Evaluation of Patient Reported Outcome Measures and Clinical Performance of Implant Supported Overdentures With Two Different Attachment Systems: A Randomized Cross Over Clinical Study
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 26
- 试验地点
- 2
- 主要终点
- Patient reported outcome measure
研究概览
简要总结
Edentulous patients commonly experience a deterioration in the quality of life; both in terms of oral and general health. Studies demonstrated that conventional dentures do not adequately restore masticatory function nor quality of life. In contrast, implant-supported overdentures are considered the standard of care for edentulous patients as they offer a more stable prosthesis that ultimately results in improved oral function and patient satisfaction.
Precision attachments such as studs, magnets, telescopic crowns or a bars are commonly used for implant supported overdentures. Implant overdentures supported by stud attachments gained popularity for the rehabilitation of edentulous patients as they are self-aligning, offer dual retention and compensate for divergence between implants up to angles of 40 degrees.
However, it has been documented that the stud attachment system (Locators) requires a high frequency of maintenance, particularly with regard to the replacement of the matrix.
In order to overcome some of these limitations of existing attachment systems, a newer system was developed consisting of a matrix made of polyetheretherketone (PEEK) instead of a polymeric material. This system has an amorphous diamond like carbon-based abutment coating (ADLC) and it was claimed to be more resistant to wear.
Clinically and in vitro, no comparative studies have been performed addressing wear and retention of the traditional stud attachment and the newer ADLC attachment.
Thus, the aim of the present study is to clinically and in vitro evaluate the ADLC and study attachment system.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Fully edentulous patients encountering problems (functional, aesthetics) with existing dentures in the upper and lower jaw or patients seeking for implant-supported prostheses
- •Adequate bone in the anterior mandible for the placement of implants (Regular diameter implant with a minimal length of 10mm) in the canine region
- •Written informed consent
- •Ability to understand the procedure and to answer a questionnaire.
排除标准
- •Impaired cognitive function and/or manual dexterity
- •Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant
- •Unable to attend follow-up examinations
- •Known or suspected non-compliance, drug or alcohol abuse
- •Presence of any uncontrolled systematic disease that could compromise implant surgery and implant long-term performance
- •History of radiotherapy in the head and neck region
- •Heavy smoker (>10 cig. /day
- •Any potential allergies or hypersensitivity to chemical ingredients of material used
- •Presence of bone metabolic disorders (e.g. osteoporosis)
- •Pregnant or lactating women
结局指标
主要结局
Patient reported outcome measure
时间窗: After a functional period of 6 months
Mean VAS scores (visual analogue scale (0-100)) related to patient overall satisfaction for the ADLC and the LOC (Locator) attachment system provided by the patients
次要结局
- Clinical outcomes: PCR(after a functional period of 6 months for each attachment system; and1, 3 and 5 years after the evaluation period of the second attachment systems)
- Patient-Reported Outcome Measures (PROMs): VAS(6 months, 1, 3, 5 years after the evaluation period of the second attachment systems)
- Patient-Reported Outcome Measures (PROMs): OHIP-14(6 months, 1, 3, 5 years after the evaluation period of the second attachment systems)
- Patient-Reported Outcome Measures (PROMs): Costs(6 months, 1, 3, 5 years after the evaluation period of the second attachment systems)
- Technical outcomes:(6 months after the first and the second evaluation period, respectively)
- Clinical outcomes: BOP(after a functional period of 6 months for each attachment system; and1, 3 and 5 years after the evaluation period of the second attachment systems)
- Clinical outcomes: PD(after a functional period of 6 months for each attachment system; and1, 3 and 5 years after the evaluation period of the second attachment systems)