AzTrials
AzTrials

Edentulous Alveolar RidgeNCT05769673

Soft and Hard Tissue Changes Around Implants

A study testing Placement of dental implant, Placement of stock healing abutment and Placement of customized CAD/CAM healing abutment in people with Edentulous Alveolar Ridge, run by East Carolina University at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

Our long-term goal is to generate evidence for the creation of successful implant restorations and ideal supporting tissues in adequate health by utilizing patient-tailored implant protocols such as the use of customized computer-aided design and computer-aided manufacturing (CAD/CAM) healing abutments. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Edentulous Alveolar Ridge
What is being tested?
Placement of dental implant, Placement of stock healing abutment and Placement of customized CAD/CAM healing abutment
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteUnited States
Study dates
1 Sep 2022to 31 Dec 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Patients >18 years
  • Missing a maxillary or mandibular molar that can be replaced with a dental implant
  • Sufficient bone volume for standard-sized implants
  • Presence of adjacent teeth (mesial and distal)
  • No requirement of additional osseous grafting or soft tissue augmentation

Who cannot join

  • Patients <18 years
  • Pregnant women
  • Active periodontal disease
  • Presence of caries or periapical pathology in adjacent teeth
  • Use of medications that can impair osseous healing (bisphosphonates, RANKL inhibitors, proton pump inhibitors)
  • Current smokers (>10 cigarettes per day)
Show all 12Show fewer
  • Uncontrolled diabetes (HBA1c >8)
  • <3mm of keratinized tissue at implant site
  • History of head or neck radiation therapy
  • History of chemotherapy within the last 4 years
  • Uncontrolled alcohol use (more than 4 drinks on any day or more than 14 drinks per week for men and more than 3 drinks on any day or more than 7 drinks per week for women)
  • Illicit drug use

Trial locations and contacts

1 site in 1 country.

United States1 site
  • East Carolina University School of Dental Medicine

    Greenville, North Carolina, 27834

Other trials in United States

About this study

Official title: Soft and Hard Tissue Changes Around Implants Using Customized CAD/CAM Healing Abutments

Our long-term goal is to generate evidence for the creation of successful implant restorations and ideal supporting tissues in adequate health by utilizing patient-tailored implant protocols such as the use of customized computer-aided design and computer-aided manufacturing (CAD/CAM) healing abutments. With this study, the investigators intend to recruit patients requiring a single implant placement and implant crown in molar areas. Patients will be randomly assigned to either the control group that will receive standard healing abutments or the test control group that will receive customized CAD/CAM healing abutments. Patients will be followed for six months after the delivery of the implant crowns. The central hypothesis is that the use of customized CAD/CAM healing abutments will demonstrate improved outcomes in terms of hard and soft tissue volume stability and clinical parameters as compared to the use of standard healing abutments.

Aim 1 will measure soft and hard tissue changes around dental implants when customized CAD/CAM healing abutments are utilized as compared to standard healing abutments. Soft tissue stability will be measured utilizing intraoral digital scans, while osseous levels will be measured utilizing CBCT scans. Soft and hard tissue volumetric and linear changes will be measured by digital scan superimposition at the time of crown delivery and 6 months thereafter. Volumetric and linear changes will be compared within each group at different time points and between the test and control group to determine if the use of customized CAD/CAM healing abutments is advantageous in terms of maintaining peri-implant soft and hard tissue stability.

Read more

Aim 2 will assess different clinical measurements around dental implants to analyze if the use of customized CAD/CAM healing abutments will demonstrate improved plaque control and peri-implant health as compared to standard healing abutments. Plaque index (PI), gingival index (GI), probing depths (PD), and bleeding on probing (BOP) will be obtained at the time of crown delivery and at 3 and 6 months. Clinical measurements will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will aid in obtaining a natural looking restoration that would result in improved clinical parameters that measure peri-implant health.

Aim 3 will compare the degree of patient satisfaction using a visual analogue scale (VAS) in patients that received an implant restoration following the use of a customized CAD/CAM healing abutment as compared to standard healing abutments. Patients will complete a VAS questionnaire that will evaluate patient perception of pain, esthetics, ability to chew, and ability to clean. Scores will be compared among groups to evaluate if there is a difference in patient-centered outcomes when customized healing abutments are used as compared to standard healing abutments.

Being tested
Placement of dental implant, Placement of stock healing abutment, Placement of customized CAD/CAM healing abutment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Placement of dental implantProcedure or surgery

    Placement of a dental implant on the edentulous ridge

  • Placement of stock healing abutmentProcedure or surgery

    Placement of stock healing abutment after implant has been placed on the edentulous ridge

  • Placement of customized CAD/CAM healing abutmentProcedure or surgery

    Placement of customized CAD/CAM healing abutment after implant has been placed on the edentulous ridge

Study groups in NCT05769673
Study groupRoleWhat they receive
Customized Healing AbutmentsExperimentalPlacement of a customized CAD/CAM healing abutment after implant placement.
Receives: Procedure: Placement of dental implant; Procedure: Placement of customized CAD/CAM healing abutment
Stock Healing AbutmentsActive comparatorPlacement of a stock healing abutment after implant placement.
Receives: Procedure: Placement of dental implant; Procedure: Placement of stock healing abutment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Linear soft tissue changes around dental implants

    Soft tissue linear changes will be measured by digital scan superimposition at the time of crown delivery and 6 months thereafter in millimeters. Linear changes will be compared within each group at different time points and between the test and control group to determine if the use of customized CAD/CAM healing abutments is advantageous in terms of minimizing changes.

    Measured: baseline and 6 months after crown delivery

  2. Volumetric soft tissue changes around dental implants

    Soft tissue volumetric changes will be measured by digital scan superimposition at the time of crown delivery and 6 months thereafter in cubic millimeters. Volumetric changes will be compared within each group at different time points and between the test and control group to determine if the use of customized CAD/CAM healing abutments is advantageous in terms of minimizing changes.

    Measured: baseline and 6 months after crown delivery

  3. Linear hard tissue changes around dental implants

    Hard tissue (osseous) linear changes will be measured utilizing a STL file obtained from the CBCT scans. Hard tissue linear changes will be measured by digital superimposition at the time of crown delivery and 6 months thereafter in millimiters. Linear changes will be compared within each group at different time points and between the test and control group to determine if the use of customized CAD/CAM healing abutments is advantageous in terms of minimizing changes.

    Measured: baseline and 6 months after crown delivery

  4. Volumetric hard tissue changes around dental implants

    Hard tissue (osseous) volumetric changes will be measured utilizing a STL file obtained from the CBCT scans. Hard tissue volumetric changes will be measured by digital superimposition at the time of crown delivery and 6 months thereafter in cubic millimiters. Volumetric changes will be compared within each group at different time points and between the test and control group to determine if the use of customized CAD/CAM healing abutments is advantageous in terms of minimizing changes.

    Measured: baseline and 6 months after crown delivery

  5. Clinical measurements around implants: Plaque index (PI)

    Plaque index (PI) will be recorded at six sites around the implant crown (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual). Each site will be graded based on a scale from 0 to 3 and the sum of all sites will calculate the overall PI ranging from 0 to 18 (0 being the best outcome possible and 18 the worst outcome possible). Plaque scores will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: baseline

  6. Clinical measurements around implants: Plaque index (PI)

    Plaque index (PI) will be recorded at six sites around the implant crown (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual). Each site will be graded based on a scale from 0 to 3 and the sum of all sites will calculate the overall PI ranging from 0 to 18 (0 being the best outcome possible and 18 the worst outcome possible). Plaque scores will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: 3 months after crown delivery

  7. Clinical measurements around implants: Plaque index (PI)

    Plaque index (PI) will be recorded at six sites around the implant crown (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual). Each site will be graded based on a scale from 0 to 3 and the sum of all sites will calculate the overall PI ranging from 0 to 18 (0 being the best outcome possible and 18 the worst outcome possible). Plaque scores will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: 6 months after crown delivery

  8. Clinical measurements around implants: Gingival Index (GI)

    Gingival index (GI) will be recorded at six sites around the implant crown (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual). Each site will be graded based on a scale from 0 to 3 and the sum of all sites will calculate the overall GI ranging from 0 to 18 (0 being the best outcome possible and 18 the worst outcome possible). Gingival index scores will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: baseline

  9. Clinical measurements around implants: Gingival Index (GI)

    Gingival index (GI) will be recorded at six sites around the implant crown (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual). Each site will be graded based on a scale from 0 to 3 and the sum of all sites will calculate the overall GI ranging from 0 to 18 (0 being the best outcome possible and 18 the worst outcome possible). Gingival index scores will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: 3 months after crown delivery

  10. Clinical measurements around implants: Gingival Index (GI)

    Gingival index (GI) will be recorded at six sites around the implant crown (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual). Each site will be graded based on a scale from 0 to 3 and the sum of all sites will calculate the overall GI ranging from 0 to 18 (0 being the best outcome possible and 18 the worst outcome possible). Gingival index scores will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: 6 months after crown delivery

  11. Clinical measurements around implants: Probing depths (PD)

    Probing depths (PD) will be recorded at six sites (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual) from the gingival margin to the base of the sulcus around the implant crown. Each site will be measured in millimeters. Probing depths will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: baseline

  12. Clinical measurements around implants: Probing depths (PD)

    Probing depths (PD) will be recorded at six sites (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual) from the gingival margin to the base of the sulcus around the implant crown. Each site will be measured in millimeters. Probing depths will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: 3 months after crown delivery

  13. Clinical measurements around implants: Probing depths (PD)

    Probing depths (PD) will be recorded at six sites (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual) from the gingival margin to the base of the sulcus around the implant crown. Each site will be measured in millimeters. Probing depths will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: 6 months after crown delivery

  14. Clinical measurements around implants: Bleeding on probing (BOP)

    Bleeding on probing (BOP) will be recorded at six sites (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual) around the implant crown. BOP will be recorded as positive if it occurs within 30 seconds of probing and recorded as negative if it does not occur. BOP will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: baseline

  15. Clinical measurements around implants: Bleeding on probing (BOP)

    Bleeding on probing (BOP) will be recorded at six sites (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual) around the implant crown. BOP will be recorded as positive if it occurs within 30 seconds of probing and recorded as negative if it does not occur. BOP will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: 3 months after crown delivery

  16. Clinical measurements around implants: Bleeding on probing (BOP)

    Bleeding on probing (BOP) will be recorded at six sites (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual) around the implant crown. BOP will be recorded as positive if it occurs within 30 seconds of probing and recorded as negative if it does not occur. BOP will be compared between the test and control group to determine if the use of customized CAD/CAM healing abutments will result in improved clinical parameters that measure peri-implant health.

    Measured: 6 months after crown delivery

  17. Degree of patient satisfaction

    Patients will complete a visual analogue scale (VAS) questionnaire. On a scale from 0 to 10 (0 being the worst outcome possible and 10 the best outcome possible), patients will be asked their perception of pain during the procedure, esthetics, ability to chew and ability to clean. Scores will be compared among groups to evaluate if there is a difference in patient-centered outcomes when customized healing abutments are used as compared to standard healing abutments.

    Measured: 6 months after crown delivery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Mar 2023
  2. Study start1 Sep 2022
  3. Primary completion31 Dec 2024 (estimated)
  4. Study completion31 Dec 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Care provider, Investigator
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05769673
Sponsor's protocol ID
21-000291
Status last verified
Aug 2024
First submitted
25 Jan 2023
Last updated
27 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Placement of dental implant, Placement of stock healing abutment and Placement of customized CAD/CAM healing abutment in people with Edentulous Alveolar Ridge, run by East Carolina University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 27 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Linear soft tissue changes around dental implants (time frame: baseline and 6 months after crown delivery). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2024.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in