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RecruitingNCT07778199Updated Aug 21, 2026

Passive Fit of Implant-Supported Frameworks: Digital vs Conventional Impressions

An interventional study of IO-Connect Digital Impression and Reverse Scan Body Digital Impression in Dental Implants, Edentulous Jaw and Passive Fit, sponsored by Mansoura University. Recruiting at 1 site in Egypt. Open to participants aged 35 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by Mansoura University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 6 months after the study started (first participant enrolled Jan 2026, registered Aug 2026).
  • Started Jan 2026; still recruiting 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
35 Years to 70 Years
Sex
All
01

Study summary

This randomized crossover clinical trial compares the passivity of fit of complete-arch mandibular implant-supported frameworks fabricated using three impression techniques: a non-calibrated splinted digital scan body system (IO-Connect), a Reverse Scan Body (RSB) digital impression technique, and a conventional splinted open-tray impression technique. Eight completely edentulous patients each receiving four mandibular implants will be included. Passivity of fit will be evaluated clinically using the Sheffield one-screw test and radiographically using intraoral periapical radiographs obtained with the parallel technique.

Read the detailed description

Full-arch implant-supported fixed prostheses require a high degree of passive fit to avoid mechanical and biological complications. While digital impression workflows are increasingly used as alternatives to conventional splinted impressions, evidence directly comparing their clinical accuracy for complete-arch implant frameworks remains limited, particularly for the IO-Connect non-calibrated splinting system and the Reverse Scan Body technique.

Eight completely edentulous patients with at least four mandibular implants will be enrolled. Using a crossover design, each patient will undergo all three impression techniques: Group I (IO-Connect splinted scan bodies), Group II (Reverse Scan Body technique), and Group III (conventional splinted open-tray impression with polyvinyl siloxane and Type IV stone casts). For each technique, a corresponding implant-supported framework will be fabricated and evaluated for passivity of fit using the Sheffield one-screw test and periapical radiographs taken with a paralleling device to assess microgaps at the implant-framework interface.

02

Conditions studied

  • Dental Implants
  • Edentulous Jaw
  • Passive Fit

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Keywords

  • Passive fit
  • Implant-supported framework
  • Digital impression
  • Full-arch implant prosthesis
  • Crossover study
03

In context

Jaw, Edentulous

122 studies on the registry are indexed under Jaw, Edentulous; 20 are open to participants now.

This study's planned enrollment of 8 is below the median of 24 across 99 interventional studies indexed under Jaw, Edentulous.

Browse Jaw, Edentulous studies →

Lead sponsor

Mansoura University is the lead sponsor of 1,119 studies on the registry; 183 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
35 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Completely edentulous patients requiring full-arch implant-supported fixed prosthesis
  • Age 35-70 years
  • Adequate mandibular bone to place at least four implants without major grafting
  • Ability to undergo digital scanning and radiographic evaluation
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Systemic conditions affecting healing (uncontrolled diabetes, )
  • History of head/neck radiotherapy or bisphosphonate therapy
  • Active oral infection or severe bruxism
  • Strong gag reflex preventing accurate scanning
  • Poor compliance or unwillingness to attend follow-up visits
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
8 participants (estimated)

Study arms

  • Active comparator
    Group I: IO-Connect

    Patients received complete-arch implant-supported frameworks fabricated using digital impressions obtained with IO-Connect non-calibrated splinted scan bodies.

    Procedure: IO-Connect Digital Impression

  • Active comparator
    Group II: Reverse Scan Body

    Patients received complete-arch implant-supported frameworks fabricated using digital impressions obtained with the Reverse Scan Body (RSB) technique.

    Procedure: Reverse Scan Body Digital Impression

  • Active comparator
    Group III: Conventional Impression

    Patients received complete-arch implant-supported frameworks fabricated using a conventional splinted open-tray impression technique.

    Procedure: Conventional Splinted Impression

Interventions

  • ProcedureIO-Connect Digital Impression

    Digital impression of the mandibular arch obtained using IO-Connect non-calibrated splinted scan bodies to fabricate the implant-supported framework for Group I.

  • ProcedureReverse Scan Body Digital Impression

    Digital impression obtained using the Reverse Scan Body (RSB) technique, involving extraoral scanning of scan bodies and superimposition with intraoral tissue scans, to fabricate the implant-supported framework for Group II.

  • ProcedureConventional Splinted Impression

    Conventional splinted open-tray impression using polyvinyl siloxane material and Type IV dental stone to fabricate the implant-supported framework for Group III.

06

What researchers measure

Primary outcomes

  1. Passive Fit Assessed by Sheffield One-Screw Test

    The framework was seated on all implants and a single distal screw was fully tightened; remaining screw sites were examined visually and tactilely for lifting, rocking, or gaps as an indicator of passive fit.

    Time frame: The evaluation of passive fit by Sheffield one-screw test will be done 3 months after implant placement (3M-IP), at framework try-in for each of the three impression techniques.

  2. Passive Fit Assessed by Periapical Radiographs

    Intraoral periapical radiographs were obtained at each implant site using a paralleling device and evaluated for microgaps at the implant-framework interface.

    Time frame: The evaluation of passive fit by periapical radiographs will be done 3 months after implant placement, at framework try-in for each of the three impression techniques.

07

Study locations

1 of 1 sites recruiting
  • Faculty of Dentistry, Mansoura University
    Al Mansurah, Dakahlia Governorate, Egypt
    Recruiting
    • Ahmed H Hazem Elsayed Helmi Atwa, BDS · Contactahmedhazem@mans.edu.eg · +20 1092758696
    • Ahmed Hazem Elsayed Helmi Atwa, BDS · Principal investigator
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

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 Jan 2026 (actual). Primary completion is estimated for Oct 2026, 9 months after the start.

Of 58 non-industry interventional studies with no phase under Jaw, Edentulous, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 30. This study's planned 9 months is below that.

Counting every sponsor, half of 66 studies reached it within 20 months; a quarter within 12 and three quarters within 38.

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

Registered
Aug 6, 2026
First posted
Aug 21, 2026
StartActual
Jan 25, 2026
Primary completionEst.
Oct 25, 2026
CompletionEst.
Jan 25, 2027
Last update
Aug 21, 2026
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 Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07778199
Responsible party
Ahmed Hazem Elsayed Helmi (Clinical Demonstrator, Department of Removable Prosthodontics, Faculty of Dentistry, Mansoura University, Mansoura University) — Principal investigator
First posted
Aug 21, 2026
Start date
Jan 25, 2026
Primary completion
Oct 25, 2026 (estimated)
Completion
Jan 25, 2027 (estimated)
Last update
Aug 21, 2026

Study contacts

Ahmed H Hazem Elsayed Helmi Atwa, BDS
Contact
ahmedhazem@mans.edu.eg
+20 1092758696
Fatma A El-Waseef, PhD
study chair · Mansoura University

Oversight

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

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