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CompletedNCT02931903RCTUpdated Jan 11, 2023

Lithium Disilicate Glass-ceramic Versus Hybrid Ceramic Superstructure Materials on Implant Stability

An interventional study of Vita Enamic (hybrid dental ceramic) and lithium disilicate glass-ceramic in Prosthesis Survival, sponsored by Cairo University. Completed. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-01-11.

Sponsored by Cairo University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

The aim of this study is to assess the effect of the newly introduced (hybrid dental ceramic) superstructure materials, Vita Enamic versus IPS Emax on implant stability, patient satisfaction and crestal bone loss.

Read the detailed description

This study will be conducted on patients requiring single implant replacement in the maxillary premolar area, admitted to the Outpatient Clinic of Fixed Prosthodontics Department, Faculty of Oral and Dental medicine, Cairo University.

After a period of healing of 6 months, an implant abutment of accurate diameter and angulation will be placed to fit precisely into the internal hex of the fixture after removal of the cover screw. The platform matched abutment will be then secured into its final position using the abutment screw. Alginate impression will be taken and poured into dental stone. Using the impression transfers, impressions with polyvinylsiloxane are taken. After taking the impressions, the Impression transfers are removed and fixed to the implant replica.

Surgeons' assistants will be asked to open the sealed envelope containing the information regarding the crown placement. The impressions will be sent to dental laboratory with the result of the sealed envelope, for preparation of the future crowns, either vita enamic crowns or Ips e max crowns.

02

Conditions studied

  • Prosthesis Survival

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Keywords

  • implant supported restorations
  • IPS Emax (lithium disilicate glass-ceramic)
  • Vita Enamic (hybrid dental ceramic)
  • implant survival
  • peri-implant tissue response
03

In context

Prosthesis Failure

113 studies on the registry are indexed under Prosthesis Failure; 35 are open to participants now.

This study's enrollment of 20 is below the median of 33 across 67 interventional studies indexed under Prosthesis Failure.

Browse Prosthesis Failure studies →

Lead sponsor

Cairo University is the lead sponsor of 4,909 studies on the registry; 1,445 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Patients > 18 yrs. Patients with missing teeth in the maxillary premolar region. Absence of any pathological condition in the recipient site.

Stabilization phase will be performed including:

  • Scaling
  • Debridement.
  • Elimination of all carious cavities and root canal treatment if needed.
  • Elimination of over-hanging restoration. Systemic condition of the subjects was evaluated according to dental modification of the Cornell medical index (Kerr and Millard 1966).

Patients who are cooperative, motivated, and hygiene conscious. Patients should have adequate ridge width (>5mm).

Exclusion criteria

Exclusion Criteria:

Patients unable to undergo minor surgical procedure. Patients with history of drug abuse or metabolic drugs. Patients with history of psychiatric disorder. Patients with insufficient bone. Patients with insufficient vertical inter-arch space, upon centric occlusion, to accommodate the available restorative components.

Patients with any systemic condition that may contraindicate implant therapy. Patients that may have any habits that may jeopardize the osseo-integration process, such as heavy smoking and alcoholism.

Patients with para-functional habits that produce overload on the implant such as bruxism and clenching.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Hybrid superstructure

    Vita Enamic is a hybrid ceramic, consisting of composite and ceramic. The ceramic; compatible and high aesthetics while the composite; resilient material with low modulus of elasticity which will absorb stress and therefore decrease load on bone and eventually decrease crestal bone loss

    Other: Vita Enamic (hybrid dental ceramic)

  • Active comparator
    Ceramic superstructure

    IPS Emax, is the mostly used ceramic superstructures in implant supported restorations.

    Other: lithium disilicate glass-ceramic

Interventions

  • OtherVita Enamic (hybrid dental ceramic)

    Vita Enamic (hybrid dental ceramic) are provided as blocks to be milled using Computer aided design/Computer aided manufacturer (CAD/CAM) technology,

    Also known as: hybrid, resin nanoceramic

  • Otherlithium disilicate glass-ceramic

    All ceramic crowns (Lithium disilicate glass ceramic) milled by Computer aided design/Computer aided manufacturer (CAD/CAM) technology

    Also known as: Emax CAD, IPS Emax

06

What researchers measure

Primary outcomes

  1. Implant survival rate

    Implant stability and success could be affected by crestal bone loss, if the implant is stable therefore high survival rate

    Time frame: 12 months

Secondary outcomes

  1. Crestal bone loss

    Crestal bone loss will be measured using a Cone Beam Computed tomography to measure the amount of bone resorbed from start date, and follow up for one year

    Time frame: 12 months

  2. Peri-implant tissue response

    Bleeding index, probing depth and gingival index

    Time frame: 12 months

  3. Patient satisfaction

    Patients will be asked to answer a questionnaire to know whether the procedure was not satisfied, accepted, or highly satisfied

    Time frame: 12 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02931903
Lead sponsor
Cairo University
Responsible party
Sally Edward Fekry (Assistant Lecturer, Cairo University) — Principal investigator
First posted
Oct 13, 2016
Start date
Jan 2017
Primary completion
Dec 2017
Completion
Mar 2018
Last update
Jan 11, 2023

Study contacts

Gihan El Naggar, Professor
principal investigator · Cairo University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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