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Trial registered on ANZCTR
Registration number
ACTRN12618001016224
Ethics application status
Approved
Date submitted
22/05/2018
Date registered
18/06/2018
Date last updated
12/07/2023
Date data sharing statement initially provided
12/07/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
Narrow diameter dental implant for replacing single missing back tooth
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Scientific title
Titanium-zirconium narrow (3.3 mm) versus standard (4.1 mm) diameter dental implants for replacing single posterior missing teeth: a randomized controlled trial
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Secondary ID [1]
294960
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None
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Universal Trial Number (UTN)
U1111-1211-4551
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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:
Missing posterior tooth
308208
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Condition category
Condition code
Oral and Gastrointestinal
306993
306993
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0
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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
Placement of 17 narrow-3.3 mm diameter TiZr single implants to replace single missing posterior tooth by periodontist. It is expected that contour augmentation is not required.
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Intervention code [1]
301287
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Treatment: Devices
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Comparator / control treatment
Placement of standard-4.1 mm diameter TiZr single implants placed with simultaneous contour augmentation to replace single missing posterior tooth by periodontist.
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Control group
Active
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Outcomes
Primary outcome [1]
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Implant success rate (assessed according to success criteria). The implant success criteria included of absence of clinical mobility. abscence of pain, neuropathy or periimplant radiolucency and a maximal bone loss of 1.5 mm during the first year of function and < 0.2 mm annually.
This information will collected by clinical and radiographic examination.
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Assessment method [1]
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Timepoint [1]
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At one, two, three years post implant placement.
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Primary outcome [2]
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Patient satisfaction (evaluated using visual analogue scale and oral health related quality of life tool).
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Assessment method [2]
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Timepoint [2]
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Primary time point: at time of implant placement.
Follow-up appointments:
one year after implant placement.
two years after implant placement.
three years after implant placement.
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Primary outcome [3]
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Need for additional bone augmentation (assessed as whether bone augmentation has been used or not by direct observation by the operator)
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Assessment method [3]
305982
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Timepoint [3]
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At the time of implant placement.
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Secondary outcome [1]
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Operating time (assessed from the time of preparing the site from implant placement until the site is sutured). The time will be assessed in minutes by direct observation of the assisting staff.
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Assessment method [1]
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Timepoint [1]
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At the time of implant placement.
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Secondary outcome [2]
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Changes in peri-implant marginal bone level (using peri-apical radiographs).
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Assessment method [2]
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Timepoint [2]
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Primary time point: At the time of implant crown placement.
Follow-up appointments:
One year after the placement of implant crown.
Two years after the placement of implant crown.
Three years after placement of implant crown.
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Secondary outcome [3]
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Implant stability measurements (using resonance frequency analysis).
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Assessment method [3]
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Timepoint [3]
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At the time of implant placement
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Secondary outcome [4]
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Soft tissue levels changes (using photos).
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Assessment method [4]
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Timepoint [4]
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Primary time point: At the time of implant crown placement.
Follow-up appointments:
One year after the placement of implant crown.
Two years after the placement of implant crown.
Three years after placement of implant crown.
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Secondary outcome [5]
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Aesthetic outcomes (as assessed by using pink aesthetic score (PES) and white aesthetic score (WES)
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Assessment method [5]
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Timepoint [5]
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At the time of implant crown replacement
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Secondary outcome [6]
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Biological complications (by radiographs and measuring bleeding on probing and deep probing depths).
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Assessment method [6]
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Timepoint [6]
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At the time of implant crown placement
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Secondary outcome [7]
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Mechanical complications (reporting events such as crown chipping or screw loosening).
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Assessment method [7]
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Timepoint [7]
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At the time of implant crown placement
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Secondary outcome [8]
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Functional Implant Prosthodontic Score (using clinical and radiographic parameters to assess single unit implant crowns).
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Assessment method [8]
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Timepoint [8]
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At the time of implant crown placement
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Eligibility
Key inclusion criteria
• Require replacement of posterior single missing tooth.
• Limited bone availability in the horizontal dimension.
• Aged 18 or over.
• Controlled oral hygiene (full-mouth plaque and bleeding scores less than 25% at baseline).
• Good compliance and commitment to attend follow-up review appointments.
• Willing to provide informed consent.
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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
• Localised / generalised chronic or aggressive periodontitis.
• Severe bruxism or parafunctional habits.
• Large occlusal discrepancies.
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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
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/08/2018
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Actual
3/02/2020
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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
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Sample size
Target
60
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Accrual to date
40
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
10494
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Otago
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Country [2]
25642
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United Arab Emirates
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State/province [2]
25642
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Dubai
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Funding & Sponsors
Funding source category [1]
299547
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Other
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Name [1]
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ITI International Team for Implantology
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Address [1]
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ITI Headquarters
Peter Merian-Strasse 88
CH-4052 Basel
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Country [1]
299547
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Switzerland
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Primary sponsor type
University
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Name
Faculty of Dentistry / University of Otago
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Address
310 Great King Street
Dunedin 9016
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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Research and Enterprise, University of Otago
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Address [1]
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University of Otago
290 Great King Street
Dunedin 9016
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Country [1]
298862
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
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Health and Disability Ethics Committee Ministry of Health 133 Molesworth Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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03/04/2018
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Approval date [1]
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21/05/2018
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Ethics approval number [1]
300445
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18/NTA/53
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Summary
Brief summary
Research question The aim of this clinical trial is to assess the effectiveness of narrow diameter dental implant for replacing single missing back tooth. The narrow diameter dental implant will be compared to standard diameter dental implant in different aspects particularly the need for additional bone graft when placing dental implants. Background Dental implants can be used to replace missing teeth. However, the bone of the jaw shrinks in width and depth after tooth removal. Such bone loss may not allow the placement of dental implant with standard diameter and therefore bone substitute materials covered with artificial membrane are used along with dental implant placement. It is hoped that the use of dental implant with narrow diameter may allow implant placement in jaw bone that lost its width and hence provide a treatment modality that could be more comfortable and cost effective for the patient by avoiding the use of bone substitute materials and artificial membranes required for placement of dental implants with standard diameter. Methods It is anticipated to include 34 participants aged 18 years or older with a single missing back tooth. Several parameters will be recorded throughout the study to explore the advantages and limitations of using either implant size.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Momen Atieh
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Address
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Dr Momen Atieh
University of Otago
Faculty of Dentistry
310 Great King Street
Dunedin 9016
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Country
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New Zealand
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Phone
83690
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+61 3 479 7062
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Fax
83690
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Email
83690
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[email protected]
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Contact person for public queries
Name
83691
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Momen Atieh
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Address
83691
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Dr Momen Atieh
University of Otago
Faculty of Dentistry
310 Great King Street
Dunedin 9016
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Country
83691
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New Zealand
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Phone
83691
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+61 3 479 7062
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Fax
83691
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Email
83691
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[email protected]
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Contact person for scientific queries
Name
83692
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Momen Atieh
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Address
83692
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Dr Momen Atieh
University of Otago
Faculty of Dentistry
310 Great King Street
Dunedin 9016
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Country
83692
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New Zealand
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Phone
83692
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+61 3 479 7062
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Fax
83692
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Email
83692
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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