Minimal Invasive Rehabilitation of Tooth Loss in the Anterior Segment

Study Overview
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Brief Summary
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Tooth loss can be addressed by different rehabilitative strategies. Implant-supported crowns and conventional bridges (fixed dental prostheses [FDPs]) are well established treatment alternatives. Implant therapy is sometimes impossible, however, because of patient-related risk factors or economic issues. In such cases therapy with an FDP requires extensive removal of tooth structure to provide enough space for the restoration and to ensure mechanical retention if the abutment teeth are sound. Alternatives for rehabilitation requiring minor or no preparation of the anchoring teeth are desirable. Resin-bonded bridges meet this demand for minimal invasiveness and have been used clinically successfully. Sometimes, however, patients choose a conventional FDP over a resin-bonded one (RBFDP) for esthetic reasons since the adhesive wings, which are traditionally made of a cobalt-chromium alloy, might be exposed while speaking or smiling or account for a colour change of the abutment teeth. Such patients profit from an all-ceramic RBFDP. Today, the clinical performance of metal-based and all-ceramic RBFDPs has not yet been evaluated under randomized controlled conditions. The aim of this pilot study is to calculate the sample size that allows us to accept the hypothesis that metal- and all-ceramic RBFDPs are similar regarding their clinical performance with adequate statistical power.

Official Title
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Clinical Performance of Porcelain-fused-to-metal and All-ceramic Resin-bonded Fixed Dental Prostheses in the Anterior Segment - a Randomized Controlled Pilot Study.

Conditions
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Unsatisfactory or Defective Restoration of Tooth

Intervention / Treatment
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* Device: metal-ceramic RBFDP
* Device: all-ceramic RBFDP


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: missing central or lateral incisor regular patient of the department of prosthodontics of the university hospital of heidelberg willingness to return for recall examinations on a regular basis written informed consent abutment teeth are vital or sufficiently endodontically treated abutment teeth are periodontally stable abutment teeth have only little or no defects of the hardsubstances Exclusion Criteria: Pregnancy or breastfeeding medically compromised condition not allowing for standard dental treatment Patient is not able to give written informed consent alcohol or drug abuse positive bruxism and parafunctions questionaire Bite-Strip > 2 Attrition Score > 3 deep bite (Angle class II/2) abutment tooth height < 4mm untreated symptomatic periodontal or endodontic lesions abutment tooth mobility > grade I known allergies to materials used in this study poor dental hygiene planned change of residency

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 89 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: metal-ceramic RBFDP<br>Treatment with a metal-ceramic RBFDP | Device: metal-ceramic RBFDP<br>* Rehabilitation of tooth loss with a metal-ceramic RBFDP<br>|
| Experimental: all-ceramic RBFDP<br>Treatment with an all-ceramic RBFDP | Device: all-ceramic RBFDP<br>* Rehabilitation of tooth loss with an all-ceramic RBFDP<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success | restoration/abutment teeth without intervention according to the Fédération dentaire internationale (FDI) World dental federation criteria | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Color change of the abutment teeth | color change measured with a spectrophotometer expressed as ∆E | before tooth preparation, try-in of the framework, 1 week after cementation |