive visits within the framework of routine practice, are being registered for each oncological patient eligible for (immediate/delayed) fixed prosthodontic rehabilitation at time of oral cavity reconstruction This could provide the investigators with more information about potential patient, surgical and prosthetic factors influencing short- and long-term biological and mechanical stability, as well as patient QOL. Moreover, registration of those results could function as a measurement of quality of care, and could be used for sample size calculation for future large prospective trials.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Araceli Diez-Fraile, PhD
- Email: araceli.diez-fraile@azsintjan.be
Study Locations
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-
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Bruges, Belgium
- Recruiting
- General Hospital Saint-John Bruges
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Contact:
- Araceli Diez-Fraile, PhD
- Email: araceli.diez-fraile@azsintjan.be
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients of all ages
- Patients of all genders
- Patients with a histologically or clinically confirmed diagnosis of ORN, MRONJ, as classified by Ruggiero et al. (Ruggiero, et al., 2014) or carcinoma located in the oral cavity and jawbone, requiring segmental or total jaw resection
- Patients eligible for jaw and oral cavity reconstruction combined with immediate/delayed implant loading for fixed prosthetic rehabilitation
- Patients not eligible for conventional removable prosthetic rehabilitation
Exclusion Criteria:
- Patients with a clinically confirmed diagnosis of osteonecrosis not related to an oncological diagnosis or treatment
- Patients with medical contraindications for jaw reconstruction combined with immediate implant loading for fixed prosthetic rehabilitation
- Patients eligible for conventional removable prosthetic rehabilitation
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
implant survival rate
Time Frame: within 12 months postoperative
|
within 12 months postoperative
|
|
bone resorption, as evaluated with cone-beam computed tomography
Time Frame: within 12 months postoperative
|
within 12 months postoperative
|
|
prosthesis survival rate
Time Frame: within 12 months postoperative
|
within 12 months postoperative
|
|
implant survival rate
Time Frame: within 60 months postoperative
|
within 60 months postoperative
|
|
bone resorption, as evaluated with cone-beam computed tomography
Time Frame: within 60 months postoperative
|
within 60 months postoperative
|
|
prosthesis survival rate
Time Frame: within 60 months postoperative
|
within 60 months postoperative
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Prevalence of oncological patients requiring jaw reconstruction secondary to tumour resection, ORN or MRONJ
Time Frame: within 12 months postoperative
|
within 12 months postoperative
|
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Potential biologic or mechanical risk factors predictive of undesirable functional or aesthetic outcomes, through regression analysis
Time Frame: within 60 months postoperative
|
within 60 months postoperative
|
|
Patient' quality of life after prosthetic rehabilitation
Time Frame: until a maximum of 60 months follow-up
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until a maximum of 60 months follow-up
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
patient satisfaction, as measured through visual analogue scale
Time Frame: until a maximum of 60 months follow-up
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until a maximum of 60 months follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Johan Abeloos, MD, Department of Oral and Maxillofacial Surgery, General Hospital Saint-John Bruges, Bruges, Belgium
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- B049201525496
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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