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Mouth, EdentulousNCT02521935

Conventionally vs. Digitally Fabricated Complete Dentures: Clinical Treatment Outcome Differences

A study testing Complete traditional dentures and Complete CADCAM dentures in people with Mouth, Edentulous, run by University of North Carolina, Chapel Hill at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

Purpose: To compare complete denture outcomes between conventional and digital denture fabrication processes. Participants: Sixteen edentulous adult patients in the University of North Carolina School of Dentistry Student Clinic who are seeking removable complete dentures. Read more about this study

Who is it for?
Ages 18 to 99 yearsHealthy volunteers can take part
Conditions the study is for
Mouth, Edentulous
What is being tested?
Complete traditional dentures and Complete CADCAM dentures
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteUnited States
Study dates
Jan 2017to Jan 2020
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 to 99 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • UNC School of Dentistry Student Clinic patients requiring maxillary and mandibular complete dentures
  • Ages 18 to 99, inclusive
  • Able to read, speak, and understand English
  • Without natural tooth or implant supported overdentures
  • Edentulous in both jaws for at least 6 months
  • Any Prosthodontic Diagnostic Index (PDI) type with a preference given to Types 1-3

Who cannot join

  • Non-registered patient in UNC School of Dentistry student clinics
  • Patient not able or unwilling to give consent
  • Subject had extractions within last 6 months

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of North Carolina School of Dentistry Student Clinics

    Chapel Hill, North Carolina, 27599

Other trials in United States

About this study

Purpose: To compare complete denture outcomes between conventional and digital denture fabrication processes.

Participants: Sixteen edentulous adult patients in the University of North Carolina School of Dentistry Student Clinic who are seeking removable complete dentures.

Procedures (methods): Two complete sets of dentures will be fabricated for each subject: one using the conventional process (A) and the other using a digital process (B). Variability will be assessed by the research team, the treating dental students, an independent prosthodontist, and the patients through quantitative measures. Case selection and results analysis will be evaluated with recognition of the Prosthodontic Diagnostic Index.

Read the detailed description

Rationale for Study Design An AB/BA (conventional=A, digital=B) crossover design with no wash-out period is flawed for this study, and its weakness is the potential for a carryover effect (benefits or risks associated with treatment A carry over to treatment B). A wash-out period is not feasible for this study because it would require the patient-subjects to suspend use of their dentures for the duration of the wash-out period.

The Investigators have decided to conduct the study using the ABB/BAA crossover design, which does not require a wash-out period and will permit testing and discounting of a possible carryover effect. In addition, this design is more appropriate for a small sample size than the AB/BA design.

The investigators are adding to the scant literature on digital dentures, information that has never before been studied - the retention, aesthetics, and stability of digital dentures compared to conventional dentures. Additionally, the investigators will have longitudinal data on these characteristics regarding digital dentures.

If the Functional Assessment of Dentures (FAD) and the patient evaluation show positive results for the digital dentures, this could lead to increased use of the Computer -Aided Design/ Computer -Aided Manufacturing (CADCAM) fabrication method which, in turn, would allow greater numbers of people to benefit from the advantages of the digital dentures as described earlier in this application (e.g., a better fit, fewer visits with less time in the chair, less biofilm formation, etc.)

Being tested
Complete traditional dentures, Complete CADCAM dentures
Medical subject headings
Mouth, Edentulous

What participants receive

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

  • Complete traditional denturesDevice

    Also called complete conventional dentures

    Arm 1-Standard Treatment Sequence for Traditional Removable Dentures in a Dental School Clinic (9 Appointments):

    Appointment 1: Examination \& diagnosis \& initial impressions.

    Appointment 2: Secondary impressions.

    Appointment 3: Secondary or definitive impressions (Often 2 appointments are needed to border mold and impression)

    Appointment 4: Maxillo-mandibular jaw relation records (both centric and vertical relation). Tooth selection.

    Appointment 5: Wax-trial denture try-in.

    Appointment 6: Insertion and instructions for care of definitive prostheses.

    Appointments 7-9 Post adjustments

  • Complete CADCAM denturesDevice

    Also called complete digital dentures

    Arm 2-Standard Treatment Sequence for Digital Dentures in a Dental School Clinic (5 appointments):

    Appointment 1: Exam, diagnosis, \& tray selection (begin impressions)

    Appointment 2: Definitive impressions and Maxillomandibula relations

    Appointment 3: Wax-trial arrangement

    Appointment 4: Insertion and instructions for care of definitive prosthesis

    Appointment 5: Post adjustment/s (Less post insertion adjustments are anticipated due to CADCAM milling of the denture base and less polymerization shrinkage

Study groups in NCT02521935
Study groupRoleWhat they receive
Complete traditional denturesActive comparatorComplete maxillary/mandible dentures made in the traditional manner.
Receives: Device: Complete traditional dentures
Complete CADCAM denturesActive comparatorComplete maxillary/mandible dentures made with CADCAM (computer-aided design/computer-aided manufacturing) technology
Receives: Device: Complete CADCAM dentures

What is being measured

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

  1. the overall comparison of functional assessment of digitally fabricated dentures to traditionally fabricated dentures

    evaluate functional assessment of digitally fabricated dentures to traditionally fabricated dentures (FAD= Functional Assessment of Dentures)

    Measured: 2 years

Secondary outcomes (14)
  1. comparison of functional assessment of digitally fabricated dentures to traditionally fabricated dentures

    evaluate functional assessment of digitally fabricated dentures to traditionally fabricated dentures (FAD= Functional Assessment of Dentures)

    Measured: baseline = 4 weeks

  2. comparison of functional assessment of digitally fabricated dentures to traditionally fabricated dentures

    evaluate functional assessment of digitally fabricated dentures to traditionally fabricated dentures (FAD)

    Measured: 3 months

  3. comparison of functional assessment of digitally fabricated dentures to traditionally fabricated dentures

    evaluate functional assessment of digitally fabricated dentures to traditionally fabricated dentures (FAD)

    Measured: 6 months

  4. comparison of functional assessment of digitally fabricated dentures to traditionally fabricated dentures

    evaluate functional assessment of digitally fabricated dentures to traditionally fabricated dentures (FAD)

    Measured: 1 year

  5. comparison of patient satisfaction between digital dentures and traditional dentures

    patient satisfaction survey consisting of 12 items organized into 5 subscales (not at all satisfied, not very satisfied, reasonably satisfied, very satisfied, totally satisfied) and responses are based on a Likert scale

    Measured: baseline = 4 weeks

  6. comparison of patient satisfaction between digital dentures and traditional dentures

    patient satisfaction survey consisting of 12 items organized into 5 subscales (not at all satisfied, not very satisfied, reasonably satisfied, very satisfied, totally satisfied) and responses are based on a Likert scale

    Measured: 3 months

  7. comparison of patient satisfaction between digital dentures and traditional dentures

    patient satisfaction survey consisting of 12 items organized into 5 subscales (not at all satisfied, not very satisfied, reasonably satisfied, very satisfied, totally satisfied) and responses are based on a Likert scale

    Measured: 6 months

  8. comparison of patient satisfaction between digital dentures and traditional dentures

    patient satisfaction survey consisting of 12 items organized into 5 subscales (not at all satisfied, not very satisfied, reasonably satisfied, very satisfied, totally satisfied) and responses are based on a Likert scale

    Measured: 1 year

  9. comparison of patient satisfaction between digital dentures and traditional dentures

    patient satisfaction survey consisting of 12 items organized into 5 subscales (not at all satisfied, not very satisfied, reasonably satisfied, very satisfied, totally satisfied) and responses are based on a Likert scale

    Measured: 2 year

  10. bite force comparison between digital dentures and traditional dentures

    using gnathometer assessment, investigators will record the force (on a 0-10 scale) during dislodgement

    Measured: baseline = 4 weeks

  11. bite force comparison between digital dentures and traditional dentures

    using gnathometer assessment, investigators will record the force (on a 0-10 scale) during dislodgement

    Measured: 3 months

  12. bite force comparison between digital dentures and traditional dentures

    using gnathometer assessment, investigators will record the force (on a 0-10 scale) during dislodgement

    Measured: 6 months

  13. bite force comparison between digital dentures and traditional dentures

    using gnathometer assessment, investigators will record the force (on a 0-10 scale) during dislodgement

    Measured: 1 year

  14. bite force comparison between digital dentures and traditional dentures

    using gnathometer assessment, investigators will record the force (on a 0-10 scale) during dislodgement

    Measured: 2 year

Timeline

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

  1. First posted13 Aug 2015 (estimated)
  2. Study startJan 2017
  3. Primary completionJan 2018 (estimated)
  4. Study completionJan 2020 (estimated)

Why it stopped: The PI is deceased, decision was made to withdraw.

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
Crossover
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02521935
Sponsor's protocol ID
14-1811
Status last verified
Apr 2017
First submitted
16 Jul 2015
Last updated
27 Apr 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • McCord JF. Contemporary techniques for denture fabrication. J Prosthodont. 2009 Feb;18(2):106-11. doi: 10.1111/j.1532-849X.2009.00439.x.

    PubMed 19254299
  • Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods of obtaining required morphological data. J Prosthet Dent. 2012 Jan;107(1):34-46. doi: 10.1016/S0022-3913(12)60015-8.

    PubMed 22230914
  • Lee WS, Kim WC, Kim HY, Kim WT, Kim JH. Evaluation of different approaches for using a laser scanner in digitization of dental impressions. J Adv Prosthodont. 2014 Feb;6(1):22-9. doi: 10.4047/jap.2014.6.1.22. Epub 2014 Feb 14.

    PubMed 24605202
  • Kattadiyil MT, Goodacre CJ, Baba NZ. CAD/CAM complete dentures: a review of two commercial fabrication systems. J Calif Dent Assoc. 2013 Jun;41(6):407-16.

    PubMed 23875432
  • Bidra AS, Taylor TD, Agar JR. Computer-aided technology for fabricating complete dentures: systematic review of historical background, current status, and future perspectives. J Prosthet Dent. 2013 Jun;109(6):361-6. doi: 10.1016/S0022-3913(13)60318-2.

    PubMed 23763779
  • Darvell BW, Clark RK. The physical mechanisms of complete denture retention. Br Dent J. 2000 Sep 9;189(5):248-52. doi: 10.1038/sj.bdj.4800734.

    PubMed 11048392
  • Parvizi A, Lindquist T, Schneider R, Williamson D, Boyer D, Dawson DV. Comparison of the dimensional accuracy of injection-molded denture base materials to that of conventional pressure-pack acrylic resin. J Prosthodont. 2004 Jun;13(2):83-9. doi: 10.1111/j.1532-849X.2004.04014.x.

    PubMed 15210003
  • Infante L, Yilmaz B, McGlumphy E, Finger I. Fabricating complete dentures with CAD/CAM technology. J Prosthet Dent. 2014 May;111(5):351-5. doi: 10.1016/j.prosdent.2013.10.014. Epub 2014 Jan 23.

    PubMed 24461946
  • Alfadda SA. The relationship between various parameters of complete denture quality and patients' satisfaction. J Am Dent Assoc. 2014 Sep;145(9):941-8. doi: 10.14219/jada.2013.48.

    PubMed 25170001
  • Allen PF, McMillan AS, Walshaw D. A patient-based assessment of implant-stabilized and conventional complete dentures. J Prosthet Dent. 2001 Feb;85(2):141-7. doi: 10.1067/mpr.2001.113214.

    PubMed 11208203
  • Anastassiadou V, Naka O, Heath MR, Kapari D. Validation of indices for functional assessment of dentures. Gerodontology. 2002 Jul;19(1):46-52. doi: 10.1111/j.1741-2358.2002.00046.x.

    PubMed 12164239
  • Corrigan PJ, Basker RM, Farrin AJ, Mulley GP, Heath MR. The development of a method for functional assessment of dentures. Gerodontology. 2002 Jul;19(1):41-5. doi: 10.1111/j.1741-2358.2002.00041.x.

    PubMed 12164238
  • Fenlon MR, Sherriff M, Walter JD. An investigation of factors influencing patients' use of new complete dentures using structural equation modelling techniques. Community Dent Oral Epidemiol. 2000 Apr;28(2):133-40. doi: 10.1034/j.1600-0528.2000.028002133.x.

    PubMed 10730722
  • Sato Y, Hamada S, Akagawa Y, Tsuga K. A method for quantifying overall satisfaction of complete denture patients. J Oral Rehabil. 2000 Nov;27(11):952-7. doi: 10.1046/j.1365-2842.2000.00579.x.

    PubMed 11106986
  • Sato Y, Tsuga K, Akagawa Y, Tenma H. A method for quantifying complete denture quality. J Prosthet Dent. 1998 Jul;80(1):52-7. doi: 10.1016/s0022-3913(98)70091-5.

    PubMed 9656178

Questions about this trial

What is this clinical trial studying?

A study testing Complete traditional dentures and Complete CADCAM dentures in people with Mouth, Edentulous, run by University of North Carolina, Chapel Hill 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 6 inclusion and 3 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: withdrawn, as of the sponsor's last update on 27 Apr 2017. 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?

The study was withdrawn before enrolling participants, so there are no results.

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?

the overall comparison of functional assessment of digitally fabricated dentures to traditionally fabricated dentures (time frame: 2 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02521935, which also lists 16 linked publications.

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 Apr 2017.

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