The mini-implants with angulated and non-angulated abutment

ISRCTN ISRCTN17902623
DOI https://doi.org/10.1186/ISRCTN17902623
Secondary identifying numbers N/A
Submission date
09/10/2015
Registration date
16/10/2015
Last edited
28/06/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Overdentures, also known as dental implants, are metal posts which are screwed directly into the jaw bone in order to support replacement teeth. Abutments are connectors that are placed on the top of a dental implant to connect the implant to the replacement tooth. Mini-implants have been successfully used to support complete dentures in edentulous patients (patients with no natural teeth) that have wasting (or resorption) of the bone holding the teeth (alveolar bone). The aim of this study is to see whether mini-implants with an angulated abutment (that is, an abutment placed at a different angle to the denture) is better than
a non-angulated abutment (that is, an abutment placed at the same angle than the denture).

Who can participate?
Patients who, having responded to an advertising campaign, have no natural teeth and have ill-fitting dentures due to resorption of the alveolar bone.

What does the study involve?
Participants are randomly allocated to one of two groups. Those in group 1
receive a non-angulated abutment. Those in group 2 receive angulated abutment. Alveloar bone height is measured 6 mnoths after treatment and again at 12, 18 and 24 months.

What are the possible benefits and risks of participating?
The use of mini-implants with non-angulated abutment may provide benefits for patients such as a stable, immediately functional aesthetic for overdentures for patients with wasting of the alveolar bone. There are no reported risks to taking part.

Where is the study run from?
Al-Azhar University, Faculty of Dentistry (Egypt)

When is the study starting and how long is it expected to run for?
October 2012 to December 2014

Who is funding the study?
Albaha University (Saudi Arabia)

Who is the main contact?
1. Professor Khalid Arafa (scientific)
2. Dr Hashim Ahmed (public)

Contact information

Prof Khalid Arafa
Scientific

Albaha University
Al-Baha
00966
Saudi Arabia

Dr Hashim Ahmed
Public

Egypt
Cairo
0020
Egypt

Study information

Study designRandomized two-arm parallel design
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleEffects of angulated and non angulated mini-implants abutment supporting mandibular overdenture on peri-implant bone height
Study objectivesThe mini-implants with angulated abutment is better than non-angulated abutment
Ethics approval(s)Dental Health Department at the Faculty of Applied Medical Sciences, Albaha University.
Health condition(s) or problem(s) studiedMini-implants used to support complete dentures in edentulous patients with little bone width or length.
InterventionOne of the initial steps in non-angulated mini-implant insertion include the use of a surgical stent to the determined position of the abutment with four holes. Participants in this study were randomly allocated to one or two groups.

1. Group 1: received lower overdentures with non-angulated abutment. A non-angulated abutment means there is overstructure without any changes in angle of the abutment.
2. Group 2: received lower overdentures with angulated abutment, which means the angulated abutments were essential to redirect the screw holes in a communal pathway of attachment to help in the fabrication and fitting of the prosthesis. Furthermore, the abutments were utilized to redirect these holes in the lingual path. Lastly, in specific cases, it may not be possible to redirect and fabricate the screw with an angle of pre-fabricate 45° angulated abutments (selecting direction is easy with the octa 45° rotation angles).

Bones were evaluated for height after 6, 12, 18, and 24 months with panoramic x-ray. The mini-implants used were manufactured by Dentium, Slim Line, No: SDM1304.
Intervention typeProcedure/Surgery
Primary outcome measureAlveolar bone height, measured after 6 months with panoramic x-ray.
Secondary outcome measuresAlveolar bone height, measured after 12, 18, and 24 months with panoramic x-ray.
Overall study start date01/10/2012
Completion date12/12/2014

Eligibility

Participant type(s)Patient
Age groupOther
SexMale
Target number of participants30 patients responded to an advertisement campaign, but only 20 patients met the selection criteria
Key inclusion criteriaPatients with a lower flat ridge due to completely edentulous maxillary and mandibular ridges with resorbed ill-fitted lower dentures
Key exclusion criteriaPatients without a lower flat ridge due to completely edentulous maxillary and and mandibular ridges
Date of first enrolment01/10/2012
Date of final enrolment01/06/2014

Locations

Countries of recruitment

  • Egypt
  • Saudi Arabia

Study participating centre

Al-Azhar University
Assiut Branch
Faculty of Dentistry
Cairo
00966
Egypt

Sponsor information

Albaha University
University/education

Al-Baha
Al Baha province
00966
Saudi Arabia

ROR logo "ROR" https://ror.org/0403jak37

Funders

Funder type

University/education

Albaha University (Saudi Arabia)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination plan
IPD sharing plan

Editorial Notes

28/06/2016: Scientific title changed from "The effects of mini-implants with angulated and non-angulated abutment on bone height"