Randomized Controlled Clinical Trial of Two-unit Cantilever Implant Prostheses Made of Monolithic Zirconia on Titanium Base Abutments or Porcelain-fused to Metal on Gold Abutments
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Jaw, Edentulous, Partially
- Sponsor
- University of Geneva, Switzerland
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Technical complication rate
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of is to compare the survival rate and technical outcomes of cantilever implant-supported fixed denture prosthetics (cFDPs) made either out of monolithic zirconia bonded to a titanium base in a digital workflow, or porcelain fused-to metal using a gold abutment in a conventional workflow. In addition, biological outcomes, wear patterns, PROMs and time efficiency will be recorded. The null hypothesis is: the reconstruction type does not influence the survival rate and technical outcomes of 2-unit implant-supported cFDP.
Investigators
João Pitta
Principal Investigator, Research and Teaching Fellow
University of Geneva, Switzerland
Eligibility Criteria
Inclusion Criteria
- •Minimal age of 22 years old.
- •No general medical condition which represents a contraindication to implant treatment
- •Good oral hygiene (PII ≤ 20%), and healthy periodontal tissues (BOP≤ 20%)
- •Two adjacent-teeth gap in posterior maxilla or mandible arch (first premolar, second premolar, first molar, second molar) with an osseointegrated regular or wide-diameter bone-level implant in a prosthetically correct position to allow occlusal screw-retention. Free-end edentulous gaps can also be included
- •Presence of antagonist occlusal units
Exclusion Criteria
- •Severe bruxism or clenching habits
- •Patients with inadequate oral hygiene or persistent intraoral infection
- •Women who are pregnant or breast feeding at the day of inclusion
- •Smokers exceeding 15 cigarettes / day, or equivalent; patients chewing tobacco
- •Unable or unwilling to cooperate for the trial period
- •Estimated cantilever crown mesial-distal length \> 10 mm
- •Estimated implant crown height (from implant platform to occlusal contact points) \> 15 mm
Outcomes
Primary Outcomes
Technical complication rate
Time Frame: 5 years
assessed by USPHS-criteria
Secondary Outcomes
- Survival rate(1, 3, 5 years)
- Biological parameters(1, 3, 5 years)
- Patient Reported Outcomes Measures (PROMs)(1, 3, 5 years)
- Operator Reported Outcomes Measures(single-point measure at baseline)
- Wear rate of restoration and antagonist(1, 3, 5 years)
- Accuracy of fabrication(single-point measure at baseline)
- Cost-efficiency(single-point measure at baseline)