Lithium Disilicate (CAD/CAM) Fixed Partial Dentures (FPD) Clinical Study

Not Applicable

Terminated

• Conditions: Missing Tooth
• Interventions: Device: Lithium disilicate ceramic (Ivoclar)

• Registration Number: NCT03036566
• Lead Sponsor: University of Michigan

Brief Summary

This investigation will be a clinical trial to study the performance of a high strength ceramic material for bridges to replace missing teeth. The ceramic material has been approved by the FDA for patient treatment. A computer technique will be used to make the bridges. The bridges will be cemented using an adhesive resin cement (MultiLink Automix/Ivoclar). The bridges are planned be evaluated for clinical performance at 6 months, 1 year, 2 years, 3 years, and if funding permits, 4 years, and 5 years. The purpose of the study is to measure how well the high strength bridges function over an extended period of time.

Detailed Description

The study will be composed of 30 bridges placed in adult patients that have been identified as requiring replacement of a single tooth. All the bridges will be made from the same high strength ceramic material (emaxCAD/Ivoclar) using a computer to make the entire bridge. All the crowns will be cemented using the most current marketed version of the manufacturer's adhesive resin cement (MultiLink Automix/Ivoclar). At each recall appointment an evaluation of the bridge will be completed as well as clinical photographs, an intraoral digital scan, and impression of the bridge. The purpose of the study is to measure how well the high strength bridges function over an extended period of time.

Study Timeline

• Study Start: 2014-03
• Study First Submitted: 2017-01-26
• Study First Submitted QC: 2017-01-26
• Study First Posted: 2017-01-30
• Primary Completion: 2020-03-05
• Study Completion: 2020-03-05
• Results First Submitted: 2023-02-04
• Results First Submitted QC: 2023-03-08
• Results First Posted: 2023-04-05
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-16
• Last Update Posted: 2024-07-25

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• missing one anterior or premolar tooth that is appropriate for replacement with a bridge. The second premolar tooth will be the most distal tooth acceptable as a pontic for inclusion in the study.
• healthy periodontal status for the adjacent abutment teeth with 1:1 crown:root ratio
• abutment teeth must be asymptomatic prior to treatment
• Endodontically treated teeth will be acceptable for abutments as long as nonmetallic cores can be placed to retain the FPD since the lithium disilicate will be bonded to the abutments.
• no more than one bridge will be placed per patient. If a patient presents with more than one missing teeth acceptable for the study, premolar teeth will be included prior to anterior teeth. Each bridge will be three units and include only one missing tooth.

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Exclusion Criteria

• sensitive abutment teeth
• teeth with a history of direct or indirect pulp capping procedures
• patients with significant untreated dental disease to include periodontitis and caries
• pregnant or lactating women
• patients with allergies to any material in the study
• patients unable to return for recall appointments

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Bridge	Lithium disilicate ceramic (Ivoclar)	Three unit high strength ceramic (lithium disilicate/emaxCAD by Ivoclar) bridges replacing a single tooth.

Primary Outcome Measures

Name	Time	Method
Bridge Failure	from delivery of the bridge up to 5 years	Bridge failure includes fracture of the bridge or loss of the bridge requiring placement of a new bridge at any time between delivery and five years.

Secondary Outcome Measures

Name	Time	Method
Number of Bridges Associated With Margin Staining	from delivery of the bridge up to 5 years	Margin Staining is evaluated as either "0" if there is NO staining at the crown margin where it meets the tooth for either tooth supporting the bridge, or "1" if there IS staining at the crown margin where it meets the tooth for either tooth supporting the bridge. The better outcome is to have NO margin staining.
Bridge Loss of Retention	from delivery of the bridge up to 5 years	Loss of retention is measured as detachment of the bridge from the teeth without fracture of the bridge requiring recementation of the bridge.
Number of Bridges Associate With Tooth Sensitivity	from delivery of the bridge up to 5 years	Tooth Sensitivity is evaluated as either "0" if the subject reports that there is NO sensitivity for either tooth with the study bridge, or "1" if the subject reports that there IS tooth sensitivity to hot/cold or biting pressure for either tooth supporting the bridge. The better outcome is to have NO tooth sensitivity.

Trial Locations

Locations (1)

University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States