K08.1 K00.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Permanent residence in max. 50km vicinity; foreseeable for the next 2 years. Need for fixed prosthetics in one or both jaws: At least one interdental gap or free-end gap in the posterior region with space available and need for - One or two single tooth implants with a fixed crown. Maximum: 2 implants per jaw 2 implants per patient Good oral hygiene: PI <50 Willingness to participate on a participation basis after deduction of statutory health insurance subsidies of approx. 500 EUR for 1 implant resp.800 EUR for 2 implants incl. crown restoration.
Exclusion criteria
Exclusion criteria: Tobacco consumption >10 cigarettes per day Diabetes with HbA1c = 7.0 Limited legal capacity, current pregnancy Acute or refractory chronic periodontitis or presence of peri-implantitis. Large-volume bone defect requiring two-stage augmentation specifically: - Lack of bone supply of vertically < 11 mm to the anatom. structure and oro-vestibular width <6 mm as well as sagittal width <6 mm - Exceeding the implant-to-crown ratio of 1:2.5 Signs of dysfunction/bruxism (DC/TMD criteria) or recurrent orofacial pain, traumatic occlusion in the sense of severe abrasion of the occlusal surfaces or ubiquitous wedge-shaped lesions. Need for removable dentures in the same jaw. Severe limitations of the general condition as oral chir. Risk factors esp. - Need for endocarditis prophylaxis - Tumour disease of the oral cavity - Radiotherapy in the head and/or neck region - Taking medicines that influence bone growth (oral bisphosphonates, monoclonal antibodies against bone metabolism (e.g. denosumab)) Multi-allergic patients, unstable CHD, neurological impairments of motor function and cognition) Infectious disease(s), especially relevant titres of hepatitis C virus, HIV, tuberculosis, H1N1, EHEC. Known psychotic or severe affective disorders with regular inpatient treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Osseointegration of implants: - radiographic bone level from plattform to tip: >90% - Periotest-Value <07 Function of crown: - USPHD-criteria <Charlie - Ryge criteria: Sierra or Romeo | — |
Secondary
| Measure | Time frame |
|---|---|
| technical and biological complications of implant-borne crowns in service. Patient reported outcome | — |
Countries
Germany
Contacts
Poliklinik für Zahnärztliche Prothetik