ClinicalTrials.gg
RecruitingNCT07256106Updated Dec 30, 2025

Occlusion and Dis-Occlusion Time in Mandibular Overdentures Supported by Conventional Versus Mini- Dental Implants

An interventional study of mini dental implant and conventional dental implant in Dental Implant and Edentulous Mouth, sponsored by Ain Shams University. Recruiting at 2 sites in Egypt. Open to participants aged 55 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-30.

Sponsored by Ain Shams University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2026, 7 months ago, but the record still lists the study as recruiting.
  • Started Nov 2025; still recruiting 11 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
55 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 19 studies in Mouth, Edentulous with a site in Egypt — 3 open to participants now, 5 under way, none of them phase 3. Mouth, Edentulous · Egypt.

Planned enrollment
7th of 19
28 · median 26
Started
2025
the only one that year
No phase
19 of 19
3 open now
Registered
19th of 19
by date
Lead sponsor
2 of 19
Ain Shams University

Among the 19 studies in Mouth, Edentulous with a site in Egypt, this one is the 7th largest by planned enrollment, is the only one that started in 2025, is one of 19 with no phase, and was the 19th registered.

Mouth, Edentulous

124 studies on the registry are indexed under Mouth, Edentulous; 17 are open to participants now.

Browse Mouth, Edentulous studies →

Open to participants now

3 of the 19 studies in Mouth, Edentulous with a site in Egypt are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in Egypt have not opened yet or have stopped. Only those recruiting at a site in Egypt →

Who these studies take

Of the 11 Mouth, Edentulous studies recruiting now, 6 (55%) set no upper age limit and 5 (45%) stop at 75 or younger; none take children under 18; 6 take healthy volunteers.

This study: 55 Years to 70 Years · all sexes · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 19 studies in Mouth, Edentulous with a site in Egypt, or all of them as a file.
02

Study summary

The aim of the study will be comparing between the occlusion and disocclusion time in mandibular single overdenture supported with immediately loaded two conventional implants versus immediately loaded four mini-implants.

Research question Is there a difference in occlusion and disocclusion time between two mandibular single dentures, one supported by immediately loaded two conventional implants and the second one supported by immediately loaded four mini-implants? Primary outcome: occlusion and disocclusion time Secondary outcome: Kapur index The null hypothesis is that there is no difference between both treatment modalities on occlusion and disocclusion time.

Read the detailed description

Twenty eight patients will be selected to share in this study from the outpatient clinic of Prosthodontics Department, Faculty of Dentistry, Ain-Shams University.

Sample size was calculated according to these values producing a minimal sample size of Twenty eight patients being enough to find such a difference. The size was determined in the light of the study " Computerized occlusal analysis of mini-dental implant-retained mandibular overdentures: A 1-year prospective clinical study " 34 with alpha error probability of 0.05, 1-beta error probability , power of 0.8 and drop out ratio 5%.

The inclusion criteria will be patients with completely edentulous lower ridges and fully dentate or partially dentate maxillary arch restored with fixed restoration, exhibiting enough inter-arch space to allow for prosthetic rehabilitation with lower implant-retained overdentures and have good oral hygiene and motivation. The excluded patients will be patients with major systemic diseases that may affect osseointegration as uncontrolled diabetes mellitus, pregnancy, patients under bisphosphonate treatment.

The patients will make a complete oral and radiographic examination before inclusion in this study.

For allocation concealment, one of the postgraduate students who will be the only one to know the key so that the authors and the patients won't know in which group the patient will be. Afterwards, the authors will be informed by the randomization to be tabulated.

Ethical approval will be granted by the research ethics committee in the Faculty of Dentistry Ain Shams University (FDASUREC). All patients will be informed in details about the nature of the investigation and the aim of the study. Patients' data will be kept safe and confidential to protect the security and privacy of the patient information. All participants will be given notice about their privacy and their rights.

The patients will be divided into two equal groups; group (CI) and group (MI). Group CI patients will be rehabilitated with mandibular overdentures retained by two immediately loaded conventional implants inserted in the inter-foraminal region.

Group MI patients will be rehabilitated with single mandibular overdentures retained by four immediately loaded mini implants inserted in the inter-foraminal region.

During the first appointment, medical history, clinical and radiological evaluation will be recorded to verify the eligibility of each subject. To assess the residual bone anatomy, a CBCT scan will be performed according to the manufacturer's instructions with a proper field-of-view size to include both the upper and lower jaw. All patients were rehabilitated with complete single mandibular dentures prior to implant insertion. A radiopaque markers will be added to the patient's mandibular denture to make a radiographic stent. For each patient in both groups a CBCT will be made while wearing the radiographic stent.

Surgical procedures:

All surgical procedures will be performed under local anesthesia on an outpatient basis by the same surgical team.

For group CI patient, two screw type conventional implants will be inserted in the symphesial region. Crestal incision extending about 5 mm distal to each proposed implant sites will be made. A full thickness mucoperiosteal flap will be reflected exposing the bone in the proposed area.

A round bur will be used to mark the implant sites guided by the surgical stent. Preparation of implant site will start with the pilot drill placed parallel to the midline in both implant sites. Two paralleling tools will be used to check parallelism. The osteotomy preparation will be continued until the final drill. Implants will be threaded in place and the mucoperiosteal flap will be repositioned and sutured.

For group MI patient, four screw type one piece mini dental implants will be inserted in the predetermined implant sites in the symphesial region. The position of the two distal implants will be marked 6 mm mesial to each mental foramen. The position of the other two implants will be marked equidistant from the distal implants with and at least 5 mm apart.

At the marked implant site, Cortical drill will be used to penetrate cortical bone. A pilot drill will be used to drill bone up and down in a vertical direction until the desired length reached. The implant will be picked up from the sterile vial and directly inserted into the prepared site.

Post-surgical procedures:

After the surgery, areas opposing to the inserted implants will be marked on the fitting surfaces of the mandibular single denture. Abrasive stone will be used to relieve the marked areas and create enough space for the metal housing, The metal housings will be seated on the implant heads. The denture will be placed in the patient's mouth to check and ensure complete seating and proper inter-cuspal relation. Auto-polymerized dough acrylic resin will be mixed and added to the relieved areas and the denture will be reseated inside the patient's mouth. Patients will be instructed to close in centric until complete polymerization take place. The lower single denture will be removed from the patient's mouth with the metal housings in the fitting surface. The excess acrylic resin will be removed.

Method of evaluation:

Occlusal parameters: occlusion time (OT) and disocclusion time (DT) will be recorded for each patient. The patient will be asked to close on sensor in centric occlusion holding their teeth together for 1 to 3 seconds then start right eccentric movement until disoccluding their teeth. The patient will then be asked to close on sensor in centric occlusion holding their teeth together for 1 to 3 seconds then start left eccentric movement until disoccluding their teeth. This will be repeated 4 times for the right excursion (DT-right) and 4 times for the left excursion (DT-left). OT, DT-right, and DT-left were then calculated by taking the averages of the recordings.

The retention and stability of the conventional dentures will be assessed intra-orally by a single experienced examiner using the modified Kapur criteria (Olshan modification).

03

Conditions studied

  • Dental Implant
  • Edentulous Mouth

Browse trials for

Keywords

  • occlusion time
  • disocclusion time
04

Who can participate

Ages eligible
55 Years to 70 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 with completely edentulous mandibular ridges and fully dentate or partially dentate maxillary arch restored with fixed restoration,

    • enough inter-arch space to allow for prosthetic rehabilitation with lower implant-retained overdentures
    • good oral hygiene and motivation.

Exclusion criteria

Exclusion Criteria:

  • The excluded patients will be patients with major systemic diseases that may affect osseointegration as uncontrolled diabetes mellitus, pregnancy, patients under bisphosphonate treatment.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
28 participants (estimated)

Study arms

  • Active comparator
    conventional implant supported mandibular overdenture

    Group CI patients will be rehabilitated with mandibular overdentures retained by two immediately loaded conventional implants inserted in the inter-foraminal region.

    Procedure: conventional dental implant

  • Experimental
    mini-implant supported mandibular overdenture

    Group MI patients will be rehabilitated with single mandibular overdentures retained by four immediately loaded mini implants inserted in the inter-foraminal region.

    Procedure: mini dental implant

Interventions

  • Proceduremini dental implant

    For group MI patient, four screw type one piece mini dental implants will be inserted in the predetermined implant sites in the symphesial region. The position of the two distal implants will be marked 6 mm mesial to each mental foramen. The position of the other two implants will be marked equidistant from the distal implants with and at least 5 mm apart

  • Procedureconventional dental implant

    For group CI patient, two screw type conventional implants will be inserted in the symphesial region.

06

What researchers measure

Primary outcomes

  1. occlusion/dis occlusion time

    Occlusal parameters: occlusion time (OT) and disocclusion time (DT) will be recorded for each patient. The patient will be asked to close on sensor in centric occlusion holding their teeth together for 1 to 3 seconds then start right eccentric movement until disoccluding their teeth. This will be repeated 4 times for the right excursion (DT-right) and 4 times for the left excursion (DT-left). OT, DT-right, and DT-left were then calculated by taking the averages of the recordings.

    Time frame: 1 year

Secondary outcomes

  1. denture stability

    stability of the over dentures will be assessed intra-orally by a single experienced examiner using the modified Kapur criteria (Olshan modification).

    Time frame: 1 year

07

Study locations

2 of 2 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2025 (actual). Primary completion is estimated for Mar 2026, 4 months after the start.

Of 46 non-industry interventional studies with no phase under Mouth, Edentulous, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 30. This study's planned 4 months is below that.

Counting every sponsor, half of 54 studies reached it within 24 months; a quarter within 12 and three quarters within 51.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2025
First posted
Dec 1, 2025
StartActual
Nov 29, 2025
Primary completionEst.
Mar 31, 2026
CompletionEst.
Apr 15, 2026
Last update
Dec 30, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07256106
Responsible party
Ahmed Mostafa Abdelfatah (Associate professor , faculty of dentistry, Ain Shams University) — Principal investigator
First posted
Dec 1, 2025
Start date
Nov 29, 2025
Primary completion
Mar 31, 2026 (estimated)
Completion
Apr 15, 2026 (estimated)
Last update
Dec 30, 2025

Study contacts

ahmed mohamed, MD
Contact
ahmedmostafa@dent.asu.edu.eg
01111191337 ext. 002
marwa kothayer, MD
Contact
marwakothayer@dent.asu.edu.eg
01224848537 ext. 002
Ahmed Mohamed, MD
principal investigator · Faculty of dentistry, ain shams university

Oversight

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

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