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- Klinische proef 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
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Ada Saltarski
- Telefoonnummer: +46 725568088
- E-mail: ada.saltarski@dentsplysirona.com
Studie Contact Back-up
- Naam: Ulrika Bonander
- Telefoonnummer: +46 313763068
- E-mail: ulrika.bonander@dentsplysirona.com
Studie Locaties
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North Carolina
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Chapel Hill, North Carolina, Verenigde Staten, 27599
- Werving
- Adams School of Dentistry
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Contact:
- Sundass Kahn
- Telefoonnummer: 919-537-3209
- E-mail: sundass_kahn@med.unc.edu
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: 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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Experimenteel: Milled dentures
Milled denture bases and denture teeth.
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Consisting of the following parts:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Denture survival rate
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Denture survival rate
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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.
Tijdsspanne: 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
Tijdsspanne: 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.
Tijdsspanne: 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).
Tijdsspanne: 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).
Tijdsspanne: 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.
Tijdsspanne: 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.
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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.
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- C-LA-24-020
Plan Individuele Deelnemersgegevens (IPD)
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