- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07586774
Clinical Outcomes of 3D Printed and Milled Complete Dentures
An Open, Single-center, Prospective, Randomized, Two-armed, Interventional, Post-market Clinical Investigation of 3D Printed Complete Dentures and Milled Complete Dentures During a 5-year Follow-up Period
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Ada Saltarski
- Puhelinnumero: +46 725568088
- Sähköposti: ada.saltarski@dentsplysirona.com
Tutki yhteystietojen varmuuskopiointi
- Nimi: Ulrika Bonander
- Puhelinnumero: +46 313763068
- Sähköposti: ulrika.bonander@dentsplysirona.com
Opiskelupaikat
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North Carolina
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Chapel Hill, North Carolina, Yhdysvallat, 27599
- Rekrytointi
- Adams School of Dentistry
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Ottaa yhteyttä:
- Sundass Kahn
- Puhelinnumero: 919-537-3209
- Sähköposti: sundass_kahn@med.unc.edu
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Inclusion Criteria:
- Adult aged 18 years or above at time of informed consent.
- Subject willing to participate in the clinical investigation and able to understand the content of the clinical investigation.
- Subject willing to comply with investigational related procedures and to return for follow-up visits for a period of 5 years.
- Subject has signed and dated the informed consent form.
- Subjects in need of complete dentures in maxilla and mandible.
- Prosthodontic Diagnostic Index (PDI) Completely edentulous classification (Class 1-3).
- History of edentulism of at least 1 year.
Exclusion Criteria:
- Known allergy or hypersensitivity to any of the components.
- Subjects with significant systemic health issues or chronic conditions (American Society of Anesthesiologists (ASA) class 3-6 ).
- Known pregnancy at time of enrolment.
- Subjects unlikely to comply with investigational procedures, or unlikely to come back for follow-up visits, as judged by the Investigator.
- Previous enrolment in the present clinical investigation.
- Involvement in the planning and conduct of the clinical investigation (applies to both Dentsply Sirona personnel and the clinical investigation site).
PDI Completely edentulous classification (Class 4)
- Presence of severely atrophied ridge.
- Presence of severe ridge undercuts.
- Clinically severe Xerostomia.
- Absence of hard or soft tissue pathology that precludes denture therapy.
- Maxillofacial defects.
- Uncontrolled pathological process in the oral cavity, as judged by the Investigator.
- Participation in another clinical investigation that may interfere with the present clinical investigation.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Tukevaa hoitoa
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
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Kokeellinen: 3D printed dentures
3D printed denture bases and 3D printed denture teeth.
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Consisting of the following parts:
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Kokeellinen: Milled dentures
Milled denture bases and denture teeth.
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Consisting of the following parts:
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Denture survival rate
Aikaikkuna: One year after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Restorations still in function after 1 year.
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One year after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Denture survival rate
Aikaikkuna: 3 and 6 months, and 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Restorations still in function after 3 and 6 months, and 2, 3, 4 and 5 years.
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3 and 6 months, and 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture success
Aikaikkuna: 3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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A denture will be considered successful if all the following criteria are fulfilled: Absence of major technical complications. Absence of major biological complications. Functional occlusion and mastication, assessed by clinical examination and OHIP-EDENT.
Absence of patient reported discomfort, assessed by OHIP-EDENT.
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3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture adaptation accuracy
Aikaikkuna: At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Evaluation of accuracy of 3D printing and milling technology will be made using Geomagic Software at time of final denture insertion.
The denture intaglio at insertion will be compared with the final impression as reference scan.
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At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture retention force
Aikaikkuna: 3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Retention force of the dentures will be evaluated by applying a dynamometer gauge at the following locations: Post dam, Tuberosities and retromolar pads.
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3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Technical Complications
Aikaikkuna: At baseline, 3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Complications will be recorded and assessed as either:
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At baseline, 3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Biological Complications
Aikaikkuna: At baseline, 3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Occurrence of biological complications.
Biological complications will be evaluated by recording major and minor biological complications.
The evaluation of biological complications will be derived from the adverse event (AE)/adverse device effect (ADE) sections of the Case Report Form.
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At baseline, 3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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OHIP-EDENT Questionnaire.
Aikaikkuna: 3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Quality of Life through Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT) Questionnaire completed by participating subjects.
OHIP-EDENT contains 19 questions, divided into six domains: Functional limitations, Physical pain, Psychological discomfort, Physical disability, Psychological disability and Handicap.
Response categories for all questions: 4 = very often; 3 = fairly often; 2 = occasionally; 1 = hardly ever; 0=never, i.e. lower scores corresponds with higher quality of life.
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3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture quality assessed via volumetric loss
Aikaikkuna: At baseline and 3 and 6 months, 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Serial comparison of follow-up denture scans using TRIOS Compare with post insertion adjusted denture scan as reference.
Volumetric loss measured in mm3.
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At baseline and 3 and 6 months, 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture quality assessed via maximum vertical loss.
Aikaikkuna: At baseline and 3 and 6 months, 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Serial comparison of follow-up denture scans using TRIOS Compare with post insertion adjusted denture scan as reference.
Maximum vertical loss measured in μm.
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At baseline and 3 and 6 months, 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture quality assessed by discolouration (delta E) at a central incisor (#8).
Aikaikkuna: At baseline and 3 and 6 months, 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Discolouration (intrinsic or interfacial) measured with spectrophotometer.
The colour at a central incisor (#8) and the denture just above #8 will be measured.
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At baseline and 3 and 6 months, 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture quality assessed by occlusion (bite position).
Aikaikkuna: At baseline and 3 and 6 months, 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Number of occlusal contacts using articulating paper will be documented.
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At baseline and 3 and 6 months, 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture aesthetics - Appropriateness of tooth shape.
Aikaikkuna: At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Appropriateness of tooth shape assessed by the following Yes/No question: Appropriate Tooth Shape to match facial aesthetics? |
At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture aesthetics - Appropriateness of tooth size.
Aikaikkuna: At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Appropriateness of tooth size assessed by the following Yes/No question: Appropriate Tooth Size to match facial aesthetics? |
At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture aesthetics - Appropriateness of tooth arrangement
Aikaikkuna: At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Appropriateness of tooth arrangements assessed by the following Yes/No questions:
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At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture aesthetics - Appropriateness of tooth colour / colour match
Aikaikkuna: At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Appropriateness of tooth colour /colour match assessed by the following Yes/No questions:
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At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture aesthetics - Appropriateness of Denture base
Aikaikkuna: At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Appropriateness of denture base assessed by the following Yes/No questions:
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At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Denture aesthetics - Lip support
Aikaikkuna: At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Lip support assessed by the following Yes/No questions:
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At baseline (baseline = final denture insertion performed within 6-months from day 1)
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Occurrence of Adverse Events, Adverse Device Effects, and Device Deficiencies during the clinical investigation.
Aikaikkuna: From Day 0 up to completion of the 5-year follow-up visit, on average 5 years and 3 months.
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Adverse Events, Adverse Device Effects, and Device Deficiencies spontaneously reported, and collection at each clinical investigation visit.
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From Day 0 up to completion of the 5-year follow-up visit, on average 5 years and 3 months.
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Patient Satisfaction
Aikaikkuna: 3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Patient satisfaction including aesthetics as evaluated by patient questionnaire including the following questions:
Patient satisfaction with dentures will be evaluated using a likert scale, ranging from 0 to 10 for each of above questions. The likert scale representing a spectrum of feelings between extremes with 0= Very unsatisfied and 10= Very satisfied. Patients will rate their assessment by marking a number corresponding to their feelings at the time. A low score represents a high degree of dissatisfaction, and a high score a high degree of satisfaction |
3 and 6 months, and 1, 2, 3, 4 and 5 years after baseline (baseline = final denture insertion performed within 6-months from day 1)
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Yhteistyökumppanit ja tutkijat
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
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