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Dental ImplantationNCT04950491

Patient-reported Outcome Measures Comparing Static Computer-aided Implant Surgery and Conventional Implant Surgery

A study testing Modified Dental Anxiety Score (MDAS) questionnaire, Pain questionnaire and Oral Health-Related Quality of Life (OHRQoL) questionnaire in people with Dental Implantation and Postoperative Pain, run by Mahidol University at 1 site in Thailand.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this randomized controlled trial was to compare PROMs in patients receiving single tooth replacement in posterior sites by s-CAIS and CIS. Read more about this study

Who is it for?
Ages 25 to 80 yearsHealthy volunteers can take part
What is being tested?
Modified Dental Anxiety Score (MDAS) questionnaire, Pain questionnaire and Oral Health-Related Quality of Life (OHRQoL) questionnaire
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteThailand
Study dates
9 Jul 2019to 11 Mar 2021
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 25 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy or well-controlled systemic disease (ASA classification I,II)
  • A partially edentulous ridge in the premolar-molar region with existing two-sided interproximal as well as antagonist contacts
  • No sign of acute oral infection
  • Periodontally healthy (or successfully treated)
  • More than 2 mm of keratinized gingiva at the site of surgery
  • Sufficient bony ridge for implant placement with or without simultaneous bone grafting

Who cannot join

  • Diabetes mellitus
  • Smoking more than ten cigarettes per day
  • Pregnancy
  • Psychiatric disorder
  • History of radiation therapy at head and neck area and chemotherapy
  • Bony pathologies, namely osseous dysplasia, odontogenic cyst, tumor
  • History of soft tissue grafting at the prospective implant site
  • Inadequate bony ridge with the need of bone augmentation prior to implant placement

Trial locations and contacts

1 site in 1 country.

Thailand1 site
  • Faculty of Dentistry, Mahidol University

    Ratchathewi, Bangkok, 10400

Other trials in Thailand

About this study

Official title: Patient-reported Outcome Measures (PROMs) Comparing Static Computer-aided Implant Surgery (s-CAIS) and Conventional Implant Surgery (CIS) for Single-tooth Replacement: A Randomized Controlled Trial

The aim of this randomized controlled trial was to compare PROMs in patients receiving single tooth replacement in posterior sites by s-CAIS and CIS.

Read the detailed description

Since current patient-reported outcome measures (PROMs) evidence related to static computer-aided implant surgery (s-CAIS) compared with conventional implant surgery (CIS), particularly in partial edentulous patients, were still limited. The aim of this randomized controlled trial was to compare PROMs in patients receiving single tooth replacement in posterior sites by s-CAIS and CIS.

Being tested
Modified Dental Anxiety Score (MDAS) questionnaire, Pain questionnaire, Oral Health-Related Quality of Life (OHRQoL) questionnaire
Keywords
Clinical Research, Dental Implant, Static Computer-Aided Implant Surgery (s-CAIS), Patient-Reported Outcome Measures (PROMs), Dental Anxiety, Pain, Oral Health-Related Quality of Life (OHRQoL)
Medical subject headings
Pain, Postoperative, Pain

What participants receive

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

  • Modified Dental Anxiety Score (MDAS) questionnaireOther

    MDAS was used to measure the patients' anxiety toward dental treatment before implant surgery (Humphris, Dyer, \&Robinson, 2009). Originally, the MDAS questionnaire included five questions answered with a 5-category Likert scale. The original MDAS questionnaire does not cover anxiety toward implant surgery. Therefore, a question enquiring about patients' feelings towards implant surgery was added.

  • Pain questionnaireOther

    Patients were asked to describe the worst pain feeling using a standard 10 cm Visual Analog Scale (VAS) and the proportion of time spent in severe pain using a 5 category Likert scale. The number of analgesics taken per day was also asked.

  • Oral Health-Related Quality of Life (OHRQoL) questionnaireOther

    The OHRQoL comprises 14 questions covering problems the patient may in three main categories: oral function, daily activity, and post-operative symptoms (Chaushu, Becker, Zeltser, Vasker, \& Chaushu, 2004). Patients answered using a 5-category Likert scale.

Study groups in NCT04950491
Study groupRoleWhat they receive
Test group (s-CAIS)ExperimentalThe test group workflow used a fully computer-guided implant surgical protocol.
Receives: Other: Modified Dental Anxiety Score (MDAS) questionnaire; Other: Pain questionnaire; Other: Oral Health-Related Quality of Life (OHRQoL) questionnaire
Control group (CIS)OtherThe control group workflow used a conventional implant surgical protocol.
Receives: Other: Modified Dental Anxiety Score (MDAS) questionnaire; Other: Pain questionnaire; Other: Oral Health-Related Quality of Life (OHRQoL) questionnaire

What is being measured

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

  1. Change of post-operative pain for 7 days: Visual Analog Scale

    Patients were asked to describe the worst post-operative pain feeling using a standard 10 cm Visual Analog Scale.

    Measured: Patients were instructed to answer every day for 7 days starting from the day of surgery 1 hour before bedtime.

  2. Change of the proportion of time spent in severe pain for 7 days: 5-category Likert scale

    Patients were asked to describe the proportion of time spent in severe pain using 5-category Likert scale (None, Low, Moderate, High, Very high).

    Measured: Patients were instructed to answer every day for 7 days starting from the day of surgery 1 hour before bedtime.

  3. Change of the analgesics taken per day for 7 days: the number of tablets per day

    Patients were asked to describe the number of analgesics taken per day.

    Measured: Patients were instructed to answer every day for 7 days starting from the day of surgery 1 hour before bedtime.

  4. Change of Oral Health-Related Quality of Life (OHRQoL) for 7 days: 5-category Likert scale

    The OHRQoL questionnaire comprises 14 questions covering problems the patient may in three main categories: oral function, daily activity, and post-operative symptoms derived from Chaushu's study (Chaushu, Becker, Zeltser, Vasker, \& Chaushu, 2004). Patients answered this questionnaire using a 5-category Likert scale (Not at all, Very little, A little, Quite a lot, Very much).

    Measured: Patients were instructed to answer the OHRQoL every day for 7 days starting from the day of surgery 1 hour before bedtime.

Secondary outcomes (1)
  1. The Modified Dental Anxiety Score (MDAS)

    The MDAS was used to measure patient anxiety toward dental treatment (Humphris, Dyer, \& Robinson, 2009). The MDAS consists of five questions answered with a 5-category Likert scale, ranging from 'not anxious' to 'extremely anxious'. The original MDAS questionnaire does not cover anxiety toward implant surgery. Therefore, a question enquiring about patients' feelings towards implant surgery was added.

    Measured: 1 day (Patients completed the modified MDAS once, while waiting for the surgery in the waiting room.)

Timeline

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

  1. First posted6 Jul 2021
  2. Study start9 Jul 2019
  3. Primary completion27 Nov 2020
  4. Study completion11 Mar 2021

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Care provider, Outcomes assessor
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04950491
Sponsor's protocol ID
DT 071/2019
Status last verified
Jun 2021
First submitted
23 Jun 2021
Last updated
6 Jul 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Arisan V, Karabuda CZ, Ozdemir T. Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques. Clin Oral Implants Res. 2010 Sep;21(9):980-8. doi: 10.1111/j.1600-0501.2010.01957.x. Epub 2010 May 24.

    PubMed 20497439
  • Bielemann AM, Marcello-Machado RM, Del Bel Cury AA, Faot F. Systematic review of wound healing biomarkers in peri-implant crevicular fluid during osseointegration. Arch Oral Biol. 2018 May;89:107-128. doi: 10.1016/j.archoralbio.2018.02.013. Epub 2018 Feb 22.

    PubMed 29510331
  • Buser D, Chappuis V, Kuchler U, Bornstein MM, Wittneben JG, Buser R, Cavusoglu Y, Belser UC. Long-term stability of early implant placement with contour augmentation. J Dent Res. 2013 Dec;92(12 Suppl):176S-82S. doi: 10.1177/0022034513504949. Epub 2013 Oct 24.

    PubMed 24158332
  • Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants. 2004;19 Suppl:43-61.

    PubMed 15635945
  • Calvert M, Brundage M, Jacobsen PB, Schunemann HJ, Efficace F. The CONSORT Patient-Reported Outcome (PRO) extension: implications for clinical trials and practice. Health Qual Life Outcomes. 2013 Oct 29;11:184. doi: 10.1186/1477-7525-11-184.

    PubMed 24168680
  • Coolidge T, Hillstead MB, Farjo N, Weinstein P, Coldwell SE. Additional psychometric data for the Spanish Modified Dental Anxiety Scale, and psychometric data for a Spanish version of the Revised Dental Beliefs Survey. BMC Oral Health. 2010 May 13;10:12. doi: 10.1186/1472-6831-10-12.

    PubMed 20465835
  • D'haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol 2000. 2017 Feb;73(1):121-133. doi: 10.1111/prd.12175.

    PubMed 28000275
  • De Bruyn H, Raes S, Matthys C, Cosyn J. The current use of patient-centered/reported outcomes in implant dentistry: a systematic review. Clin Oral Implants Res. 2015 Sep;26 Suppl 11:45-56. doi: 10.1111/clr.12634.

    PubMed 26385620
  • Feine J, Abou-Ayash S, Al Mardini M, de Santana RB, Bjelke-Holtermann T, Bornstein MM, Braegger U, Cao O, Cordaro L, Eycken D, Fillion M, Gebran G, Huynh-Ba G, Joda T, Levine R, Mattheos N, Oates TW, Abd-Ul-Salam H, Santosa R, Shahdad S, Storelli S, Sykaras N, Trevino Santos A, Stephanie Webersberger U, Williams MAH, Wilson TG Jr, Wismeijer D, Wittneben JG, Yao CJ, Zubiria JPV. Group 3 ITI Consensus Report: Patient-reported outcome measures associated with implant dentistry. Clin Oral Implants Res. 2018 Oct;29 Suppl 16:270-275. doi: 10.1111/clr.13299.

    PubMed 30328187
  • Fortin T, Bosson JL, Isidori M, Blanchet E. Effect of flapless surgery on pain experienced in implant placement using an image-guided system. Int J Oral Maxillofac Implants. 2006 Mar-Apr;21(2):298-304.

    PubMed 16634502
  • Giri J, Pokharel PR, Gyawali R, Bhattarai B. Translation and Validation of Modified Dental Anxiety Scale: The Nepali Version. Int Sch Res Notices. 2017 Jan 29;2017:5495643. doi: 10.1155/2017/5495643. eCollection 2017.

    PubMed 28251175
  • Humphris G, King K. The prevalence of dental anxiety across previous distressing experiences. J Anxiety Disord. 2011 Mar;25(2):232-6. doi: 10.1016/j.janxdis.2010.09.007. Epub 2010 Sep 19.

    PubMed 20952156
  • Humphris GM, Morrison T, Lindsay SJ. The Modified Dental Anxiety Scale: validation and United Kingdom norms. Community Dent Health. 1995 Sep;12(3):143-50.

    PubMed 7584581
  • Iqbal MK, Kim S. A review of factors influencing treatment planning decisions of single-tooth implants versus preserving natural teeth with nonsurgical endodontic therapy. J Endod. 2008 May;34(5):519-29. doi: 10.1016/j.joen.2008.01.002.

    PubMed 18436028
  • Joda T, Derksen W, Wittneben JG, Kuehl S. Static computer-aided implant surgery (s-CAIS) analysing patient-reported outcome measures (PROMs), economics and surgical complications: A systematic review. Clin Oral Implants Res. 2018 Oct;29 Suppl 16:359-373. doi: 10.1111/clr.13136.

    PubMed 30328203

Questions about this trial

What is this clinical trial studying?

A study testing Modified Dental Anxiety Score (MDAS) questionnaire, Pain questionnaire and Oral Health-Related Quality of Life (OHRQoL) questionnaire in people with Dental Implantation and Postoperative Pain, run by Mahidol University at 1 site in Thailand.

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 8 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: finished, as of the sponsor's last update on 6 Jul 2021. 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 Thailand. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Change of post-operative pain for 7 days: Visual Analog Scale (time frame: Patients were instructed to answer every day for 7 days starting from the day of surgery 1 hour before bedtime.). The study lists 4 primary outcomes in all. 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 NCT04950491, which also lists 27 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 6 Jul 2021.

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