Dental Implants
Conditions
Keywords
OsseoSpeed, EV
Brief summary
This study is designed as a retrospective, multi-center study. The study population consist of subjects who received one or more OsseoSpeed EV implants during the period January 1st 2015 to December 31st 2016. Two hundred subjects will be enrolled, approximately 25-30 subjects per site. The study includes retrospective data collection from subjects' medical records and data collection from one prospective study visit with a clinical examination.
Interventions
The investigational product (OsseoSpeed EV implant) is already included in a restoration in the subject at enrollment, thus this study does not involve the installation of any investigational products.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject ≥ 18 years at time of implant installation. * Subject signed and dated the informed consent form. * Having installed one or more OsseoSpeed EV implants between January 1st 2015 and December 31st 2016.
Exclusion criteria
* Unlikely to be able to comply with study procedures, according to Investigator's judgement. * Subject is not willing to participate in the study or not able to understand the content of the study. * Involvement in the planning or conduct of the study. * Simultaneous participation in another clinical study that may interfere with the present study. * Severe non-compliance to Clinical Investigation Plan (CIP) as judged by the Investigator and/or Dentsply Sirona Implants.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent of Survived Implants at Time of the Follow-up Visit | Up to 66 months post-procedure. | Survival defined as implant in situ at time of the follow-up visit. Primary analysis performed on implant level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent of Successful Prosthetics at Time of the Follow-up Visit | Up to 66 months post-procedure. | Prosthetic success defined as implant, abutment and restoration in situ at time of the follow-up visit and no Adverse Device Effects (ADEs) related to the reconstruction or adjacent peri-implant tissues reported from the day when the study position(s) was permanently included in a prosthetic restoration until the end of the study. Analysis performed on implant level. |
| Marginal Bone Levels (MBL) | Up to 66 months post-procedure. | Bone tissue response was evaluated for each investigational position by measuring Marginal Bone Levels (MBL) on the radiographs. Intraoral radiographs were used. Analysis performed on implant level. |
| Soft Tissue Response Measured Through Probing Pocket Depth (PPD) at Time of Follow-up Visit | Up to 66 months post-procedure. | Soft tissue response evaluated by measuring the PPD of each study position. PPD was evaluated using a periodontal probe. PPD was measured as the distance from the mucosal margin to the bottom of the probable pocket in whole millimeters. PPD mean values, and frequencies per depth, were calculated for each study position. Analysis performed on implant level. |
| Percent of Successful Implants at Time of the Follow-up Visit | Up to 66 months post-procedure. | Implant success defined as implant in situ at time of the follow-up visit and no Adverse Device Effects (ADEs) related to the implant or adjacent peri-implant tissues reported from the day when the study product(s) was installed until the end of the study. Analysis performed on implant level. |
| Soft Tissue Response Measured Through Presence of Plaque at Time of Follow-up Visit | Up to 66 months post-procedure. | Plaque was recorded as presence or absence of plaque by visual inspection. The proportion of surfaces that showed presence of plaque were calculated and presented for each study implant position. Analysis performed on implant level. |
| Patient Reported Outcome on Implant Level at Time of Follow-up Visit | Up to 66 months post-procedure. | Subject satisfaction was evaluated using a short subject questionnaire of each investigational implant position. Subjects were asked to complete a questionnaire to state their opinion about: 1) chewing function and 2) esthetics and 3) overall level of treatment satisfaction. For question 1) the scale ranged from Very bad (1), Bad (2), Neither bad or good (3), Good (4), and Very good (5). For questions 2) and 3) the scale ranged from Very dissatisfied (1), Dissatisfied (2), Neither dissatisfied nor satisfied (3), Satisfied (4), and Very satisfied (5). Authorized investigational site personnel provided the questionnaire during the investigational visit. The subject was instructed to complete it, one per investigational position, and return it for data entry by site personnel into the electronic-Case Report Form (eCRF). The frequencies of each score were calculated for each question and investigational position. Analysis performed on implant level. |
| Soft Tissue Response Measured Through Bleeding on Probing (BoP) at Time of Follow-up Visit | Up to 66 months post-procedure. | Presence of BoP was evaluated using a periodontal probe. The proportion of surfaces that showed presence of bleeding were calculated and presented for each study implant position. Analysis performed on implant level. |
Countries
Belgium, Canada, Finland, Germany, Sweden, United States
Participant flow
Recruitment details
The subject population recruited in this retrospective study consisted of individuals who received OsseoSpeed EV implants between January 1st 2015 and December 31st 2016, as part of a prosthetic restoration replacing one or more teeth in any position of the mouth.
Participants by arm
| Arm | Count |
|---|---|
| OsseoSpeed EV Implant The investigational product (OsseoSpeed EV implant) was already included in a restoration in the subject at enrollment, thus this study does not involve the installation of any investigational products. | 208 |
| Total | 208 |
Baseline characteristics
| Characteristic | OsseoSpeed EV Implant | — |
|---|---|---|
| Age, Continuous | 58.9 years STANDARD_DEVIATION 15.32 | — |
| Number of implants per subject 1 implant | 113 Implants | — |
| Number of implants per subject 2 implants | 52 Implants | — |
| Number of implants per subject 3 implants | 21 Implants | — |
| Number of implants per subject 4 implants | 14 Implants | — |
| Number of implants per subject 5 implants | 2 Implants | — |
| Number of implants per subject 6 implants | 4 Implants | — |
| Number of implants per subject 7 implants | 1 Implants | — |
| Number of implants per subject 8 implants | 1 Implants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment Belgium | 31 participants | — |
| Region of Enrollment Canada | 39 participants | — |
| Region of Enrollment Finland | 10 participants | — |
| Region of Enrollment Germany | 74 participants | — |
| Region of Enrollment Sweden | 18 participants | — |
| Region of Enrollment United States | 36 participants | — |
| Sex: Female, Male Female | 110 Participants | — |
| Sex: Female, Male Male | 98 Participants | — |
| Smoking status Ex-smoker | 34 Participants | — |
| Smoking status Habitual smoker | 25 Participants | — |
| Smoking status Non-smoker | 147 Participants | — |
| Smoking status Occasional smoker | 2 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 208 |
| other Total, other adverse events | 15 / 208 |
| serious Total, serious adverse events | 0 / 208 |
Outcome results
Percent of Survived Implants at Time of the Follow-up Visit
Survival defined as implant in situ at time of the follow-up visit. Primary analysis performed on implant level.
Time frame: Up to 66 months post-procedure.
Population: PP-analysis set
| Arm | Measure | Category | Value (COUNT_OF_UNITS) |
|---|---|---|---|
| OsseoSpeed EV Implant | Percent of Survived Implants at Time of the Follow-up Visit | Implant survival - Yes | 382 Implants |
| OsseoSpeed EV Implant | Percent of Survived Implants at Time of the Follow-up Visit | Implant survival - No | 3 Implants |
| OsseoSpeed EV Implant | Percent of Survived Implants at Time of the Follow-up Visit | Missing | 0 Implants |
Marginal Bone Levels (MBL)
Bone tissue response was evaluated for each investigational position by measuring Marginal Bone Levels (MBL) on the radiographs. Intraoral radiographs were used. Analysis performed on implant level.
Time frame: Up to 66 months post-procedure.
Population: PP-analysis set used for analysis of MBL values at follow-up visit. All subjects with available baseline radiographs were included in the baseline MBL analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| OsseoSpeed EV Implant | Marginal Bone Levels (MBL) | Mesial | 0.2 mm | Standard Deviation 0.78 |
| OsseoSpeed EV Implant | Marginal Bone Levels (MBL) | Distal | 0.3 mm | Standard Deviation 0.74 |
| OsseoSpeed EV Implant | Marginal Bone Levels (MBL) | Average | 0.28 mm | Standard Deviation 0.67 |
| OsseoSpeed EV Implant - MBL Values Att Follow-up Visit | Marginal Bone Levels (MBL) | Mesial | 0.3 mm | Standard Deviation 0.96 |
| OsseoSpeed EV Implant - MBL Values Att Follow-up Visit | Marginal Bone Levels (MBL) | Distal | 0.4 mm | Standard Deviation 0.87 |
| OsseoSpeed EV Implant - MBL Values Att Follow-up Visit | Marginal Bone Levels (MBL) | Average | 0.38 mm | Standard Deviation 0.89 |
Patient Reported Outcome on Implant Level at Time of Follow-up Visit
Subject satisfaction was evaluated using a short subject questionnaire of each investigational implant position. Subjects were asked to complete a questionnaire to state their opinion about: 1) chewing function and 2) esthetics and 3) overall level of treatment satisfaction. For question 1) the scale ranged from Very bad (1), Bad (2), Neither bad or good (3), Good (4), and Very good (5). For questions 2) and 3) the scale ranged from Very dissatisfied (1), Dissatisfied (2), Neither dissatisfied nor satisfied (3), Satisfied (4), and Very satisfied (5). Authorized investigational site personnel provided the questionnaire during the investigational visit. The subject was instructed to complete it, one per investigational position, and return it for data entry by site personnel into the electronic-Case Report Form (eCRF). The frequencies of each score were calculated for each question and investigational position. Analysis performed on implant level.
Time frame: Up to 66 months post-procedure.
Population: PP-analysis set
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| OsseoSpeed EV Implant | Patient Reported Outcome on Implant Level at Time of Follow-up Visit | Chewing function (evaluation 1-5) | 4.7 score on a scale | Standard Deviation 0.66 |
| OsseoSpeed EV Implant | Patient Reported Outcome on Implant Level at Time of Follow-up Visit | Esthetics (evaluation 1-5) | 4.7 score on a scale | Standard Deviation 0.79 |
| OsseoSpeed EV Implant | Patient Reported Outcome on Implant Level at Time of Follow-up Visit | Overall level of treatment satisfaction (evaluation 1-5) | 4.8 score on a scale | Standard Deviation 0.56 |
Percent of Successful Implants at Time of the Follow-up Visit
Implant success defined as implant in situ at time of the follow-up visit and no Adverse Device Effects (ADEs) related to the implant or adjacent peri-implant tissues reported from the day when the study product(s) was installed until the end of the study. Analysis performed on implant level.
Time frame: Up to 66 months post-procedure.
Population: PP-analysis set
| Arm | Measure | Category | Value (COUNT_OF_UNITS) |
|---|---|---|---|
| OsseoSpeed EV Implant | Percent of Successful Implants at Time of the Follow-up Visit | Implant success - No | 7 Implants |
| OsseoSpeed EV Implant | Percent of Successful Implants at Time of the Follow-up Visit | Implant success - Yes | 378 Implants |
| OsseoSpeed EV Implant | Percent of Successful Implants at Time of the Follow-up Visit | Missing | 0 Implants |
Percent of Successful Prosthetics at Time of the Follow-up Visit
Prosthetic success defined as implant, abutment and restoration in situ at time of the follow-up visit and no Adverse Device Effects (ADEs) related to the reconstruction or adjacent peri-implant tissues reported from the day when the study position(s) was permanently included in a prosthetic restoration until the end of the study. Analysis performed on implant level.
Time frame: Up to 66 months post-procedure.
Population: PP-analysis set
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| OsseoSpeed EV Implant | Percent of Successful Prosthetics at Time of the Follow-up Visit | Prosthetic success - No | 30 Prosthetic outcome |
| OsseoSpeed EV Implant | Percent of Successful Prosthetics at Time of the Follow-up Visit | Prosthetic success - Yes | 354 Prosthetic outcome |
| OsseoSpeed EV Implant | Percent of Successful Prosthetics at Time of the Follow-up Visit | Missing | 1 Prosthetic outcome |
Soft Tissue Response Measured Through Bleeding on Probing (BoP) at Time of Follow-up Visit
Presence of BoP was evaluated using a periodontal probe. The proportion of surfaces that showed presence of bleeding were calculated and presented for each study implant position. Analysis performed on implant level.
Time frame: Up to 66 months post-procedure.
Population: PP-analysis set
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| OsseoSpeed EV Implant | Soft Tissue Response Measured Through Bleeding on Probing (BoP) at Time of Follow-up Visit | 90 Number of implants with bleeding |
Soft Tissue Response Measured Through Presence of Plaque at Time of Follow-up Visit
Plaque was recorded as presence or absence of plaque by visual inspection. The proportion of surfaces that showed presence of plaque were calculated and presented for each study implant position. Analysis performed on implant level.
Time frame: Up to 66 months post-procedure.
Population: PP-analysis set
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| OsseoSpeed EV Implant | Soft Tissue Response Measured Through Presence of Plaque at Time of Follow-up Visit | 63 Number of implants with plaque |
Soft Tissue Response Measured Through Probing Pocket Depth (PPD) at Time of Follow-up Visit
Soft tissue response evaluated by measuring the PPD of each study position. PPD was evaluated using a periodontal probe. PPD was measured as the distance from the mucosal margin to the bottom of the probable pocket in whole millimeters. PPD mean values, and frequencies per depth, were calculated for each study position. Analysis performed on implant level.
Time frame: Up to 66 months post-procedure.
Population: PP-analysis set
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| OsseoSpeed EV Implant | Soft Tissue Response Measured Through Probing Pocket Depth (PPD) at Time of Follow-up Visit | 2.7 mm | Standard Deviation 0.84 |