Microbial Evaluation of MK1 and Clip Attachments in Implant Overdentures

September 8, 2026 updated by: Mansoura University

Microbial Evaluation in Patients Wear Double Structure Bars Implant Supported Mandibular Overdentures Attached by Clips or MK-1 Attachments

This crossover clinical trial aims to compare the microbial colonization associated with double-structure bar implant-supported mandibular overdentures retained by either MK1 or conventional clip attachments. Seven completely edentulous patients will receive both attachment systems sequentially, allowing each participant to serve as their own control. Microbial samples will be collected from the intaglio surface of the prosthesis and peri-implant areas at different follow-up intervals to assess the prevalence of oral microorganisms. The findings will help determine whether the type of attachment influences microbial accumulation and may contribute to improved maintenance and long-term success of implant-supported overdentures.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

7

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Egypt
      • Al Mansurah, Egypt, 35511
        • Recruiting
        • Mansoura university faculty of dentistry
        • Contact:
          • faculty of dentistry, Mansoura university
          • Phone Number: 0025022671521
          • Email: dentfac@mans.edu.eg

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Completely edentulous patients aged 45-65 years.
  • Medically healthy patients with no systemic conditions affecting implant placement or osseointegration.
  • Healthy maxillary and mandibular residual ridges covered by firm mucosa.
  • Adequate mandibular bone volume in the interforaminal region to receive four implants (minimum 4 mm diameter and 12 mm length), confirmed by CBCT.
  • Class I maxillomandibular relationship with sufficient interarch space for implant-supported overdentures.

Exclusion Criteria:

  • Uncontrolled diabetes mellitus, immune disorders, osteoporosis, or other contraindications to implant therapy.
  • Parafunctional habits such as bruxism or clenching.
  • Flabby ridges or oral mucosal diseases.
  • Severe temporomandibular joint disorders.
  • History of allergy to denture or implant materials.
  • Previous radiotherapy to the head and neck region.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Double-structure bar mandibular overdenture with MK1 attachment
Double-structure bar implant-supported mandibular overdenture retained by MK1 attachments.
Device: MK1 Attachment System
Double-structure bar implant-supported mandibular overdenture retained by MK1 attachments.
Experimental: Double-structure bar mandibular overdenture with clip attachment
Double-structure bar implant-supported mandibular overdenture retained by conventional clip attachments.
Device: Bar-Clip Attachment System
Double-structure bar implant-supported mandibular overdenture retained by conventional clip attachments.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Microbial Colonization
Time Frame: Baseline (T0), 3 weeks (T1), 6 weeks (T2), and 9 weeks (T3) after prosthesis delivery.
Quantitative assessment of streptococci and staphylococci species collected from the fitting surface of the prosthesis and peri-implant areas using blood agar culture.
Baseline (T0), 3 weeks (T1), 6 weeks (T2), and 9 weeks (T3) after prosthesis delivery.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Comparison of Microbial Growth Between Attachment Systems
Time Frame: Baseline (T0), 3 weeks (T1), 6 weeks (T2), and 9 weeks (T3).
Comparison of bacterial counts associated with double-structure bar overdentures retained by MK1 attachments versus conventional clip attachments.
Baseline (T0), 3 weeks (T1), 6 weeks (T2), and 9 weeks (T3).

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Mansoura University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 1, 2026

Primary Completion (Estimated)

November 1, 2026

Study Completion (Estimated)

January 1, 2027

Study Registration Dates

First Submitted

September 8, 2026

First Submitted That Met QC Criteria

September 8, 2026

First Posted (Actual)

September 14, 2026

Study Record Updates

Last Update Posted (Actual)

September 14, 2026

Last Update Submitted That Met QC Criteria

September 8, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • MS.25.12.103

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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.

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