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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00906425
Registration number
NCT00906425
Ethics application status
Date submitted
19/05/2009
Date registered
21/05/2009
Titles & IDs
Public title
Clinical Study Comparing Submerged Versus Trans-mucosal Healing of P.004 Implants in the Anterior Mandible and Maxilla
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Scientific title
Randomized, Controlled Clinical Study Comparing Submerged vs. Trans-mucosal Placement of P.004 Implants in the Anterior Maxilla and Mandible by Evaluation of the Change in Bone Level Between 1st Stage Surgery and 6 Months Post Surgery
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Secondary ID [1]
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CR 05/05
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Jaw, Edentulous, Partially
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Straumann Bone Level Implant
Active comparator: Submerged healing - The Straumann Bone Level Implant(s) will be placed using a submerged healing treatment
Active comparator: Trans-mucosal healing - The Straumann Bone Level Implant(s) will be placed using a trans-mucosal healing treatment
Treatment: Devices: Straumann Bone Level Implant
Straumann Bone Level Implant, SLActive surface, diameter 4.1, length 8, 10, 12, and 14 mm
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Mean Change in Bone Level (Distance B) After 6 Months Compared to Baseline (=Surgery)
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Assessment method [1]
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The primary aim is to measure the bone level change between mesial and distal aspects of the implant at 6 months post implantation. The reference point for the bone level measurement is the implant shoulder.
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Timepoint [1]
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Baseline and 6 months
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Secondary outcome [1]
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Implant Survival Rate
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Assessment method [1]
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The percentage of implants that remain in place in the jaw.
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Timepoint [1]
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6 months
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Secondary outcome [2]
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Implant Survival Rate
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Assessment method [2]
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The percentage of implants that remain in place in the jaw.
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Timepoint [2]
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12 months
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Eligibility
Key inclusion criteria
* Males and females >18 years of age.
* Implant placement planned in the anterior maxilla or mandible (FDI tooth numbers 21 - 25, 11 - 15, 31-35, 41-45).
* Tooth site must have a natural tooth both mesially and distally in the adjacent tooth positions
* Opposing dentition of natural teeth, or tooth or implant-supported fixed restorations.
* Adequate bone quality and quantity at the implant site to permit the insertion of a Straumann P.004 SLActive implant of 8, 10, 12, or 14 mm length.
* Presence of a sufficient band of keratinized mucosa (min. 2 mm) to allow surgical manipulation and suturing according to the protocol
* Signed informed consent document before being treated in the study
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Systemic disease that would interfere with dental implant therapy (e.g. uncontrolled diabetes)
* Any contraindications for oral surgical procedures
* Current untreated periodontitis or gingivitis
* Probing pocket depth of more than 4 mm at one of the adjacent teeth
* Mucosal diseases (e.g. erosive lichen planus)
* History of local irradiation therapy
* Bone augmentation procedures if the procedure require healing time of more than 12 weeks after implant placement
* Implants in adjacent position to planned implant
* Severe bruxing or clenching habits
* Heavy smokers: Patients who smoke more than 20 cigarettes per day
* Conditions or circumstances, in the opinion of the investigator, which would prevent completion of study participation.
* Patients with inadequate oral hygiene or unmotivated for adequate home care
Secondary Exclusion Criteria at Implant Surgery:
* Lack of primary stability of the implant
* Inappropriate implant position to insert implants according to the prosthetic requirements.
* Patients with augmentation procedures requiring more than 12 weeks healing time.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2006
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/10/2013
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Sample size
Target
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Accrual to date
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Final
145
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Dr. Stephen T. Chen - Melbourne
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Recruitment postcode(s) [1]
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3123 - Melbourne
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Florida
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Country [2]
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Germany
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State/province [2]
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Schleswig Holstein
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Country [3]
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Germany
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State/province [3]
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München
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Country [4]
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Germany
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State/province [4]
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Stuttgart
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Country [5]
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Germany
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State/province [5]
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Witten/ Herdecke
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Country [6]
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Italy
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State/province [6]
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Rom
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Country [7]
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Spain
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State/province [7]
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Madrid
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Country [8]
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Sweden
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State/province [8]
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Mölndal
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Country [9]
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Switzerland
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State/province [9]
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Zurich
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Institut Straumann AG
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is To demonstrate that there is no difference in change in bone level around P.004 implants between 1st stage surgery and 6 months post surgery when transmucosal implant placement is compared to submerged implant placement
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Trial website
https://clinicaltrials.gov/study/NCT00906425
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Trial related presentations / publications
Hammerle CHF, Jung RE, Sanz M, Chen S, Martin WC, Jackowski J; this multicenter study group; Ivanoff CJ, Cordaro L, Ganeles J, Weingart D, Wiltfang J, Gahlert M. Submerged and transmucosal healing yield the same clinical outcomes with two-piece implants in the anterior maxilla and mandible: interim 1-year results of a randomized, controlled clinical trial. Clin Oral Implants Res. 2012 Feb;23(2):211-219. doi: 10.1111/j.1600-0501.2011.02210.x. Epub 2011 Jul 4. Cordaro L, Torsello F, Chen S, Ganeles J, Bragger U, Hammerle C. Implant-supported single tooth restoration in the aesthetic zone: transmucosal and submerged healing provide similar outcome when simultaneous bone augmentation is needed. Clin Oral Implants Res. 2013 Oct;24(10):1130-6. doi: 10.1111/j.1600-0501.2012.02521.x. Epub 2012 Jun 15.
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Public notes
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Contacts
Principal investigator
Name
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Christoph Hammerle
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Address
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University of Zurich
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Hammerle CHF, Jung RE, Sanz M, Chen S, Martin WC, ...
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Journal
Cordaro L, Torsello F, Chen S, Ganeles J, Bragger ...
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Results are available at
https://clinicaltrials.gov/study/NCT00906425