- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06124222
Prosthetic Rehabilitation and Its Influence on Masticatory Performance and QoL in Patients Treated for HNC
Prosthetic Rehabilitation and Its Influence on Masticatory Performance and Quality of Life in Patients Treated for Head and Neck Cancer
The main goal of this clinical trial (pilot study) is to evaluate whether prosthetic rehabilitation modifies objective masticatory performance, subjective masticatory performance, quality of life, salivary flow and pH in patients treated for head and neck cancer before and after the placement of fixed and/or removable prostheses.
Hypothesis Prosthetic rehabilitation with fixed and/or removable prostheses modifies objective masticatory performance, subjective masticatory performance, quality of life, salivary flow and pH in non-irradiated patients treated for head and neck cancer compared to irradiated patients.
Study population The study population will consist of patients treated for head and neck cancer who are candidates for prosthetic rehabilitation. The type of prosthetic treatment recommended will be determined by a dental expert in the treatment of these patients.
Interventions
- First session and recruitment:
- Oral health status.
- Sialometry and salivary pH.
- Subjective masticatory performance.
- Objective masticatory performance.
- Quality of life.
- - Prosthodontic treatment.
- Second session (after insertion of the prosthesis)
After an adaptation period of ± 15-30 days from the insertion of the prosthesis, the recordings carried out in the first session will be performed again:
- Oral health status.
- Sialometry and salivary pH.
- Subjective masticatory performance.
- Objective masticatory performance.
- Quality of life.
- - Third session (follow-up 6 months)
After a period of time of 3 months ± 7 days after the second session, the recordings carried out in the first and second sessions will be performed again:
- Oral health status.
- Sialometry and salivary pH.
- Subjective masticatory performance.
- Objective masticatory performance.
- Quality of life.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The adverse effects of oncological treatment can alter both the functional and esthetic capabilities of patients, resulting in a diminished quality of life. Dental rehabilitation with prostheses is used to restore the loss of these parameters. Therefore, it is important to know whether patients treated for head and neck cancer improve their masticatory performance, and therefore their quality of life, when rehabilitated with fixed or removable prostheses.
Masticatory function is altered after oncologic treatment in patients with head and neck cancer, causing a decrease in their quality of life. Therefore, there is a need to know whether patients treated for head and neck cancer improve their masticatory performance and masticatory function, and therefore their quality of life, when rehabilitated with fixed or removable prostheses, as well as to know whether this variation in parameters is maintained over time. In addition, it is important to evaluate other aspects that are also directly related to quality of life and masticatory function, such as oral health, the level of salivary secretion and its pH.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Barcelona
-
L'Hospitalet de Llobregat, Barcelona, Spain, 08901
- Carlos Moreno Soriano
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects over 18 years of age who accept the conditions of the study.
- Patients diagnosed and treated for head and neck cancer in the stable phase of their oncologic pathology.
- Patients in need of prosthetic rehabilitation treatment and who agree to be treated.
Exclusion Criteria:
- Subjects under 18 years of age and/or who do not accept the conditions of the study.
- Diagnosis of cancer in regions other than those mentioned in the inclusion criteria.
- Present a tumor recurrence at the time of the study, undefined oncologic evolutionary situation or under oncologic treatment.
- Presence of orofacial pain or craniomandibular dysfunction hindering mandibular movement and or participation in the study.
- Present a disability to complete the different records.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Group A
Patients who have not received RT in their oncologic treatment (non-irradiated).
|
Prosthetic rehabilitation with fixed and/or removable prosthesis.
|
Experimental: Group B
Patients who have received RT in their oncologic treatment (irradiated).
|
Prosthetic rehabilitation with fixed and/or removable prosthesis.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective Masticatory Performance
Time Frame: 6 months
|
The chewing test consists of chewing a latex bag with 2g of silicone during 20 chewing cycles counted by the same subject.
It will be repeated 5 times.
Until 10 grams of Opto-Zeta silicone have been chewed, the masticatory performance will be calculated by median particle size (MPS).
|
6 months
|
Quality of life
Time Frame: 6 months
|
It will be analyzed on the basis of the adapted OHIP-14Sp (Oral Health Impact Profile) questionnaire, which will be given to the patients and completed by them.
It consists of 14 questions, grouped in pairs and distributed in the following seven categories: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability and handicap.
|
6 months
|
Subjective masticatory performance
Time Frame: 6 months
|
It will be analyzed on the basis of the adapted QMF (Quality of Masticatory Function) questionnaire, which will be given to the patients and completed by them.
It consists of 29 questions related to the frequency and ease of chewing different types of food.
The questions are classified into five groups: eating and chewing skills, habits, meats, fruits and vegetables.
|
6 months
|
Sialometry and salivary pH
Time Frame: 6 months
|
▪ Unstimulated salivary secretion: the patient will be seated with the head forward, facilitating the accumulation of saliva on the floor of the mouth.
The saliva will be deposited in short intervals in a glass for 5 minutes.
The collected content is then measured in a graduated tube.
▪ Stimulated salivary secretion: in the same position as the previous test, the patient will chew a portion of paraffin wax for 5 minutes.
Saliva is collected in the glass at short intervals during the chewing period.
Afterwards, the content will be measured in a graduated tube.
▪ pH: in one of the vessels with accumulated saliva from the previous tests, the salivary pH will be measured by means of paper strips, whose color will be compared with a visual scale.
The color obtained on the strip will be compared with the color scale, which establishes a color for each pH value (1 to 14).
|
6 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 17/2021
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Quality of Life
-
Assiut UniversityUnknownImproving Quality of LifeEgypt
-
Children's National Research InstituteRecruitingProfessional Quality of LifeUnited States
-
Istituto Ortopedico RizzoliUniversity of BolognaActive, not recruitingImprove Quality of LifeItaly
-
B. Braun Medical SAUnknownQuality of Life of Colostomized Patient
-
Mattu UniversityCompletedBreif Description: Patients' Quality of Life ofEthiopia
-
University of South CarolinaNational Institute on Minority Health and Health Disparities (NIMHD)RecruitingHealth Related Quality of LifeUnited States
-
PharmanexSprim Advanced Life SciencesCompletedHealth-related Quality of LifeUnited States
-
Linkoeping UniversityRecruiting
-
South Valley UniversityActive, not recruitingDeterminants of Health-related Quality of Life for Patients After Renal Lithotripsy: PNL Versus RIRSHealth Related Quality of LifeEgypt
-
Region VästmanlandUnknownHealth Related Quality of Life
Clinical Trials on Prosthetic oral rehabilitation
-
Folktandvården Stockholms län ABKarolinska InstitutetRecruitingMagnetic Resonance Imaging | Cognitive Decline | Neurocognitive Dysfunction | Chewing Problem | Mastication Disorder | Degenerative; DementiaSweden
-
International Piezosurgery AcademyCompletedAlveolar Bone LossItaly
-
Hacettepe UniversityCompletedAmputation | Traumatic AmputationTurkey
-
Malo ClinicInvibio LtdActive, not recruiting
-
Malo ClinicInvibio LtdEnrolling by invitationProsthesis SurvivalPortugal
-
US Department of Veterans AffairsUniversity of MichiganCompletedTranstibial AmputationUnited States
-
Orthocare Innovations, LLCEunice Kennedy Shriver National Institute of Child Health and Human Development...RecruitingMovement Disorders | Limb Loss | Limb Weakness | Limb ParalysisUnited States
-
Vrije Universiteit BrusselRecruitingLower Limb Amputation Below Knee (Injury)Belgium
-
Ohio Willow WoodUnited States Department of DefenseCompleted
-
Loewenstein HospitalTel Aviv UniversityUnknown