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Chewing Efficiency in Completely Edentulous Patients Rehabilitated With Implant-Supported Full-Arch ProsthesesNCT07890389

Dynamic vs. Static Jaw Relations in Implant-Supported Prostheses: Chewing Efficiency

A study testing Conventional Static Jaw Relation Registration and Dynamic Digital Jaw Tracking Registration in people with Chewing Efficiency in Completely Edentulous Patients Rehabilitated With Implant-Supported Full-Arch Prostheses, run by Mansoura University at 1 site in Egypt.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study aims to compare the chewing efficiency of implant-supported full-arch prostheses fabricated using two different jaw relation registration techniques: conventional static jaw relation registration and dynamic jaw tracking. Read more about this study

Who is it for?
Ages 40 to 70 yearsHealthy volunteers can take part
What is being tested?
Conventional Static Jaw Relation Registration and Dynamic Digital Jaw Tracking Registration
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteEgypt
Study dates
19 Aug 2026to 19 Feb 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 40 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Completely edentulous patients with fully healed residual alveolar ridges.
  • Angle's Class I maxillomandibular relationship.
  • Sufficient maxillary and mandibular restorative space, with a minimum of 15 mm, assessed using a tentative jaw relation record.
  • Adequate bone height in the premaxillary region and anterior mandible, confirmed radiographically.
  • Ability to understand the study procedures and provide written informed consent.

Who cannot join

  • Systemic disorders affecting bone metabolism or healing, including uncontrolled diabetes mellitus and osteoporosis.
  • Local or systemic contraindications to implant surgery.
  • History of chemotherapy or radiotherapy to the head and neck region.
  • Poor neuromuscular coordination.
  • Temporomandibular joint dysfunction
  • .
  • Parafunctional habits.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Muthanna B Ali, B.D.S contact

+201551572571

drmuthana16@gmail.com

Egypt1 site, 1 recruiting
  • Faculty of Dentistry, Mansoura University

    Al Mansurah, Dakahlia Governorate

    Recruiting

Other trials in Egypt

About this study

Official title: Dynamic Versus Static Jaw Relation for Implant Supported Prosthesis: Crossover Study of Chewing Efficiency

This study aims to compare the chewing efficiency of implant-supported full-arch prostheses fabricated using two different jaw relation registration techniques: conventional static jaw relation registration and dynamic jaw tracking.

Ten completely edentulous patients will be recruited from the Department of Removable Prosthodontics, Faculty of Dentistry, Mansoura University. Each participant will receive implant-supported full-arch prosthetic rehabilitation according to the All-on-6 concept. Two definitive zirconia prostheses will be fabricated for each participant, one using conventional static jaw relation records and the other using dynamic jaw tracking records, in a crossover study design.

Read more

Chewing efficiency will be evaluated using a two-color chewing gum mixing test at the time of definitive prosthesis insertion, three months after insertion, and six months after insertion. The degree of color mixing will be analyzed using dedicated image-analysis software.

The study will investigate whether dynamic jaw relation registration provides different chewing efficiency outcomes compared with the conventional static technique in patients rehabilitated with implant-supported full-arch prostheses.

Read the detailed description

Background

Conventional complete dentures are widely used to rehabilitate completely edentulous patients; however, they may not fully restore masticatory function because of limitations in retention, stability, and supporting tissue conditions. Implant-supported full-arch prostheses provide an alternative rehabilitation option that can improve prosthesis stability, oral function, and patient satisfaction.

Accurate registration of the maxillomandibular relationship is an important component of prosthodontic treatment. Conventional jaw relation registration relies on clinical records, occlusion rims, and articulator-based procedures. Digital jaw tracking systems allow recording of mandibular movements and may facilitate the development of prostheses that better reflect individual mandibular dynamics. However, the effect of dynamic jaw relation registration on chewing efficiency in patients receiving implant-supported full-arch prostheses requires further clinical investigation.

Objective

The primary objective is to compare chewing efficiency between implant-supported full-arch zirconia prostheses fabricated using conventional static jaw relation registration and those fabricated using dynamic digital jaw tracking.

Study Design

This study will use a crossover clinical design involving ten completely edentulous patients recruited from the Department of Removable Prosthodontics, Faculty of Dentistry, Mansoura University.

Participants

Eligible participants will have completely healed residual alveolar ridges, a Class I maxillomandibular relationship, sufficient restorative space, and adequate bone dimensions in the planned implant placement areas. Patients with systemic disorders affecting bone healing, contraindications to surgery, a history of head and neck radiotherapy or chemotherapy, poor neuromuscular coordination, temporomandibular joint dysfunction, or parafunctional habits will be excluded.

Interventions and Procedures

Participants will receive conventional complete dentures initially. A radiographic guide and a computer-designed surgical guide will be fabricated using a dual-scan protocol to facilitate implant planning and placement according to the All-on-6 concept in the maxilla and mandible, subject to clinical and radiographic assessment.

After implant placement and completion of the required healing and prosthetic procedures, digital implant impressions will be obtained using intraoral scanning.

Two jaw relation registration approaches will be used:

  1. Conventional static jaw relation registration: Maxillary and mandibular record bases and occlusion rims will be used to record the vertical dimension of occlusion and centric relation. A facebow transfer and semi-adjustable articulator will be used for mounting and articulator adjustment.
  2. Dynamic digital jaw relation registration: A central bearing device attached to the record bases and a digital jaw tracking system will be used to record mandibular movements and jaw relations.

Two definitive zirconia prostheses will be fabricated for each participant using the respective jaw relation registration technique. The order of assessment and prosthesis use will follow the finalized crossover protocol.

Outcome Assessment

The primary outcome will be chewing efficiency, assessed using a two-color chewing gum mixing test. Participants will chew the test material for specified numbers of chewing strokes. The flattened specimens will be analyzed using ViewGum software to quantify color mixing.

Measurements will be performed at the time of definitive prosthesis insertion (T0), three months after insertion (T3), and six months after insertion (T6), according to the finalized study protocol.

Statistical Analysis

Data will be analyzed using SPSS software, version 26. Quantitative data distribution will be assessed using the Shapiro-Wilk test. Normally distributed data will be summarized as mean and standard deviation, while non-normally distributed data will be summarized using the median and an appropriate measure of dispersion. Statistical tests appropriate for the crossover design, repeated measurements, and distribution of the data will be used. Statistical significance will be set at p ≤ 0.05.

Being tested
Conventional Static Jaw Relation Registration, Dynamic Digital Jaw Tracking Registration
Keywords
Chewing efficiency, Dynamic jaw relation, Static jaw relation, Jaw tracking, Crossover study

What participants receive

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

  • Conventional Static Jaw Relation RegistrationProcedure or surgery

    Conventional static maxillomandibular relationship registration for the fabrication of an implant-supported full-arch zirconia prosthesis. Maxillary and mandibular record bases and occlusion rims will be used to record the vertical dimension of occlusion and centric relation. A facebow transfer and semi-adjustable articulator will be used for maxillary cast mounting and articulator adjustment. Chewing efficiency will be evaluated using a two-color chewing gum mixing test at the prespecified assessment time points.

  • Dynamic Digital Jaw Tracking RegistrationDevice

    Dynamic digital maxillomandibular relationship registration for the fabrication of an implant-supported full-arch zirconia prosthesis. Digital impressions of the maxillary and mandibular arches will be obtained using an intraoral scanner. A digital jaw tracking device and a central bearing device attached to the record bases will be used to record mandibular movements and dynamic jaw relations. Chewing efficiency will be evaluated using a two-color chewing gum mixing test at the prespecified assessment time points.

Study groups in NCT07890389
Study groupRoleWhat they receive
Conventional Static Jaw Relation RegistrationExperimentalParticipants will undergo conventional static jaw relation registration for the fabrication of an implant-supported full-arch zirconia prosthesis. Maxillary and mandibular record bases and occlusion rims will be used to record the vertical dimension of occlusion and centric relation. A facebow transfer and semi-adjustable articulator will be used for mounting and articulator adjustment. Chewing efficiency will be evaluated using a two-color chewing gum mixing test at the prespecified assessment time points.
Receives: Procedure: Conventional Static Jaw Relation Registration
Dynamic Digital Jaw Tracking RegistrationExperimentalParticipants will undergo dynamic jaw relation registration using a digital jaw tracking system for the fabrication of an implant-supported full-arch zirconia prosthesis. Digital impressions will be obtained using an intraoral scanner, and mandibular movements will be recorded using a jaw tracking device with a central bearing device attached to the intraoral record bases. Chewing efficiency will be evaluated using a two-color chewing gum mixing test at the prespecified assessment time points.
Receives: Device: Dynamic Digital Jaw Tracking Registration

What is being measured

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

  1. Chewing Efficiency Assessed by Two-Color Chewing Gum Mixing Test

    Chewing efficiency will be assessed using a two-color chewing gum mixing test. Participants will chew two differently colored chewing gums, and the resulting specimens will be flattened to a standardized thickness and analyzed using ViewGum software to quantify color mixing. Chewing efficiency will be compared between implant-supported full-arch prostheses fabricated using conventional static jaw relation registration and dynamic digital jaw tracking. The analysis will follow the prespecified scoring method, with the measurement scale and interpretation defined in the study protocol.

    Measured: At definitive prosthesis insertion (T0), 3 months after insertion (T3), and 6 months after insertion (T6).

Timeline

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

  1. First posted22 Oct 2026
  2. Study start19 Aug 2026
  3. Primary completion19 Feb 2027 (estimated)
  4. Study completion19 Feb 2027 (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
Non-randomised
Intervention model
Crossover
Model description
A crossover clinical study comparing conventional static jaw relation registration with dynamic digital jaw tracking for implant-supported full-arch prostheses. Each participant will undergo both registration techniques, and chewing efficiency will be evaluated at the prespecified assessment time points.
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07890389
Sponsor's protocol ID
MS.25.11.86
Status last verified
Oct 2026
First submitted
16 Oct 2026
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared with other researchers. The study data will be used for the purposes of the present research, and the findings will be reported in aggregate form to protect participants' privacy and confidentiality. No individual participant data sharing is planned.

Publications

  • Srinivasan M, Kamnoedboon P, Angst L, Muller F. Oral function in completely edentulous patients rehabilitated with implant-supported dental prostheses: A systematic review and meta-analysis. Clin Oral Implants Res. 2023 Sep;34 Suppl 26:196-239. doi: 10.1111/clr.14068.

    PubMed 37750517
  • Park MH, Son K, Jin MU, Kim SY, Lee KB. Comparison of interference from eccentric movements of dental crowns fabricated via dynamic jaw motion tracking and conventional methods: a double-blind clinical study. J Adv Prosthodont. 2025 Feb;17(1):36-46. doi: 10.4047/jap.2025.17.1.36. Epub 2025 Feb 24.

    PubMed 40061024
  • Abdelghany AA, Fouad MM, Emera RMK, Askar O, Yaseen AAM. Impact of mandibular 4-implant overdenture base construction techniques on assessment of occlusion with digital occlusion analysis system (clinical crossover study). BMC Oral Health. 2025 May 30;25(1):853. doi: 10.1186/s12903-025-06228-3.

    PubMed 40448094
  • Srinivasan M, Berisha F, Bronzino I, Kamnoedboon P, Leles CR. Reliability of a face scanner in measuring the vertical dimension of occlusion. J Dent. 2024 Jul;146:105016. doi: 10.1016/j.jdent.2024.105016. Epub 2024 Apr 26.

    PubMed 38679136
  • Grande F, Lepidi L, Tesini F, Acquadro A, Valenti C, Pagano S, Catapano S. Investigation of the precision of a novel jaw tracking system in recording mandibular movements: A preliminary clinical study. J Dent. 2024 Jul;146:105047. doi: 10.1016/j.jdent.2024.105047. Epub 2024 May 6.

    PubMed 38719134

Questions about this trial

What is this clinical trial studying?

A study testing Conventional Static Jaw Relation Registration and Dynamic Digital Jaw Tracking Registration in people with Chewing Efficiency in Completely Edentulous Patients Rehabilitated With Implant-Supported Full-Arch Prostheses, run by Mansoura University at 1 site in Egypt.

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 7 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: looking for participants now, as of the sponsor's last update on 22 Oct 2026. 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 Egypt. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Muthanna B Ali, B.D.S (+201551572571, drmuthana16@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Chewing Efficiency Assessed by Two-Color Chewing Gum Mixing Test (time frame: At definitive prosthesis insertion (T0), 3 months after insertion (T3), and 6 months after insertion (T6).). 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 NCT07890389, which also lists 5 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 22 Oct 2026.

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