Bone Remodeling Around Implants With Two Different Surfaces Placed in Horizontally Augmented Bone
Clinical and Radiographic Evaluation of Bone Remodeling Around Implants With Two Different Surfaces Placed in Horizontally Augmented Bone: a 1-year Randomized Controlled Study
研究概览
详细说明
This is a prospective, randomized clinical and radiographical evaluation of bone remodeling around implants with two different surfaces placed in a previously augmented crest.
Patients requiring dental implants in previously horizontally augmented bone crest are recruited at the Department of Periodon¬tics, Faculty of dental medicine, Saint-Joseph University, Beirut, and will be treated with either T3 (contemporary hybrid collar), tapered, ex-hex, CP4 or Full Osseotite, tapered, ex-hex, CP4.
A total of 30 implants will be placed (15 per group). Random allocation of implant type per site will be done by the sealed envelope method.
The implants will be placed using a one-stage surgical approach. A final crown will be placed (screw-retained on multiunit abutment) between 3 and 4 months post-implant placement.
The patients will be followed-up at 6 months and 1 year. Only patients meeting inclusion/exclusion criteria and providing a dated and signed informed consent form will be enrolled in the study.
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习地点
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Beirut、黎巴嫩、1104 2020
- Saint-Joseph University
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Patient age: between 20 and 65
- No systematic contraindication for implant surgery
- No more than 10 cigarettes/day
- Previous horizontal bone augmentation 6 months prior to implant placement
- Adequate oral hygiene i.e. Full mouth bleeding score (FMBS) <20% and Full mouth plaque score (FMPS) < 20%)
Exclusion Criteria:
- Smokers more than 10 cigarettes/day
- Pregnant/lactating women
- Alcoholics/drug addicts
- Uncontrolled diabetics, immunocompromised, blood hemostasis problems
- Patients taking IV bisphosphonates or drugs affecting bone metabolism or mucosal healing
- Patients not willing to sign the consent form
- History of radiotherapy in the head and neck region in the last 5 years
- Active periodontitis on the remaining teeth
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：External hex implant
External hexagone implant connection
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In both groups, the implants will be placed using a two-stage surgical approach at the crestal level in previously horizontally augmented bony sites. A final crown will be placed (screw-retained on multiunit abutment) between 3- and 4-months post-implant placement. Random allocation of implant type per site will be done by the sealed envelope method. Follow-up measurements will be done at 6 months and 1-year post-loading. The measurements are done by a blinded investigator. Before starting the study, the examiner will be trained in a calibration process. Exam sheets are kept confidential and anonymous. Inclusion criteria are: patient aged 20 to 65, no systematic contraindication for implant surgery, smoking < 10 cigarettes, previous horizontal bone augmentation, FMBS <20% and FMPS < 20%. Exclusion criteria are: general contraindication for implant surgery, pregnant/lactating women, uncontrolled diabetics, patients not willing to sign the consent form, active periodontitis.
其他名称：
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实验性的：Internal hex implant
Internal implant connection
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In both groups, the implants will be placed using a two-stage surgical approach at the crestal level in previously horizontally augmented bony sites. A final crown will be placed (screw-retained on multiunit abutment) between 3- and 4-months post-implant placement. Random allocation of implant type per site will be done by the sealed envelope method. Follow-up measurements will be done at 6 months and 1-year post-loading. The measurements are done by a blinded investigator. Before starting the study, the examiner will be trained in a calibration process. Exam sheets are kept confidential and anonymous. Inclusion criteria are: patient aged 20 to 65, no systematic contraindication for implant surgery, smoking < 10 cigarettes, previous horizontal bone augmentation, FMBS <20% and FMPS < 20%. Exclusion criteria are: general contraindication for implant surgery, pregnant/lactating women, uncontrolled diabetics, patients not willing to sign the consent form, active periodontitis.
其他名称：
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change from baseline of alveolar ridge thickness at 4 months
大体时间：During procedure and at 4 months
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Peroperative surgical measurements of the alveolar ridge width at implant sites
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During procedure and at 4 months
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Change from baseline of radiographic bone level on CBCT at 1 year post-op
大体时间：During procedure and at 1 year
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CBCT for buccal bone thickness measurements of the bone crest width at the implant site.
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During procedure and at 1 year
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Change from baseline of radiographic bone level assessment at 1 year post-op, on periapical x-ray
大体时间：During procedure, at 4 months, at 6 months and 1 year
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Radiographic measurements on standardized periapical radiograph of the bone dimensions, for interproximal bone remodeling, from the shoulder of the implant (reference point), to the coronal bone to implant contact
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During procedure, at 4 months, at 6 months and 1 year
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Change from baseline of bone plate thickness at 4 months
大体时间：During procedure and at 4 months
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Peroperative buccal and lingual residual bone thickness following implant insertion
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During procedure and at 4 months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Insertion torque
大体时间：During procedure
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Manual torque insertion are registered at implant placement.
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During procedure
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Change of Clinical parameters from baseline to 1 year post-op
大体时间：During procedure, at 6 months and at 1 year
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FMBS, FMPS,
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During procedure, at 6 months and at 1 year
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Change of FMBS parameters from baseline to 1 year post-op
大体时间：During procedure, at 6 months and at 1 year
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Change in full mouth bleeding score
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During procedure, at 6 months and at 1 year
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Change of Keratinized tissue height from Baseline to 4 months
大体时间：During procedure and at 4 months
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Measured using a 1.0-mm marked periodontal probe
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During procedure and at 4 months
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Histological analysis
大体时间：During procedure
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Bone core taken with a 2mm trephine bur at the site of implant placement for non-demineralized histological assessment of regenerated bone quality
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During procedure
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Change of FMPS parameters from baseline to 1 year post-op
大体时间：During procedure, at 6 months and at 1 year
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Change in full mouth plaque score
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During procedure, at 6 months and at 1 year
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合作者和调查者
调查人员
- 首席研究员：Nada Naaman, PhD、Saint-Joseph University
出版物和有用的链接
一般刊物
- Donati M, Ekestubbe A, Lindhe J, Wennstrom JL. Marginal bone loss at implants with different surface characteristics - A 20-year follow-up of a randomized controlled clinical trial. Clin Oral Implants Res. 2018 May;29(5):480-487. doi: 10.1111/clr.13145. Epub 2018 Mar 23.
- Zetterqvist L, Feldman S, Rotter B, Vincenzi G, Wennstrom JL, Chierico A, Stach RM, Kenealy JN. A prospective, multicenter, randomized-controlled 5-year study of hybrid and fully etched implants for the incidence of peri-implantitis. J Periodontol. 2010 Apr;81(4):493-501. doi: 10.1902/jop.2009.090492.
- Shi JY, Jie-Ni, Zhuang LF, Zhang XM, Fan LF, Lai HC. Peri-implant conditions and marginal bone loss around cemented and screw-retained single implant crowns in posterior regions: A retrospective cohort study with up to 4 years follow-up. PLoS One. 2018 Feb 5;13(2):e0191717. doi: 10.1371/journal.pone.0191717. eCollection 2018.
- Liu J, Kerns DG. Mechanisms of guided bone regeneration: a review. Open Dent J. 2014 May 16;8:56-65. doi: 10.2174/1874210601408010056. eCollection 2014.
- Koller CD, Pereira-Cenci T, Boscato N. Parameters Associated with Marginal Bone Loss around Implant after Prosthetic Loading. Braz Dent J. 2016 May-Jun;27(3):292-7. doi: 10.1590/0103-6440201600874.
- Wennerberg A, Hallgren C, Johansson C, Danelli S. A histomorphometric evaluation of screw-shaped implants each prepared with two surface roughnesses. Clin Oral Implants Res. 1998 Feb;9(1):11-9. doi: 10.1034/j.1600-0501.1998.090102.x.
- Rosa MB, Albrektsson T, Francischone CE, Schwartz Filho HO, Wennerberg A. The influence of surface treatment on the implant roughness pattern. J Appl Oral Sci. 2012 Sep-Oct;20(5):550-5. doi: 10.1590/s1678-77572012000500010.
- Esposito M, Ardebili Y, Worthington HV. Interventions for replacing missing teeth: different types of dental implants. Cochrane Database Syst Rev. 2014 Jul 22;(7):CD003815. doi: 10.1002/14651858.CD003815.pub4.
- Testori T, Wiseman L, Woolfe S, Porter SS. A prospective multicenter clinical study of the Osseotite implant: four-year interim report. Int J Oral Maxillofac Implants. 2001 Mar-Apr;16(2):193-200.
- Nevins M, Mellonig JT, Clem DS 3rd, Reiser GM, Buser DA. Implants in regenerated bone: long-term survival. Int J Periodontics Restorative Dent. 1998 Feb;18(1):34-45.
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
计划个人参与者数据 (IPD)
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IPD 计划说明
IPD 共享时间框架
IPD 共享访问标准
IPD 共享支持信息类型
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- 国际碳纤维联合会
- 企业社会责任
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