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Clinical Trials/NCT06755034
NCT06755034
Recruiting
Not Applicable

Stabilizing Mandibular Overdentures with a Single Implant Placed in the Canine Region of the Preferred Chewing Side Compared to the Midline Single-implant Overdenture Treatment Concept: an RCT with 5 Years of Follow-up

Frauke Müller1 site in 1 country36 target enrollmentJanuary 1, 2025

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Completely Edentulous Patients
Sponsor
Frauke Müller
Enrollment
36
Locations
1
Primary Endpoint
OHIP-EDENT
Status
Recruiting
Last Updated
last year

Overview

Brief Summary

The investigators are evaluating the use of a single implant to stabilize complete dentures in the lower jaw, in the canine region of the preferred chewing side. They are conducting this study to determine whether this treatment concept gives satisfactory results, and how it compares with the standard position in the center of the lower jaw.

Registry
clinicaltrials.gov
Start Date
January 1, 2025
End Date
December 2031
Last Updated
last year
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Frauke Müller
Responsible Party
Sponsor Investigator
Principal Investigator

Frauke Müller

Professor, Head of Division

University of Geneva, Switzerland

Eligibility Criteria

Inclusion Criteria

  • Informed consent signed by the subject
  • Age ≥ 60 years
  • Edentulous and wearing sufficient complete maxillary and mandibular dentures or ones that can be rendered sufficient via a reline and/or renewal of the prosthetic teeth
  • Healed edentulous mandible (minimum 6-8 weeks since last extraction in the anterior zone (4-4) and one year in the posterior zone (5-8))
  • Physical status ASA1 and ASA2

Exclusion Criteria

  • Contraindications to the medical devices used, e.g. known hypersensitivity or allergy
  • Vulnerable subjects
  • Enrollment of the investigator, his/her family members, employees and other dependent persons
  • Known or suspected non-compliance, drug or alcohol abuse
  • Inability to perform adequate oral hygiene
  • Inability to follow the procedures of the investigation, e.g. due to language problems, psychological disorders, dementia, Parkinson etc. of the subject (Dementia: clock-drawing test score ≤ 5)
  • Surgical risk factors such as, but not limited to, uncontrolled diabetes, immunosuppression, radiation, chemotherapy, or antiresorptive medication (ex. Bisphosphonates)
  • Heavy smoking habit: \>20 cig/d
  • Reported severe bruxism or clenching habits, clinically present oro-facial pain
  • Depression: Geriatric Depression Scale \> 9

Outcomes

Primary Outcomes

OHIP-EDENT

Time Frame: From baseline to 5-year follow-up

Oral health-related quality of life questionnaire

DSI

Time Frame: From baseline to 5-year follow-up

Denture Satisfaction Index (questionnaire)

Secondary Outcomes

  • Preferred chewing side(From baseline to 5-year follow-up)
  • Chewing efficiency(From baseline to 5-year follow-up)
  • Occlusal analysis(From baseline to 5-year follow-up)
  • Plaque index(From implant loading to 5-year follow-up)
  • Bleeding on probing(From implant loading to 5-year follow-up)
  • Pocket probing depth(From implant loading to 5-year follow-up)
  • Keratinized peri-implant tissues(From implant loading to 5-year follow-up)
  • Prosthodontic assessment(From implant loading to 5-year follow-up)
  • Peri-implant bone height(From implant loading to 5-year follow-up)

Study Sites (1)

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