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Peri-ImplantitisNCT05081076

Health of Peri-implant Tissues Adjacent to Zirconia

A study testing Glazing and Polishing in people with Peri-Implantitis, run by Pontificia Universidade Católica do Rio Grande do Sul at 1 site in Brazil.

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

Background: The control and maintenance of implants, bone tissue and soft tissue are fundamental for the clinical success of implant prostheses (PSIs). The type of ceramic surface finish can modify the biological response of peri-implant tissues adjacent to PSIs over time. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Peri-Implantitis
What is being tested?
Glazing and Polishing
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteBrazil
Study dates
15 Aug 2021to 30 Sep 2023
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

  • Healing time of at least two months for patients who underwent extraction in areas to be rehabilitated with implants
  • Adequate bone volume at the implant site (ie, sufficient for placement of an implant of at least 3.3 mm in diameter and 6 mm in length) assessed by preoperative CT and clinical evaluation.
  • Use of Straumann bone level or conical bone level implants, with NC or RC platforms.

Who cannot join

  • Patients with systemic diseases (e.g., heart disease, leukocyte and coagulation disorders, metabolic disorders, immunosuppression)
  • History of radiotherapy in the head and neck region
  • Current treatment with steroids and/or bisphosphonates
  • Neurological or psychiatric impairment that can interfere with good oral hygiene
  • Smoking (more than 10 cigarettes a day)
  • History of illicit drug or alcohol abuse

Trial locations and contacts

1 site in 1 country.

Brazil1 site
  • Pontificia Universidade Católica do Rio Grande do Sul

    Porto Alegre, Rio Grande do Sul, 90619900

Other trials in Brazil

About this study

Official title: Health of Peri-implant Tissues Adjacent to Glazed or Polished Zirconia Surface: a Randomized, Intra-subject, Clinical Trial

Background: The control and maintenance of implants, bone tissue and soft tissue are fundamental for the clinical success of implant prostheses (PSIs). The type of ceramic surface finish can modify the biological response of peri-implant tissues adjacent to PSIs over time.

Objective: To prospectively assess whether the peri-implant health of soft and hard tissues adjacent to monolithic zirconia PSIs varies with the type of surface finish (glazed or polished). It will also be evaluated if the patient perceives any clinical, comfort or satisfaction difference.

Methodology: The study design is a randomized, prospective, paired clinical trial, with intra-subject comparison. The sample will consist of consecutive patients in need and indication for treatment with monolithic zirconia PSIs, attended at the Military Policlinic of Porto Alegre and in a private practice by a single specialist researcher. For each PSI, the allocation of a glazed or polished surface in contact with the soft gingival tissue will be randomized on the mesial and distal sides of the crown. Data will be collected by routine clinical and radiographic examination with a focus on peri-implant health (hygiene index, gingival bleeding index, crestal bone level), satisfaction questionnaire and intraoral images (thermography and photographs), after one week of installation of the PSI and in six months, one year and two years. The data will be analyzed by descriptive and inferential statistics, at the significance level of 0.05.

Read the detailed description

The control and maintenance of implant, bone and soft tissue are fundamental for the clinical success of prostheses over implants (PSIs). The type of ceramic surface finish can modify the biological response of peri-implant tissues adjacent to PSIs over time.

AIM To prospectively assess whether the peri-implant health of soft and hard tissue adjacent to monolithic PSIs varies with the type of surface finish (glazed or polished).

METHODS The study design is a randomized, prospective, paired, clinical trial with intra-subject comparison, and the research protocol will follow the Resolution 466/12 of the Brazilian National Health Council and the Declaration of Helsinki.

Sample A non-probabilistic sample will consist of consecutive patients in need of treatment with unitary PSIs made of monolithic zirconia, being attended at the Military Polyclinic of Porto Alegre and in a private practice by the same specialist researcher (DBS). Patients will be selected according to the eligibility criteria.

Sample size calculation: In the systematic review of Linkevicius and Vaitelis (2015) on the effect of zirconia or titanium abutments on peri-implant tissues, the 11 clinical studies included for biological outcomes had samples from 11 to 81 patients, with 11 to 45 abutments. In a total of 145 zirconia abutments, 12 (8.2%) had biological complications. There is no current clinical studies on glaze and PSI polishing in monolithic zirconia and outcomes of peri-implant health. So, a priori, the initial sample will consist of 30 PSIs (30 pairs to be compared: Glaze vs. Polishing). The definitive sample size will be calculated after preliminary data analysis from the initial six months of data collection.

PSIs crowns will be made on metallic abutments (Variobase or Anatomic Abutment, Straumann) and milled in monolithic zirconia (Amann Girrbach, Austria), using a CAD/CAM technique with molding or intra-oral scanning and in-lab milling. For each PSI, the mesial and distal faces will receive one experimental treatment (surface finishing) at random, to be defined by drawing lots: glazed surface treatment (Ceramill Stain \& Glaze Kit), or polished surface treatment (polishing rubbers kit in the sequence indicated by the manufacturer - EVE DIACERA Finishing and Polishing Kit, EVE Ernst Vetter GmbH - Germany).

All PSIs will be installed according to standardized clinical protocol in the routine of dental clinics where the patients will be seen. After installing the PSI, the clinical data will be collected by clinical-radiographic exam and photographs at the following times: after one week of installation of the PSI (T0 - baseline) and in six months (T1), one year (T2) and two years (T3) of follow-up.

Clinical-radiographic Examination A single trained examiner (D.B.S.) will carry out the collection of clinical and radiographic data for each PSI installed through non-invasive procedures already used in dentistry.

In the clinical exam the following aspects will be evaluated on each face (glazed or polished) of the PSI:

  • Hygiene Index: will be visually evaluated the presence of bacterial plaque (biofilm) and the presence of visible inflammation.
  • Index of Gingival Bleeding: Gingival probe around the zirconia crown, as per the last consensus of Periodontics (Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions).
  • Patient Satisfaction: a 100-mm visual analogue scale will be used
  • Infrared thermography
  • Radiographic evaluation for peri-implant levels analysis (potential bone loss)

Statistical analysis The data will be analyzed by descriptive and inferential statistics (alpha = 0.05).

Being tested
Glazing, Polishing
Keywords
monolithic zirconia, dental implants, peri-implant tissues, surface finishing
Medical subject headings
Peri-Implantitis

What participants receive

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

  • GlazingDevice

    The zirconia surface will be submitted to a vitrification procedure (glazing) in a specific ceramic oven using the Ceramill Stain \& Glaze Kit, following the manufacturer's instructions.

  • PolishingDevice

    The zirconia surface will be submitted to a polishing procedure using a polishing rubbers kit in the sequence indicated by the manufacturer (EVE DIACERA Finishing and Polishing Kit, EVE Ernst Vetter GmbH - Germany).

Study groups in NCT05081076
Study groupRoleWhat they receive
Glazed surfaceActive comparatorOne side of the zirconia crown will receive glazed surface treatment according to standard laboratory procedure and manufacturer's recommendations (Ceramill Stain \& Glaze Kit).
Receives: Device: Glazing
Polished surfaceExperimentalThe contralateral side of the zirconia crown will receive polished surface treatment (polishing rubbers kit in the sequence indicated by the manufacturer - EVE DIACERA Finishing and Polishing Kit, EVE Ernst Vetter GmbH - Germany).
Receives: Device: Polishing

What is being measured

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

  1. Change from baseline Hygiene Index at six months

    Hygiene Index: will be visually evaluated the presence of bacterial plaque (biofilm) and the presence of visible inflammation

    Measured: from one week of installation of the PSI (T0 - baseline) to six months (T1) of follow-up

  2. Change from six-month Hygiene Index at one year

    Hygiene Index: will be visually evaluated the presence of bacterial plaque (biofilm) and the presence of visible inflammation

    Measured: from six months (T1) to one year (T2) of follow-up

  3. Change from one-year Hygiene Index at two years

    Hygiene Index: will be visually evaluated the presence of bacterial plaque (biofilm) and the presence of visible inflammation

    Measured: from one year (T2) to two years (T3) of follow-up

  4. Change from baseline Index of Gingival Bleeding at six months

    Index of Gingival Bleeding: Gingival probe around the zirconia crown, as per the last consensus of Periodontics (Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions)

    Measured: from one week of installation of the PSI (T0 - baseline) to in six months (T1) of follow-up

  5. Change from six-month Index of Gingival Bleeding at one year

    Index of Gingival Bleeding: Gingival probe around the zirconia crown, as per the last consensus of Periodontics (Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions)

    Measured: from six months (T1) and one year (T2) of follow-up

  6. Change from one-year Index of Gingival Bleeding at two years

    Index of Gingival Bleeding: Gingival probe around the zirconia crown, as per the last consensus of Periodontics (Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions)

    Measured: from one year (T2) to two years (T3) of follow-up

Secondary outcomes (9)
  1. Change in baseline Overal Satisfaction at six months

    Patient Satisfaction: a 100-mm visual analogue scale will be used

    Measured: from one week of installation of the PSI (T0 - baseline) to in six months (T1) of follow-up

  2. Change in six-month Overal satisfaction at one year

    Patient Satisfaction: a 100-mm visual analogue scale will be used

    Measured: from six months (T1) to one year (T2) of follow-up

  3. Change in one-year Overal satisfaction at two years

    Patient Satisfaction: a 100-mm visual analogue scale will be used

    Measured: from one year (T2) to two years (T3) of follow-up

  4. Change in baseline Infrared thermography score at six months

    Infrared termograms obtained from a portable infrared camera will be assessed with the dedicated software to obtain a score measure of each region of interest after calibration procedures

    Measured: from one week of installation of the PSI (T0 - baseline) to six months (T1) of follow-up

  5. Change in six-month Infrared thermography score at one year

    Infrared termograms obtained from a portable infrared camera will be assessed with the dedicated software to obtain a score measure of each region of interest after calibration procedures

    Measured: from six months (T1) to one year (T2) of follow-up

  6. Change in one-year Infrared thermography score at two years

    Infrared termograms obtained from a portable infrared camera will be assessed with the dedicated software to obtain a score measure of each region of interest after calibration procedures

    Measured: from one year (T2) to two years (T3) of follow-up

  7. Change in baseline Bone loss at six months

    Radiographic images will be analysed with a specific software for peri-implant level measurements at the vertical implant axis, at the mesial and distal sides

    Measured: from one week of installation of the PSI (T0 - baseline) to six months (T1) of follow-up

  8. Change in six-month Bone loss at one year

    Radiographic images will be analysed with a specific software for peri-implant level measurements at the vertical implant axis, at the mesial and distal sides

    Measured: from six months (T1) to one year (T2) of follow-up

  9. Change in one-year Bone loss at two years

    Radiographic images will be analysed with a specific software for peri-implant level measurements at the vertical implant axis, at the mesial and distal sides

    Measured: from one year (T2) to two years (T3) of follow-up

Timeline

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

  1. First posted18 Oct 2021
  2. Study start15 Aug 2021
  3. Primary completion31 Jul 2023
  4. Study completion30 Sep 2023

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
Crossover
Model description
The study design is a randomized, prospective, paired, clinical trial with intra-subject comparison. Each zirconia crown to be placed over the dental implant has two sides (mesial and distal), which will receive a randomised surface finishing treatment in the laboratory fabrication procedure.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05081076
Sponsor's protocol ID
CAAE 45255621.2.0000.5336
Status last verified
Dec 2023
First submitted
14 Sep 2021
Last updated
11 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: IPD may be shared with other researchers upon justified request.

Publications

  • Linkevicius T, Vaitelis J. The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis. Clin Oral Implants Res. 2015 Sep;26 Suppl 11:139-47. doi: 10.1111/clr.12631. Epub 2015 Jun 13.

    PubMed 26073346
  • Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, Chen S, Cochran D, Derks J, Figuero E, Hammerle CHF, Heitz-Mayfield LJA, Huynh-Ba G, Iacono V, Koo KT, Lambert F, McCauley L, Quirynen M, Renvert S, Salvi GE, Schwarz F, Tarnow D, Tomasi C, Wang HL, Zitzmann N. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018 Jun;45 Suppl 20:S286-S291. doi: 10.1111/jcpe.12957.

    PubMed 29926491
  • Segalla DB, Villarinho EA, Correia ARM, Vigo A, Shinkai RSA. A within-subject comparison of short implants in the posterior region: retrospective study of up to 10 years. J Adv Prosthodont. 2021 Jun;13(3):172-179. doi: 10.4047/jap.2021.13.3.172. Epub 2021 Jun 25.

    PubMed 34234927
  • Villarinho EA, Triches DF, Alonso FR, Mezzomo LAM, Teixeira ER, Shinkai RSA. Risk factors for single crowns supported by short (6-mm) implants in the posterior region: A prospective clinical and radiographic study. Clin Implant Dent Relat Res. 2017 Aug;19(4):671-680. doi: 10.1111/cid.12494. Epub 2017 May 10.

    PubMed 28493384

Questions about this trial

What is this clinical trial studying?

A study testing Glazing and Polishing in people with Peri-Implantitis, run by Pontificia Universidade Católica do Rio Grande do Sul at 1 site in Brazil.

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 3 inclusion and 6 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 11 Dec 2023. 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 Brazil. 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 from baseline Hygiene Index at six months (time frame: from one week of installation of the PSI (T0 - baseline) to six months (T1) of follow-up). The study lists 6 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 NCT05081076, which also lists 4 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 11 Dec 2023.

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