About this trial
The overall aim is to evaluate the patient-reported outcome and efficiency of replacing posterior teeth with implant-supported crowns compared to RDPs and no treatment. Sub-aims are to evaluate a new 3D-methods for registration of occlusion and to test two crown designs.
Thus, the study design has three aims:
* To analyze patient perception including OHRQoL, when missing posterior teeth are replaced with implant-supported crowns compared to removable dental prostheses (RDPs) or no replacement. * To develop and validate new 3D digital methods for assessing occlusal contacts between upper and lower jaw and to analyze the methods relation to masticatory ability and efficiency. * To compare the difference in biological technical outcomes between splinted and non-splinted implant-supported crowns over time.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Partially edentulous subjects with missing posterior teeth (Kennedy class I or class II) in the upper or lower jaw, in need for fixed implant-supported crowns to replace the missing teeth are offered to be enrolled if they fulfill the following inclusion criteria. The participants must be in good health and with no contraindications for undergoing dento-alveolar surgery.
Disqualifiers
Untreated or active, progressive periodontitis
Intake of (high dose) antiresorptive medicine or earlier medication related osteonecrosis of the jaw
Therapeutic radiation to the head and neck
Uncontrolled diabetes or systemic corticosteroids
Trial design
Sequential
Treatments tested in this trial
Splinted
Other interventionThe investigators will compare splinted versus non-splinted crowns in a randomized design. Whether the crowns will be splinted or not are decided by distant randomization separate from clinicians conducting the trial. Twenty sealed envelopes will be opened where its stands whether the crowns has to be splinted crowns or non-splinted crowns. The implants in the splinted side will have an intermediate titanium abutment and impression will be taken at abutment level, whereas impressions in the non-splinted side will be taken directly at the fixture level. The splinted as well as the non-splinted crowns will be screw-retained and produced in monolithic zirconia. An open-tray technique / (scanning) will be used for both reconstructions.
Treatment groups
Trial outcomes
Primary outcomes
Oral Health Related Quality of Life score
Oral Function change in percentage
Marginal Bone Loss in mm
Sponsors and contacts
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