Digital denture scanning and 3D printing for residents in care homes

ISRCTN ISRCTN18251209
DOI https://doi.org/10.1186/ISRCTN18251209
IRAS number 296809
Secondary identifying numbers IRAS 296809, CPMS 51913
Submission date
21/10/2021
Registration date
24/03/2022
Last edited
05/02/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
For any individual, losing or breaking a denture (false teeth) can have a detrimental effect on their overall well-being, impacting on nutrition, communication, and dignity and it is not always possible to remake them. Dentures take on average five dental appointments over eight weeks to remake. Often people in care homes may be frail or have a cognitive condition such as dementia and are unable to cooperate with the invasive denture making process. Making dentures via digital scanning and 3D printing is well established in the private dental sector and provides a non-invasive, person-centred solution to replacing dentures for people living in care homes.

The aim of the study is to explore the possibility of digitally scanning dentures for residents living in care homes. To examine if scanning and 3D printing provide a better solution to lost or broken dentures compared with conventional methods of remaking a denture.

Who can participate?
Care home residents who wear dentures.

What does the study involve?
Residents will be provided with the printed replicate dentures which will then be assessed for function and appearance. Brief semi-structured interviews will be conducted with a number of residents to evaluate their experience and acceptability of the replicate dentures.

What are the possible benefits and risks of participating?
Benefits of participating is to contribute to research that aims to reduce the impact of denture loss in vulnerable groups. Residents will have a spare 3D printed denture and oral health assessment.
We do not foresee any risks associated with this study. It is designed around the standard of care that is provided to care home residents.

Where is the study run from?
East Surrey Hospital (UK)

When is the study starting and how long is it expected to run for?
January 2021 to June 2022.

Who is funding the study?
1. Royal College of Surgeons of England
2. British Society of Gerodontology

Who is the main contact?
Mr Daniel Gillway, daniel.gillway@nhs.net

Contact information

Mr Daniel Gillway
Public

East Surrey Hospital
Canada Avenue
Redhill
RH1 5RH
United Kingdom

ORCiD logoORCID ID 0000-0003-4306-7806
Email daniel.gillway@nhs.net

Study information

Study designObservational qualitative feasibility study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Community
Study typeOther
Participant information sheet 40574 PIS v2.0 29Sept2021.pdf
Scientific titleDigital denture scanning and 3D printing for residents in care homes – an innovative solution for managing denture loss/breakage
Study objectivesTo examine the feasibility of digitally scanning dentures for residents living in care homes. To examine if scanning and 3D printing provides a better solution to lost or broken dentures compared with conventional methods of remaking a denture.
Ethics approval(s)Approved 15/10/2021, London – Brighton and Sussex REC (Health Research Authority, Skipton House, 80 London Road, London, SE1 6LH, UK; +44 (0)207 104 8137; brightonandsussex.rec@hra.nhs.uk), ref: 21/LO/0601
Health condition(s) or problem(s) studiedDentures for care home residents
InterventionThe aim is to scan a minimum of 10 dentures at the care home. Residents will be provided with the printed replicate dentures which will then be assessed for function and appearance. Brief semi-structured interviews will be conducted with a number of residents to evaluate their experience and acceptability of the replicate dentures.

This study is a prospective qualitative feasibility study to be carried out in the care home setting with residents. Once the care home resident has had the opportunity to wear the replicated denture, semi-structured interviews will be carried out with the resident.

Interviews will take place in a quiet, private room provided by the care home with the research team (chief investigator and supervisor), and the resident. The research team is trained in supporting residents who require help with communication and each individual will be assessed separately for this. Interviews will be short and semi-structured, they would not be expected to last longer than 30 minutes and will be guided by the research team. They will be audio recorded using basic .mp3 laptop software and transcribed verbatim using Microsoft office. Field notes will be made by the research team. Any personal identifiable data such as names that might be collected during the interview will not be included in the transcripts, no participant in the study will be able to be identified from the transcripts.

Data analysis will be conducted by the Chief Investigator and supervisor.
Intervention typeOther
Primary outcome measureThematic analysis of semi-structured interviews from the care home residents into their opinions on denture loss and the feasibility of 3D scanning and printing dentures in care homes. Interviews will take place at a single time point.
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/01/2021
Completion date01/06/2022

Eligibility

Participant type(s)Mixed
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants10
Total final enrolment8
Key inclusion criteria1. Adult (over 18 years) care home resident
2. Denture wearer, either full denture or one with significant function (i.e. it replaces more than 5 teeth) or where there is an aesthetic benefit (it replaces front teeth)
3. If the resident does not speak English as a first language we will liaise with their key worker on how they communicate with the resident (member of staff, communication app or translator) and use this method.
4. Adults who are assessed as having the capacity to consent to take part in this study
Key exclusion criteria1. Residents who do not wear full/partial denture
2. Residents who have declined consent to participate
3. Residents with dentures that are not worn or cannot be 3D printed/scanned
4. Residents where best interests decision is against oral health assessment or dentures scanning due to distress or otherwise
5. Residents who are assessed as not having the capacity to consent
Date of first enrolment15/10/2021
Date of final enrolment27/01/2022

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

East Surrey Hospital
Surrey and Sussex Healthcare NHS Trust
Canada Avenue
Redhill
RH1 5RH
United Kingdom

Sponsor information

Surrey and Sussex Healthcare NHS Trust
Hospital/treatment centre

East Surrey Hospital
Canada Avenue
Redhill
RH1 5RH
England
United Kingdom

Phone +44 (0)1737 768511
Email sash.research.office@nhs.net
Website https://www.surreyandsussex.nhs.uk/
ROR logo "ROR" https://ror.org/0480vrj36

Funders

Funder type

Research council

Royal College of Surgeons of England
Private sector organisation / Associations and societies (private and public)
Alternative name(s)
RCS
Location
United Kingdom
British Society of Gerodontology

No information available

Results and Publications

Intention to publish date01/01/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
Publication and dissemination planBSG conference presentation and publication in a high-impact peer-reviewed journal
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet version 2 29/09/2021 24/03/2022 No Yes
Protocol file version 2 29/09/2021 24/03/2022 No No
HRA research summary 28/06/2023 No No
Plain English results 05/02/2024 No Yes
Results article 29/10/2023 05/02/2024 Yes No

Additional files

40574 Protocol Version 2 29Sept2021.pdf
40574 PIS v2.0 29Sept2021.pdf
ISRCTN18251209_ResultsPlainEnglish.pdf

Editorial Notes

05/02/2024: The following changes were made:
1. Publication reference and total final enrolment added.
2. Results in plain English added.
01/04/2022: added CPMS number to Protocol /serial number field.
09/11/2021: Trial's existence confirmed by NHS HRA.