Evidence map›Paper›PMID 26470711›Full record

Trial reportTrials2015

Interaction of titanium, zirconia and lithium disilicate with peri-implant soft tissue: study protocol for a randomized controlled trial.

Katharina Kuhn, Heike Rudolph, Michael Graf, Matthias Moldan, Shaoxia Zhou, Martin Udart, Andrea Böhmler, Ralph G Luthardt

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Katharina KuhnDepartment of Prosthetic Dentistry, Center of Dentistry, Ulm University, Ulm, Germany. katharina.kuhn@uniklinik-ulm.de.
Heike RudolphDepartment of Prosthetic Dentistry, Center of Dentistry, Ulm University, Ulm, Germany. heike.rudolph@uniklinik-ulm.de.
Michael GrafDepartment of Prosthetic Dentistry, Center of Dentistry, Ulm University, Ulm, Germany. michael.graf@uniklinik-ulm.de.
Matthias MoldanDepartment of Prosthetic Dentistry, Center of Dentistry, Ulm University, Ulm, Germany. matthias.moldan@uniklinik-ulm.de.
Shaoxia ZhouDepartment of Clinical Chemistry, Ulm University, Ulm, Germany. shaoxia.zhou@uniklinik-ulm.de.
Martin UdartInstitut für Lasertechnologien in der Medizin und Messtechnik, Ulm University, Ulm, Germany. martin.udart@ilm-ulm.de.
Andrea BöhmlerInstitut für Lasertechnologien in der Medizin und Messtechnik, Ulm University, Ulm, Germany. andrea.boehmler@ilm-ulm.de.
Ralph G LuthardtDepartment of Prosthetic Dentistry, Center of Dentistry, Ulm University, Ulm, Germany. ralph.luthardt@uniklinik-ulm.de.
Universität Ulm · DEInstitute for Laser Technology in Medicine and Measurement Technique · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAgainst the background of increasing use of dental implants, and thus an increasing prevalence of implant-associated complications, a deeper understanding of the biomolecular mechanisms in the peri-implant tissue is needed. Peri-implant soft tissue is in direct contact with transmucosal dental implant abutments. The aim of this trial is to distinguish the biomolecular and histological interactions of various dental abutment materials with peri-implant soft tissue. METHODS/

designThe study is designed as a prospective, randomized, investigator-initiated clinical pilot trial with blinded assessment. We will ultimately include 24 eligible patients who opt for implant treatment to replace a single missing posterior tooth. Three months after implantation (submerged procedure), the study begins with the second-stage surgery. Each of the 24 patients will be given three different transmucosal abutments (zirconia, lithium disilicate, titanium) consecutively. The sequence in which the three materials are used is randomized. Peri-implant crevicular fluid is sampled weekly around the respective abutment for biomolecular analyses. After one month of wearing time, the stamping press from the second-stage surgery is used to gain a narrow gingival ring biopsy around the abutment for immunohistochemical analyses. The next abutment is then inserted. The same procedure is used for all three abutments. After sampling is completed, the patients will receive a definitive crown. The primary outcome measure of the trial is biomolecular detection of specific markers in the peri-implant crevicular fluid: matrix metalloproteinase 8, interleukin- 1β, polymorphonuclear elastase, and myeloid-related protein MRP8/14 (calprotectin). Secondary outcome measures include immunohistochemical analyses and clinical parameters. DISCUSSION: The study design will allow us to perform correlation analyses between the clinical indices with biomarkers' expression in the interface of the transmucosal abutments and the peri-implant soft tissue. A deeper understanding of the three abutment materials' interactions with peri-implant soft tissue will help us understand the formation mechanisms of implant-associated complications and then develop prevention strategies.

trial registrationThe trial is registered at the German Clinical Trial Register and the International Clinical Trials Registry Platform by the WHO under DRKS00006555 (Registered on 27 October 2014).

Indexed as

Dental AbutmentsDental Implants, Single-ToothDental PorcelainTitaniumZirconiumAdolescentAdultAgedBiomarkersBiopsyCrownsDental Implant-Abutment DesignDental Implantation, EndosseousFemaleGermanyGingival Crevicular FluidBiomarkersDental PorcelainIL1B protein, humanInterleukin-1betaLeukocyte ElastaseLeukocyte L1 Antigen Complexlithia disilicateMatrix Metalloproteinase 8MMP8 protein, humanTitaniumZirconiumzirconium oxide

Identifiers

PMID26470711
PMCPMC4608119
OpenAlexW2128273769

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.