Full-Arch Implant Prosthesis for Peri-Implantitis
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine how the shape of a dental implant-supported prosthesis affects bone health around the implants. Researchers are examining whether different shapes of the underside of these prostheses collect more plaque, potentially impacting bone levels. Participants must have had a full-arch dental implant in their upper jaw for at least a year and be in good health.
As an unphased trial, this study offers participants the chance to contribute to pioneering research that could enhance dental implant designs and outcomes.
Will I have to stop taking my current medications?
The trial information does not specify if you need to stop taking your current medications. However, if you have uncontrolled chronic diseases or are immunocompromised, you may not be eligible to participate.
What prior data suggests that this method is safe for patients rehabilitated with full-arch implant-supported prosthesis?
Research has shown that full-arch implant-supported dentures are generally safe and well-tolerated by patients. Studies have found that about 95.9% of these implants and 97.0% of the dentures last without major issues for recipients.
While problems can occur, they are uncommon. Some studies have noted issues such as screws coming loose or ceramic material chipping, particularly in individuals who grind their teeth. However, these issues do not affect everyone and can often be resolved by dental professionals.
Overall, evidence suggests that full-arch implant-supported dentures are safe and reliable for most patients.12345Why are researchers excited about this trial?
Researchers are excited about the full-arch implant-supported prosthesis because it offers a comprehensive solution for patients who need complete dental restoration. Unlike traditional dentures, which can be unstable and uncomfortable, this treatment is anchored securely by implants, providing a more stable and natural feel. This approach can significantly improve the quality of life for patients, offering better function and aesthetics. Additionally, it reduces the need for frequent adjustments and replacements that are common with conventional dentures.
What evidence suggests that the intaglio shape of full-arch implant-supported prosthesis is effective for maintaining marginal bone levels?
Research has shown that full-arch implant-supported dentures effectively replace teeth. Studies find a very low chance of implant loss, at just 0.64% in the first year and 1.85% over five years. In this trial, participants will receive rehabilitation with full-arch implant-supported prostheses. The All-on-4 method, a popular choice, simplifies the process by avoiding the need for additional bone. Clinical results are generally positive, with a high success rate of 97.8% for these dentures. Most recipients experience few problems and achieve successful long-term outcomes.678910
Who Is on the Research Team?
Andrea Ravida, DDS, MS, PhD
Principal Investigator
Program Director of the Periodontics and Implant Dentistry Department
Are You a Good Fit for This Trial?
Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Research Visit
Participants attend a single appointment where all measurements are assessed, including x-rays, digital scans, clinical measurements, and plaque sample collection.
Follow-up
Participants are monitored for safety and effectiveness after the research visit
What Are the Treatments Tested in This Trial?
Interventions
- Intaglio Surface of Full-arch Implant Supported Prosthesis
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
All patients that are rehabilitated with full-arch implant-supported prosthesis
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Pittsburgh
Lead Sponsor
Citations
Efficacy of rehabilitation with different approaches ...
Estimated cumulative implant loss for fixed prostheses within 1 year and 5 years was 0.64% (95% confidence interval [CI]: 0.31%-1.31%) and 1.85% ...
2.
decisionsindentistry.com
decisionsindentistry.com/article/the-evolution-of-full-arch-implant-rehabilitation/The Evolution of Full-Arch Implant Rehabilitation
Numerous clinical studies have since validated the effectiveness of the All-on-4 technique in eliminating the need for bone grafting, reducing ...
Efficacy of rehabilitation with different approaches ...
The present systematic review evaluated the efficacy of various rehabilitation types with fixed or removable full-arch implant-supported ...
4.
go.digitalsmiledesign.com
go.digitalsmiledesign.com/hubfs/DSD%20Articles/Articles%20by%20others/A%20Systematic%20Review%20of%20Clinical%20Outcomes%20on%20Patients%20Rehabilitated.pdfA Systematic Review of Clinical Outcomes on Patients ...
Purpose: To perform a systematic review on studies assessing clinical outcomes in patients rehabilitated with complete-arch fixed implant-supported prostheses ...
Implant-supported full-arch fixed dental prostheses ...
The incidence of prosthetic complications (4.4 %) was relatively low; one prosthesis broke, giving a restoration survival rate of 97.8 %. Conclusions. Within ...
Clinical Behavior and Complications of Mandibular Full ...
A mean implant survival rate of 95.9% (95% CI: 94.6–97.3%) and a prosthetic survival rate of 97.0% (95% CI: 95.7–98.3%) were obtained over 1–6- ...
Complications of Fixed Full-Arch Implant-Supported Metal- ...
We aimed to assess the biological and mechanical-technical complications and survival rate of implants of full-arch metal-ceramic prostheses, ...
Occlusal considerations for full-arch implant-supported ...
The occlusal scheme should not only provide the patient with function and comfort, but also minimize the risk of various prosthetic complications. Metal-acrylic ...
Retrospective evaluation of implant‐supported full‐arch ...
Bruxism was a factor to exert a higher risk of screw loosening (HR 3.302; also in younger patients), screw fracture (HR 4.956), ceramic chipping ...
10.
bmcoralhealth.biomedcentral.com
bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-022-02376-yDigitally prefabricated versus conventionally fabricated ...
Digital prefabrication of an implant-supported full-arch prosthesis is considered to be a predictable strategy for the immediate restoration ...
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