- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 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
연구 개요
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Ada Saltarski
- 전화번호: +46 725568088
- 이메일: ada.saltarski@dentsplysirona.com
연구 연락처 백업
- 이름: Ulrika Bonander
- 전화번호: +46 313763068
- 이메일: ulrika.bonander@dentsplysirona.com
연구 장소
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North Carolina
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Chapel Hill, North Carolina, 미국, 27599
- 모병
- Adams School of Dentistry
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연락하다:
- Sundass Kahn
- 전화번호: 919-537-3209
- 이메일: sundass_kahn@med.unc.edu
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
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.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: 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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실험적: Milled dentures
Milled denture bases and denture teeth.
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Consisting of the following parts:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Denture survival rate
기간: 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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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Denture survival rate
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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.
기간: 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
기간: 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.
기간: 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).
기간: 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).
기간: 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.
기간: 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.
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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.
기간: 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
기간: 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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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .