Trial Outcomes & Findings for Study Comparing OsseoSpeed™ Implants of Two Different Lengths in the Upper and Lower Posterior Jaw (NCT NCT00545818)

NCT ID: NCT00545818

Last Updated: 2020-05-19

Results Overview

Marginal Bone Level determined from radiographs and expressed as the difference 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 5 year follow-up visit compared to values obtained at delivery of temporary restoration i.e. loading (baseline). Positive value = bone gain, Negative value = bone loss.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

97 participants

Primary outcome timeframe

Evaluated from implant installation to 5 years follow-up after implant placement

Results posted on

2020-05-19

Participant Flow

97 subjects were enrolled in the study (singed informed consent).Two of those subjects fulfilled exclusion criteria and were removed from the study population before randomization. As a consequence a total of 95 subjects were randomised (assigned to groups) and received study treatment.

Unit of analysis: Implants

Participant milestones

Participant milestones
Measure
Group-1, Implant Length 6 mm
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Overall Study
STARTED
49 108
46 101
Overall Study
COMPLETED
46 98
39 86
Overall Study
NOT COMPLETED
3 10
7 15

Reasons for withdrawal

Reasons for withdrawal
Measure
Group-1, Implant Length 6 mm
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Overall Study
Protocol Violation
1
0
Overall Study
Adverse Event
1
1
Overall Study
Lost to Follow-up
1
6

Baseline Characteristics

Study Comparing OsseoSpeed™ Implants of Two Different Lengths in the Upper and Lower Posterior Jaw

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group-1, Implant Length 6 mm
n=49 Participants
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
n=46 Participants
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Total
n=95 Participants
Total of all reporting groups
Age, Continuous
54.8 years
STANDARD_DEVIATION 9.39 • n=99 Participants
54.1 years
STANDARD_DEVIATION 10.04 • n=107 Participants
54.5 years
STANDARD_DEVIATION 9.67 • n=206 Participants
Sex: Female, Male
Female
28 Participants
n=99 Participants
19 Participants
n=107 Participants
47 Participants
n=206 Participants
Sex: Female, Male
Male
21 Participants
n=99 Participants
27 Participants
n=107 Participants
48 Participants
n=206 Participants
Region of Enrollment
Sweden
3 participants
n=99 Participants
2 participants
n=107 Participants
5 participants
n=206 Participants
Region of Enrollment
Netherlands
17 participants
n=99 Participants
16 participants
n=107 Participants
33 participants
n=206 Participants
Region of Enrollment
United States
18 participants
n=99 Participants
14 participants
n=107 Participants
32 participants
n=206 Participants
Region of Enrollment
United Kingdom
7 participants
n=99 Participants
8 participants
n=107 Participants
15 participants
n=206 Participants
Region of Enrollment
Australia
4 participants
n=99 Participants
6 participants
n=107 Participants
10 participants
n=206 Participants

PRIMARY outcome

Timeframe: Evaluated from implant installation to 5 years follow-up after implant placement

Population: A total of 85 subjects (184 implants) completed the study. For a total of 10 implants (in 5 subjects) the quality of the radiographs were not sufficient for reading, giving a total of 80 subjects (174 implants) for the analysis of MBL change.

Marginal Bone Level determined from radiographs and expressed as the difference 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 5 year follow-up visit compared to values obtained at delivery of temporary restoration i.e. loading (baseline). Positive value = bone gain, Negative value = bone loss.

Outcome measures

Outcome measures
Measure
Group-1, Implant Length 6 mm
n=94 Implants
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
n=80 Implants
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Radiological Assessments of Marginal Bone Level Alteration
0.02 millimeter
Standard Deviation 0.52
-0.18 millimeter
Standard Deviation 1.05

SECONDARY outcome

Timeframe: Evaluated 5 years after implant placement

Population: Group-1. A total of 49 subjects (108 positions) underwent surgery. Three positions were not implanted due to complications during surgery. Giving a total 105 implants installed. Group-2. A total of 46 subjects (101 positions) underwent surgery. Giving a total of 101 implants installed.

Overall implant survival, measured on implant level

Outcome measures

Outcome measures
Measure
Group-1, Implant Length 6 mm
n=105 implants
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
n=101 implants
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Overall Implant Survival
101 implants
100 implants

SECONDARY outcome

Timeframe: Measured at the 5-year follow-up visit after loading

Population: A total of 85 subjects (184 implants) completed the 5-year follow-up visit. All included in the assessment of BoP.

Condition of the periimplant mucosa by assessment of Bleeding on Probing (BoP). Presented as s count of implants that show presence of BoP.

Outcome measures

Outcome measures
Measure
Group-1, Implant Length 6 mm
n=98 implants
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
n=86 implants
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Evaluation of the Periimplant Mucosa Condition - By Assessment BoP
43 implants
28 implants

SECONDARY outcome

Timeframe: Evaluated at implant loading and at the 5-year follow-up visit.

Population: A total of 85 subjects (184 implants) completed the 5-year follow-up visit. Group-1. For 3 subjects (7 implants) the radiographs were not possible to evaluate, giving a total of 43 subjects (91 implants) being available for evaluation of change in PPD. Group-2. All radiographs readable, giving 39 subjects (86 positions) for the evaluation.

Condition of the periimplant mucosa by assessment of change in probing pocket depth (PPD). Change in pocket depth expressed in millimeters at the 5-year follow-up visit, compared to values obtained at delivery of permanent restoration, i.e. loading (baseline). Negative value = increased pocket depth.

Outcome measures

Outcome measures
Measure
Group-1, Implant Length 6 mm
n=91 implants
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
n=86 implants
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Evaluation of the Periimplant Mucosa Condition - By Assessment of Change in PPD
-0.57 millimeters
Standard Deviation 0.92
-1.11 millimeters
Standard Deviation 1.77

SECONDARY outcome

Timeframe: Evaluated at the 5-year follow-up visit after loading.

Population: A total of 85 subjects (184 implants) completed the 5-year follow-up visit. All included in the assessment of presence of plaque.

Presence of plaque was evaluated at four surfaces around each study position (mesial, facial, distal and lingual). Plaque was recorded as presence or absence of plaque by visual inspection. A study position was considered as bleeding "yes" if at least one of the four surfaces around the implant showed presence of bleeding on probing.

Outcome measures

Outcome measures
Measure
Group-1, Implant Length 6 mm
n=98 implants
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
n=86 implants
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Presence of Plaque
16 implants
6 implants

Adverse Events

Group-1, Implant Length 6 mm

Serious events: 8 serious events
Other events: 13 other events
Deaths: 0 deaths

Group-2, Implant Length 11 mm

Serious events: 5 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group-1, Implant Length 6 mm
n=49 participants at risk
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
n=46 participants at risk
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Infections and infestations
Urinary tract infection
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Musculoskeletal and connective tissue disorders
Osteopaenia, trauma - fractured toes
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Renal and urinary disorders
Insufficient renal function (30%)
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Vascular disorders
Arteriosclerosis
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Cardiac disorders
Undefined heart problems
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Product Issues
Failure knee-prosthesis
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Musculoskeletal and connective tissue disorders
Hip function failure
2.0%
1/49 • Number of events 2 • 5 years
0.00%
0/46 • 5 years
Hepatobiliary disorders
Gallbladder removed
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Infections and infestations
Right hip replacement, post-op infection
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Infections and infestations
Armpit abscess due to spider bite.
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Infections and infestations
Bilateral toe infection
2.0%
1/49 • Number of events 1 • 5 years
0.00%
0/46 • 5 years
Hepatobiliary disorders
Liver cancer
0.00%
0/49 • 5 years
2.2%
1/46 • Number of events 1 • 5 years
General disorders
Death
0.00%
0/49 • 5 years
2.2%
1/46 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Broken pelvis
0.00%
0/49 • 5 years
2.2%
1/46 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis - Non Hodgkin disease
0.00%
0/49 • 5 years
2.2%
1/46 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Hip fracture due to car accident
0.00%
0/49 • 5 years
2.2%
1/46 • Number of events 1 • 5 years
Reproductive system and breast disorders
Ovarian cancer
0.00%
0/49 • 5 years
2.2%
1/46 • Number of events 1 • 5 years
Eye disorders
Eye cancer (basal cell carcinoma)
0.00%
0/49 • 5 years
2.2%
1/46 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Squamous cell skin cancer
0.00%
0/49 • 5 years
2.2%
1/46 • Number of events 1 • 5 years

Other adverse events

Other adverse events
Measure
Group-1, Implant Length 6 mm
n=49 participants at risk
Subjects treated with OsseoSpeed™ implant, length: 6 mm
Group-2, Implant Length 11 mm
n=46 participants at risk
Subjects treated with OsseoSpeed™ implant, length: 11 mm
Product Issues
Study implant failure
10.2%
5/49 • Number of events 5 • 5 years
2.2%
1/46 • Number of events 1 • 5 years
Product Issues
Bridge screw loosening
10.2%
5/49 • Number of events 5 • 5 years
10.9%
5/46 • Number of events 10 • 5 years
Product Issues
Abutment fracture
2.0%
1/49 • Number of events 4 • 5 years
6.5%
3/46 • Number of events 3 • 5 years
Product Issues
Fracture of temporary bridge
4.1%
2/49 • Number of events 3 • 5 years
6.5%
3/46 • Number of events 3 • 5 years

Additional Information

Manager Global Clinical Research

Dentsply Sirona Implants, Mölndal, SWEDEN

Phone: 0046313763500

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60