Comparing the fit of ceramic inlays made from silicone and digital impressions of the mouth

ISRCTN ISRCTN84062376
DOI https://doi.org/10.1186/ISRCTN84062376
Secondary identifying numbers SPP-R-001
Submission date
17/05/2021
Registration date
07/06/2021
Last edited
08/08/2024
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
Inlays are a type of tooth restoration used to treat cavities in the teeth. Inlays are fitted into the grooves of the tooth and the shape of the hole/cavity. Computer-aided design/computer-aided manufacturing (CAD-CAM) can be used to produce inlays with a better fit, which is crucial to avoid bacterial leakage and clinical complications. Using a traditional impression technique (using a silicone putty to create a mould of the tooth) may assure a precise reproduction with a close fit. The aim of this study is to compare inlays made based on digital impressions using CAD/CAM techniques or traditional silicone impression techniques.

Who can participate?
Healthy adults who are in need of one or two inlays on molar teeth

What does the study involve?
An inlay will be made for each tooth that requires an inlay from dental impressions taken traditionally (using putty) or made using digital impression techniques. The fit of each crown is determined using a microscope. How well each of the crowns fit will then be compared.

What are the possible benefits and risks of participating?
A benefit of taking part in the study is that participants are able to receive their dental inlays at a discounted price. The risks of participating are minor and include the general risks associated with dental surgery.

Where is the study run from?
University of Granada (Spain)

When is the study starting and how long is it expected to run for?
September 2019 to January 2021

Who is funding the study?
Instituto Odontologico Integral Avanzado (IOIA) (Spain)

Who is the main contact?
Mr. Franklin G. Vargas Corral
fgvargas@ioia.es

Contact information

Mr Franklin G. Vargas Corral
Scientific

AVDA. del Conocimiento, 41. O A001
Granada
18016
Spain

ORCiD logoORCID ID 0000-0003-0831-9828
Phone +34 (0)691163753
Email fgvargas@ioia.es

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleClinical evaluation comparing the fit of ceramic inlays obtained from silicone and digital intraoral impressions
Study objectivesThere is no difference in accuracy between the fit of the inlays fabricated with the digital impression and the conventional impression.
Ethics approval(s)Approved 12/05/2020, comite etico de la universidad de Granada (Ethical committee of Granada University, Vicerrectorado De Investigacion Y Transferencia, University of Granada, 48 Gran via De Colon, Granada, 18071, Spain; +34 (0)958243008; investigacion@ugr.es), ref: #1456/CEIH/2020
Health condition(s) or problem(s) studiedDental cavities
InterventionEach tooth included in the study is the investigation unit (or specimen). Each tooth is prepared for inlay, and two impressions are taken on each tooth (one digital and one conventional). One inlay is produced for each tooth with a conventional impression or digital impression. Randomization is conducted using a mobile application. After fitting the definitive restoration to the clinical preparation, with no occlusal checkup, it is placed in the oral cavity and an impression is taken of the occlusal and non-occlusal interfaces using polyvinyl siloxane addition silicone. Samples are stored in transparent, hermetic bags that are coded to ensure their analysis in a blinded fashion. The same restoration used for the measurements is then cemented in the dental preparation for which it was prepared.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Inlays made using CAD/CAM techniques, inlays made using silicone impression techniques
Primary outcome measureMarginal gap of ceramic inlays measured using white light confocal microscopy between 3 and 8 days after the replication of the fit
Secondary outcome measuresOverextension of ceramic inalys measured using white light confocal microscopy between 3 and 8 days after the replication of the fit
Overall study start date01/09/2019
Completion date01/01/2021

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants31 inlays in 31 patients
Total final enrolment31
Key inclusion criteria1. In need of 1-2 (if located in contra-lateral quadrants and opposing arches) inlays on molar teeth
2. Subject tooth/teeth are free of clinical symptoms
3. No requirement for additional endodontic treatment expressed by the presence of a periapical radiolucency around an endodontically treated tooth or a root canal filling <3 months
4. Adequate level of oral hygiene expressed by the absence of signs of periodontal inflammation, bleeding on probing, and periodontal pocket depth <4 mm
Key exclusion criteria1. Advanced periodontitis affecting the mobility of the teeth (mobility degree 2 or higher)
2. Clinical history of bruxism
3. Pregnant or lactating females
4. Marginal preparation situated deeper than 1 mm subgingival
Date of first enrolment18/05/2020
Date of final enrolment01/09/2020

Locations

Countries of recruitment

  • Spain

Study participating centre

University of Granada
School of Dentistry
Prosthodontic Section
Campus de Cartuja S/N
Granada
18071
Spain

Sponsor information

Instituto Odontologico Integral Avanzado, SL
Hospital/treatment centre

AVDA. del Conocimiento, 41. O A001
Granada
18016
Spain

Phone +34 (0)691163753
Email fgvargas@ioia.es

Funders

Funder type

Hospital/treatment centre

Instituto Odontologico Integral Avanzado, SL

No information available

Results and Publications

Intention to publish date01/06/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 23/02/2024 08/08/2024 Yes No

Editorial Notes

08/08/2024: Publication reference added.
08/02/2022: The intention to publish date was changed from 01/01/2022 to 01/06/2022.
01/06/2021: Trial's existence confirmed by the ethics committee of the University of Granada.