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CompletedNCT05512845DoubleFactorUpdated Aug 23, 2022

The Double Factor Technique: a Computer-guided Implant Surgery Technique for Fully Edentulous Patients

An observational study in Surgery, Computer-Assisted and Dental Implants, sponsored by Adrià Jorba García. Completed at 1 site in Spain. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-08-23.

Sponsored by Adrià Jorba García · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
10
Ages
18 Years and older
Sex
All
01

Study summary

To overcome the limitations of the current dynamic and static Computer Assisted surgery protocols in fully edentulous patients, and combine the advantages of both approaches, a new technique has been developed, referred to as the "double factor" technique.

This study consists in a single arm observational prospective clinical study and the aim was to assess the accuracy and patient's perception and quality of life of the "double factor" technique in treating fully edentulous patients.

Read the detailed description

This is a prospective observational clinical study. Each patient enrolled in this study will be treated using the "all on four concept" using the double factor technique.

Preoperative virtual planification of dental implants on a pre-acquired cone beam computed tomography (CBCT) will be performed for each patient using the same system.

During the surgical phase, four dental implant will be placed in a fully guided approach using "the double factor technique. This technique merges the static and dynamic computer-guided surgical approach in the same surgery.

Then after the surgical procedure a PROMs questionnaire will be asked to the patients.

Finally, a postoperative CBCT will be performed and overlapped with the preoperative CBCT (with the implants planification) and implant position deviations between the planned and final position will be measured.

The study devices are CE- (Conformité Européenne, meaning European Conformity) marked products and used within their intended use.

02

Conditions studied

  • Surgery, Computer-Assisted
  • Dental Implants

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Keywords

  • Dental Implants
  • Surgery, Computer-Assisted
  • Fully edentulous
03

In context

Mouth, Edentulous

244 studies on the registry are indexed under Mouth, Edentulous; 37 are open to participants now.

This study's enrollment of 10 is below the median of 39 across 52 observational studies indexed under Mouth, Edentulous.

Browse Mouth, Edentulous studies →

Lead sponsor

Adrià Jorba García is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

All consecutive edentulous patients or with terminal dentition treated with full arch implant supported prostheses based on the All-on-four® concept and the computer assisted surgery "double factor" technique will be included in the trial.

Inclusion criteria

  • Fully edentulous patients or with terminal dentition that requires an implant supported rehabilitation
  • Healthy patients ASA I and II (American Society of Anesthesiologists classification)
  • Over 18 years old patients

Exclusion criteria

Exclusion Criteria:

  • Partially edentulous patients
  • Systemic or local conditions that contraindicates dental implant surgery
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
10 participants (actual)
Target follow-up
3 Months
Patient registry
Yes

Groups and cohorts

  • Double factor group

    Patients treated with full arch implant supported prostheses based on the All-on-four® concept. All implants were placed using the "double factor" computer assisted surgery technique, which involves combination of the static and dynamic computer assisted surgery protocols.

    Procedure: Double Factor technique

Interventions

  • ProcedureDouble Factor technique

    The "double factor" computer assisted surgery technique, involves the combination of the static and dynamic computer assisted surgery protocols to place dental implants in the same surgery.

    Also known as: Dynamic and static computer assisted surgery

06

What researchers measure

Primary outcomes

  1. Angular deviation

    Angular deviation between the virtual planed position of the implant and the final implant position. Measured in degrees

    Time frame: The day of the surgery

  2. Platform 3D deviation

    global deviation at the platform of the dental implant between the virtual planned position and the final position of the dental implant measured in the 3 axes of the space (3D deviation). Measured in millimeters (mm).

    Time frame: The day of the surgery

  3. APex 3D deviation

    global deviation at the apex of the dental implant between the virtual planned position and the final position of the dental implant measured in the 3 axes of the space (3D deviation). Measured in millimeters (mm).

    Time frame: The day of the surgery

  4. Platform 2D deviation

    Lateral deviation at the platform of the dental implant between the virtual planned position and the final position of the dental implant measured in 2 axes of the space (x and y, 2D deviation). Measured in millimeters (mm).

    Time frame: The day of the surgery

  5. Apex depth deviation

    Depth deviation of the apex of the dental implant between the virtual planned position and the final position of the dental implant in the Z-axis. Measured in millimeters (mm).

    Time frame: The day of the surgery

Secondary outcomes

  1. Patient-reported outcome measures (PROMs).

    Patients perception of their functional well-being and health status during the dental implant treatment with a the "double factor" technique. We will use OHIP-14 (Oral Health Impact Profile) questionnaire.

    Time frame: Seven postoperative days.

  2. Patient-reported outcome measures (PROMs).

    Patients perception during the surgery will be assessed using a designed questionnaire (Likert scale)

    Time frame: Seven postoperative days.

  3. Postoperative pain

    A registration of the postoperative pain using a Visual Analog Scale (VAS) from 0mm to 100mm, meaning 0mm no pain and 100mm the maximum pain.

    Time frame: Seven postoperative days.

  4. Analgesic medication consumption record

    The patient will be asked to record all the analgesic medication intake during the first 7 postoperative days.

    Time frame: Seven postoperative days.

07

Study locations

1 site
  • Clinica Perio&Implant
    Alicante, 03007, Spain
08

References and documents

Publications

  • Vercruyssen M, Fortin T, Widmann G, Jacobs R, Quirynen M. Different techniques of static/dynamic guided implant surgery: modalities and indications. Periodontol 2000. 2014 Oct;66(1):214-27. doi: 10.1111/prd.12056. PubMed 25123770 ↗
  • Pomares-Puig C, Sanchez-Garces MA, Jorba-Garcia A. Dynamic and static computer-guided surgery using the double-factor technique for completely edentulous patients: A dental technique. J Prosthet Dent. 2022 Nov;128(5):852-857. doi: 10.1016/j.prosdent.2021.02.022. Epub 2021 Mar 31. PubMed 33810850 ↗
  • Pomares C. A retrospective study of edentulous patients rehabilitated according to the 'all-on-four' or the 'all-on-six' immediate function concept using flapless computer-guided implant surgery. Eur J Oral Implantol. 2010 Summer;3(2):155-63. Erratum In: Eur J Oral Implantol. 2011 Summer;4(2):125. Pomares Puig, Carmen [corrected to Pomares, Carmen]. PubMed 20623040 ↗
  • Jorba-Garcia A, Gonzalez-Barnadas A, Camps-Font O, Figueiredo R, Valmaseda-Castellon E. Accuracy assessment of dynamic computer-aided implant placement: a systematic review and meta-analysis. Clin Oral Investig. 2021 May;25(5):2479-2494. doi: 10.1007/s00784-021-03833-8. Epub 2021 Feb 26. PubMed 33635397 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 23, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05512845
Lead sponsor
Adrià Jorba García
Responsible party
Adrià Jorba García (Principal Investigator, University of Barcelona) — Sponsor-investigator
First posted
Aug 23, 2022
Start date
Sep 1, 2021
Primary completion
Mar 1, 2022
Completion
Mar 31, 2022
Last update
Aug 23, 2022

Study contacts

Adrià Jorba-García, DDS, MS
principal investigator · University of Barcelona
Carmen Pomares-Puig, MD, DDS
study chair · University of Valencia
M Angeles Sánchez-Garcés, MD, MS, PhD
study chair · University of Barcelona

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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