Tooth LossNCT06056388
Effect of Fixture Thread Depth on Accuracy of Immediate Implant Placement Using Dynamic Navigation
A study testing Straumann BLX implant and Straumann BLT implant in people with Tooth Loss and Partial-edentulism, run by Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University.
Trial summary
The goal of this clinical trial is to compare the placement accuracy in immediately placed implants using dynamic navigation between deep-threaded and regular-threaded implants in partially edentulous patients. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Tooth Loss, Partial-edentulism
- What is being tested?
- Straumann BLX implant and Straumann BLT implant
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 30 participants
- Where
- No sites listed yet
- Study dates
- 31 Dec 2023to 31 Dec 2025
- 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
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Hopeless teeth that require extraction
- No systemic diseases
- Smoking (<10 cigarettes/day)
- Full-mouth bleeding and full-mouth plaque index lower than or equal to 25%
- Fresh extraction sockets with at least 3 fully intact socket walls
- At least 4 mm of bone beyond the root apex
Show all 10Show fewer
- Meets one of the following:
- Single immediate placement site in the maxillary esthetic zone [15-25 (FDI classification)].
- Two or more nonconsecutive immediate placement sites in the maxillary esthetic zone [15-25 (FDI classification)].
- Two or more consecutive immediate placement sites in the maxillary esthetic zone [15-25 (FDI classification)].
Who cannot join
- General medical (American Society of Anesthesiologists, ASA, class III or IV) and/or psychiatric contraindications
- Pregnancy or nursing
- Any interfering medication such as steroid therapy or bisphosphonate therapy
- Alcohol or drug abuse
- Heavy smoking (>10 cigarettes/day)
- Radiation therapy to head or neck region within 5 years
- Untreated periodontitis
- Refuse to participate in this trial
Trial locations and contacts
No sites are listed yet.
About this study
Official title: Is the Accuracy of Immediate Implant Placement Using Dynamic Navigation Affected by Fixture Thread Depth?: A Randomized Controlled Trial
The goal of this clinical trial is to compare the placement accuracy in immediately placed implants using dynamic navigation between deep-threaded and regular-threaded implants in partially edentulous patients. The main question it aims to answer is: is there a difference in implant placement accuracy between deep-threaded and regular-threaded implants using dynamic navigation? Participants will receive implants placed immediately under dynamic guidance. Researchers will compare type of implant thread (Straumann BLT versus Straumann BLX) to see if there are significant differences in placement accuracy.
Read the detailed description
The initial visit will comprise a thorough clinical examination and panoramic radiograph acquisition. Hopeless teeth resulting from trauma, periapical abscess, and periodontitis will be evaluated to see if extraction indications are met. When extraction indications were met, patients will be evaluated for suitable bone height for immediate implant placement. When bone height was suitable, patients will be asked to take a preoperative CBCT scan.
After tooth condition and bone volume evaluations, patients with adequate bone volume for immediate implant placement will be enrolled and randomly assigned to one of two groups: deep-threaded or regular-threaded.
The following implant placement accuracy parameters will be recorded using postoperative intraoral scanning superimposition: Global platform deviation (measured in millimeters), lateral platform deviation (measured in millimeters), global apex deviation (measured in millimeters), apex depth deviations (measured in millimeters), and angular deviation (measured in degrees). Primary implant stability will be measured immediately after implant insertion and measured in both insertion torque value and implant stability quotient. Radiographic bone-implant contact will be measured with a 3D implant model reconstruction method using coDiagnostiX and the contact area will be calculated using 3-matic Research as previously reported. Marginal bone loss will be measured using ImageJ with periapical radiographs taken 3 months and 1-year post-op. Implant survival will be monitored starting from the final prosthesis delivery onwards. Complications (biological, technical, and implant loss) will be recorded accordingly. Patient satisfaction will be documented with a Mandarin Chinese version of the Short Form Patient Satisfaction Questionnaire (PSQ-18) upon final prosthesis delivery.
- Conditions
- Tooth Loss, Partial-edentulism
- Being tested
- Straumann BLX implant, Straumann BLT implant
- Keywords
- Computer-Assisted Surgery, Dental Implants
- Medical subject headings
- Tooth Loss
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Straumann BLX implantDevice
Implant system with a deep fixture thread depth.
Straumann BLT implantDevice
Implant system with a regular fixture thread depth.
| Study group | Role | What they receive |
|---|---|---|
| Deep-threaded implants | Active comparator | Straumann BLX implants Receives: Device: Straumann BLX implant |
| Regular-threaded implants | Placebo comparator | Straumann BLT implants Receives: Device: Straumann BLT implant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Placement accuracy measured as global platform deviation in millimeters and assessed by DCarer or coDiagnostiX
Sufficiently described in the Title
Measured: Postoperative (Day 1-5)
Placement accuracy measured as lateral platform deviation in millimeters and assessed by DCarer or coDiagnostiX
Sufficiently described in the Title
Measured: Postoperative (Day 1-5)
Placement accuracy measured as global apex deviation in millimeters and assessed by DCarer or coDiagnostiX
Sufficiently described in the Title
Measured: Postoperative (Day 1-5)
Placement accuracy measured as apex depth deviations in millimeters and assessed by DCarer or coDiagnostiX
Sufficiently described in the Title
Measured: Postoperative (Day 1-5)
Placement accuracy measured as angular deviation in degrees and assessed by DCarer or coDiagnostiX
Sufficiently described in the Title
Measured: Postoperative (Day 1-5)
Secondary outcomes (7)
Level of primary implant stability measured in insertion torque (ITV) using a Torq Control
Sufficiently described in the Title
Measured: Intraoperative (Day 0)
Level of primary implant stability measured in implant stability quotient (ISQ) using an Osstell Beacon
Sufficiently described in the Title
Measured: Intraoperative (Day 0)
Amount of radiographic bone-implant contact measured in millimeters using 3-matic Research
Sufficiently described in the Title
Measured: Postoperative (Day 1-5)
Amount of marginal bone loss measured in millimeters using periapical radiographs
Sufficiently described in the Title
Measured: Postoperative (1 year)
Rate of implant survival measured in percentage
Sufficiently described in the Title
Measured: Postoperative (4 months & 1 year)
Number of participants with biological or technical complications
Sufficiently described in the Title
Measured: Postoperative (Up to 1 year)
Level of patient satisfaction measured using the Short Form Patient Satisfaction Questionnaire
Minimum value: 18; Maximum value: 90; Higher scores mean a better outcome
Measured: Postoperative (4 months & 1 year)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2023
- Study start31 Dec 2023 (estimated)
- Primary completion31 Dec 2024 (estimated)
- Study completion31 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Tooth LossStudies of the same condition, open and under way.
- More trials run by Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Yiqun Wu, Principal investigator, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06056388
- Sponsor's protocol ID
- SDC-23-1
- Status last verified
- Aug 2023
- First submitted
- 3 Sep 2023
- Last updated
- 28 Sep 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Skjerven H, Olsen-Bergem H, Ronold HJ, Riis UH, Ellingsen JE. Comparison of postoperative intraoral scan versus cone beam computerised tomography to measure accuracy of guided implant placement-A prospective clinical study. Clin Oral Implants Res. 2019 Jun;30(6):531-541. doi: 10.1111/clr.13438. Epub 2019 May 12.
PubMed 31002415Gu Y, Zhang D, Tao B, Wang F, Chen X, Wu Y. A novel technique to quantify bone-to-implant contact of zygomatic implants: a radiographic analysis based on three-dimensional image registration and segmentation. Dentomaxillofac Radiol. 2023 Jan;52(2):20220210. doi: 10.1259/dmfr.20220210. Epub 2023 Jan 16.
PubMed 36645052
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Is the Accuracy of Immediate Implant Placement Using Dynamic Navigation Affected by Fixture Thread Depth?: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT06056388
- Acronym / sponsor ID
- SDC-23-1
- Conditions
- Tooth Loss, Partial-edentulism
- Keywords
- Computer-Assisted Surgery, Dental Implants
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong UniversityUniversity, hospital or other
- Study start
- 31 Dec 2023 (estimated)
- Primary completion
- 31 Dec 2024 (estimated)
- Study completion
- 31 Dec 2025 (estimated)
- First posted
- 28 Sep 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to compare the placement accuracy in immediately placed implants using dynamic navigation between deep-threaded and regular-threaded implants in partially edentulous patients. The main question it aims to answer is: is there a difference in implant placement accuracy between deep-threaded and regular-threaded implants using dynamic navigation? Participants will receive implants placed immediately under dynamic guidance. Researchers will compare type of implant thread (Straumann BLT versus Straumann BLX) to see if there are significant differences in placement accuracy.
Detailed description
The initial visit will comprise a thorough clinical examination and panoramic radiograph acquisition. Hopeless teeth resulting from trauma, periapical abscess, and periodontitis will be evaluated to see if extraction indications are met. When extraction indications were met, patients will be evaluated for suitable bone height for immediate implant placement. When bone height was suitable, patients will be asked to take a preoperative CBCT scan.
After tooth condition and bone volume evaluations, patients with adequate bone volume for immediate implant placement will be enrolled and randomly assigned to one of two groups: deep-threaded or regular-threaded.
The following implant placement accuracy parameters will be recorded using postoperative intraoral scanning superimposition: Global platform deviation (measured in millimeters), lateral platform deviation (measured in millimeters), global apex deviation (measured in millimeters), apex depth deviations (measured in millimeters), and angular deviation (measured in degrees). Primary implant stability will be measured immediately after implant insertion and measured in both insertion torque value and implant stability quotient. Radiographic bone-implant contact will be measured with a 3D implant model reconstruction method using coDiagnostiX and the contact area will be calculated using 3-matic Research as previously reported. Marginal bone loss will be measured using ImageJ with periapical radiographs taken 3 months and 1-year post-op. Implant survival will be monitored starting from the final prosthesis delivery onwards. Complications (biological, technical, and implant loss) will be recorded accordingly. Patient satisfaction will be documented with a Mandarin Chinese version of the Short Form Patient Satisfaction Questionnaire (PSQ-18) upon final prosthesis delivery.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Deep-threaded implants | Active comparator | Device: Straumann BLX implantStraumann BLX implants |
| Regular-threaded implants | Placebo comparator | Device: Straumann BLT implantStraumann BLT implants |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Hopeless teeth that require extraction
- No systemic diseases
- Smoking (<10 cigarettes/day)
- Full-mouth bleeding and full-mouth plaque index lower than or equal to 25%
- Fresh extraction sockets with at least 3 fully intact socket walls
Key exclusion criteria (8 listed)
- General medical (American Society of Anesthesiologists, ASA, class III or IV) and/or psychiatric contraindications
- Pregnancy or nursing
- Any interfering medication such as steroid therapy or bisphosphonate therapy
- Alcohol or drug abuse
- Heavy smoking (>10 cigarettes/day)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Straumann BLX implantImplant system with a deep fixture thread depth. | Device | Deep-threaded implants |
| Straumann BLT implantImplant system with a regular fixture thread depth. | Device | Regular-threaded implants |
Primary outcome
Placement accuracy measured as global platform deviation in millimeters and assessed by DCarer or coDiagnostiX
Time frame: Postoperative (Day 1-5)
Sufficiently described in the Title
Placement accuracy measured as lateral platform deviation in millimeters and assessed by DCarer or coDiagnostiX
Time frame: Postoperative (Day 1-5)
Sufficiently described in the Title
Placement accuracy measured as global apex deviation in millimeters and assessed by DCarer or coDiagnostiX
Time frame: Postoperative (Day 1-5)
Sufficiently described in the Title
Placement accuracy measured as apex depth deviations in millimeters and assessed by DCarer or coDiagnostiX
Time frame: Postoperative (Day 1-5)
Sufficiently described in the Title
Placement accuracy measured as angular deviation in degrees and assessed by DCarer or coDiagnostiX
Time frame: Postoperative (Day 1-5)
Sufficiently described in the Title
7 secondary outcomes
Level of primary implant stability measured in insertion torque (ITV) using a Torq Control
Time frame: Intraoperative (Day 0)
Level of primary implant stability measured in implant stability quotient (ISQ) using an Osstell Beacon
Time frame: Intraoperative (Day 0)
Amount of radiographic bone-implant contact measured in millimeters using 3-matic Research
Time frame: Postoperative (Day 1-5)
Amount of marginal bone loss measured in millimeters using periapical radiographs
Time frame: Postoperative (1 year)
Rate of implant survival measured in percentage
Time frame: Postoperative (4 months & 1 year)
Number of participants with biological or technical complications
Time frame: Postoperative (Up to 1 year)
Level of patient satisfaction measured using the Short Form Patient Satisfaction Questionnaire
Time frame: Postoperative (4 months & 1 year)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2023.
- Results publication: PubMed 31002415Skjerven H, Olsen-Bergem H, Ronold HJ, Riis UH, Ellingsen JE. Comparison of postoperative intraoral scan versus cone beam computerised tomography to measure accuracy of guided implant placement-A prospective clinical study. Clin Oral Implants Res. 2019 Jun;30(6):531-541. doi: 10.1111/clr.13438. Epub 2019 May 12.
- Results publication: PubMed 36645052Gu Y, Zhang D, Tao B, Wang F, Chen X, Wu Y. A novel technique to quantify bone-to-implant contact of zygomatic implants: a radiographic analysis based on three-dimensional image registration and segmentation. Dentomaxillofac Radiol. 2023 Jan;52(2):20220210. doi: 10.1259/dmfr.20220210. Epub 2023 Jan 16.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Yiqun Wu principal investigator
Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University
Questions about this trial
What is this clinical trial studying?
A study testing Straumann BLX implant and Straumann BLT implant in people with Tooth Loss and Partial-edentulism, run by Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University.
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 10 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: status not confirmed, as of the sponsor's last update on 28 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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?
Contact Xinbo Yu (18019409340, xinboyu@proton.me), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Placement accuracy measured as global platform deviation in millimeters and assessed by DCarer or coDiagnostiX (time frame: Postoperative (Day 1-5)). The study lists 5 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 NCT06056388, which also lists 2 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 28 Sep 2023.