Partially Edentulous Jaw
Conditions
Brief summary
The purpose of this study is to investigate the clinical efficacy of OsseoSpeed™ TX 3mm diameter implant in a Chinese population by evaluation of marginal bone level alteration, implant stability and implant survival in the posterior mandible up to 3 years after loading. Hypothesis: Early loading of the 3 mm implant is a safe and predictable procedure.
Interventions
OsseoSpeed™ TX narrow implants (diameter 3 mm) of lengths 11-15 mm
Sponsors
Study design
Eligibility
Inclusion criteria
1. Provision of informed consent 2. Aged 20-75 years at enrolment 3. History of edentulism in the study area of at least two months 4. Presence of natural teeth, partial prosthesis and/or implants in the opposite jaw in contact with the planned crowns 5. Deemed by the investigator to have a bone height and width suitable for 3.0 mm diameter study implant 6. Deemed by the investigator as likely to present an initially stable implant situation
Exclusion criteria
1. Unlikely to be able to comply with study procedures, as judged by the investigator 2. Uncontrolled pathologic processes in the oral cavity 3. Known or suspected current malignancy 4. History of radiation therapy in the head and neck region 5. History of chemotherapy within 5 years prior to surgery 6. Systemic or local disease or condition that could compromise post-operative healing and/or osseointegration, as deemed by the investigator 7. Uncontrolled diabetes mellitus 8. Corticosteroids or any other medication that could influence post-operative healing and/or osseointegration 9. Smoking more than 10 cigarettes per day 10. Present alcohol and/or drug abuse 11. Involvement in the planning and conduct of the study (applies to both Astra Tech staff and staff at the study site) 12. Previous enrollment in the present study 13. Simultaneous participation in another clinical study, or participation in a clinical study during the last weeks prior to enrollment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Survived Implants | Measured at the 3 year follow-up after implant loading. | Implant survival rate evaluated by clinically and radiographically counting the number of implants remaining in function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Marginal Bone Level Alteration | Measured at the 3 year follow-up after implant loading. | Marginal bone level determined from radiographs and expressed as the distance from a reference point on the implant to the most coronal bone-to-implant contact on the mesial and distal aspect of the implant. Marginal bone level expressed in millimeters at the 3 year follow-up visit compared to values obtained at delivery of permanent restoration i.e. loading (baseline). |
| Number of Stable Implants | Measured at the 3 year follow-up after implant loading. | Implant stability evaluated clinically/manually (recorded as stable yes/no). |
| Evaluation of the Periimplant Mucosa Condition - By Assessment of PPD | Measured at the 3 year follow-up after implant loading. | Condition of the periimplant mucosa by assessment of probing pocket depth (PPD). Change in pocket depth expressed in millimeters at the 3-year follow-up visit, compared to values obtained at delivery of permanent restoration, i.e. loading (baseline). Negative value = increased pocket depth. |
| Evaluation of the Periimplant Mucosa Condition - By Assessment of BoP | Measured at the 3 year follow-up after implant loading. | Condition of the periimplant mucosa by assessment of Bleeding on Probing (BoP). Presented as % of implants that show presence of bleeding on probing at time of the 3-year follow-up visit. |
| Presence of Plaque | Measured at the 3 year follow-up after implant loading. | Occurence of plaque around the study implant. Presented as number of implants that show presence of plaque at time of the 3 years follow-up visit after implant loading. |
Countries
China
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| OsseoSpeed™ TX OsseoSpeed™ TX narrow implants (diameter 3 mm) in lengths of 11-15 mm | 45 |
| OsseoSpeed™ TX OsseoSpeed™ TX narrow implants (diameter 3 mm) in lengths of 11-15 mm | 75 |
| Total | 120 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 2 |
| Overall Study | Lost to Follow-up | 2 |
| Overall Study | Protocol Violation | 2 |
Baseline characteristics
| Characteristic | OsseoSpeed™ TX |
|---|---|
| Age, Continuous | 52.5 years STANDARD_DEVIATION 11.86 |
| Region of Enrollment China | 45 participants |
| Sex: Female, Male Female | 12 Participants |
| Sex: Female, Male Male | 33 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 45 |
| serious Total, serious adverse events | 2 / 45 |
Outcome results
Number of Survived Implants
Implant survival rate evaluated by clinically and radiographically counting the number of implants remaining in function
Time frame: Measured at the 3 year follow-up after implant loading.
Population: All participants treated with at least one study implant.
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| OsseoSpeed™ TX | Number of Survived Implants | 74 Implants |
Evaluation of the Periimplant Mucosa Condition - By Assessment of BoP
Condition of the periimplant mucosa by assessment of Bleeding on Probing (BoP). Presented as % of implants that show presence of bleeding on probing at time of the 3-year follow-up visit.
Time frame: Measured at the 3 year follow-up after implant loading.
Population: 39 subjects (65 implants) completed the 3-year follow-up visit. Protocol deviations were excluded, giving a per-protocol analysis population of 34 subjects (60 implants) for the BoP analysis.
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| OsseoSpeed™ TX | Evaluation of the Periimplant Mucosa Condition - By Assessment of BoP | 33 Implants |
Evaluation of the Periimplant Mucosa Condition - By Assessment of PPD
Condition of the periimplant mucosa by assessment of probing pocket depth (PPD). Change in pocket depth expressed in millimeters at the 3-year follow-up visit, compared to values obtained at delivery of permanent restoration, i.e. loading (baseline). Negative value = increased pocket depth.
Time frame: Measured at the 3 year follow-up after implant loading.
Population: 39 subjects (65 implants) completed the 3-year follow-up visit. Protocol deviations were excluded, giving a per-protocol analysis population of 34 subjects (60 implants) for the PPD analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| OsseoSpeed™ TX | Evaluation of the Periimplant Mucosa Condition - By Assessment of PPD | -0.03 millimeter | Standard Deviation 0.59 |
Marginal Bone Level Alteration
Marginal bone level determined from radiographs and expressed as the distance from a reference point on the implant to the most coronal bone-to-implant contact on the mesial and distal aspect of the implant. Marginal bone level expressed in millimeters at the 3 year follow-up visit compared to values obtained at delivery of permanent restoration i.e. loading (baseline).
Time frame: Measured at the 3 year follow-up after implant loading.
Population: 39 subjects (65 implants) completed the 3-year follow-up visit. Protocol deviations were excluded, giving a per-protocol analysis population of 34 subjects (60 implants). Three of the radiographs were not possible to evaluate, giving an overall number of 32 subjects (57 implants) as basis for the Marginal Bone Level analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| OsseoSpeed™ TX | Marginal Bone Level Alteration | -0.02 millimeter | Standard Deviation 0.8 |
Number of Stable Implants
Implant stability evaluated clinically/manually (recorded as stable yes/no).
Time frame: Measured at the 3 year follow-up after implant loading.
Population: 39 subjects (65 implants) completed the 3-year follow-up visit. Analysis of implant stability was performed on the all patients treated population.
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| OsseoSpeed™ TX | Number of Stable Implants | 65 Implants |
Presence of Plaque
Occurence of plaque around the study implant. Presented as number of implants that show presence of plaque at time of the 3 years follow-up visit after implant loading.
Time frame: Measured at the 3 year follow-up after implant loading.
Population: 39 subjects (65 implants) completed the 3-year follow-up visit. Protocol deviations were excluded, giving a per-protocol analysis population of 34 subjects (60 implants) for the plaque analysis.
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| OsseoSpeed™ TX | Presence of Plaque | 49 Implants |