Interventions for Patients With a Shortened Dental Arch (SDA-RCT)
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Purpose
Dental services for large sectors of the population of the Western Cape (WC) Province of South Africa (SA) has been, and continues to be, limited to low-cost treatment options and emergency services, such as extractions at public health clinics. Replacement of missing teeth for the disadvantaged majority of the population is provided almost exclusively at the dental teaching institutions. Loss of teeth in the WC Province is, as elsewhere, the result of disease and the lack of restorative care and then having these replaced by a removable partial denture, if the patient can afford it Null Hypothesis: The daily functional needs and quality of life of partially dentate adult patients with a classic Shortened Dental Arch (SDA) will not be satisfied nor improved by replacing the molars with a removable prosthesis.
| Condition | Intervention | Phase |
|---|---|---|
|
Anomaly of Dental Arch |
Device: Removable partial denture (Chrome Cobalt Distal) Other: A classic SDA |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Outcomes of Interventions for Patients With a Classic Shortened Dental Arch: A Randomized Controlled Trial |
- Patient satisfaction [ Time Frame: 6 Months ] [ Designated as safety issue: No ]
Two different tools will b used to assess primary outcomes
- Oral Indicator Dental Profile (OIDP)
- Global Visual Analogue Scale
- Success of treatment intervention [ Time Frame: 1 year ] [ Designated as safety issue: No ]Failure of intervention or patient unhappy with treatment prescribed
| Estimated Enrollment: | 2 |
| Study Start Date: | October 2012 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | March 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Removable partial denture Group
Patients with a classic SDA will be randomized into one of 2 Groups Group A will receive a removable partial denture
|
Device: Removable partial denture (Chrome Cobalt Distal)
For Group A: a distal extension removable denture will be constructed for patients with a classic SDA
Other Name: Chrome Cobalt Distal extension denture for Group A patients
|
|
Active Comparator: Shortened Dental Arch Group
Patients with a Classic SDA and not receiving any Intervention will be compared to the removable partial denture group
|
Other: A classic SDA
For Group B: Patients with a classic SDA will not be provided with a removable denture and will compared to patients in Group A
Other Name: No intervention for Group B patients
|
Detailed Description:
The aim of this research is to determine whether the daily functional needs and the quality of life of partially dentate adult patients with a classic SDA will be satisfied and improved without having the molars replaced with a removable prosthesis, as compared to having the use of such prosthesis.
Objectives: To conduct a randomized controlled trial amongst partially dentate adult patients with a classic SDA dentition (20 occluding teeth, including all incisors, canines and premolars) and where these patients will be randomly assigned to one of two groups: one group would be provided with a metal- based removable partial denture (RPD) to replace the molars bilaterally, the other will receive no treatment.
Daily functioning ability and patient satisfaction between the groups (with/without RPD) would then be compared.
Eligibility| Ages Eligible for Study: | 21 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with Classic SDA
- Specific Age limits
- Remaining teeth periodontally sound
- Lost molars in one jaw
- Both canines and one premolar should be present
Exclusion Criteria:
- Exclude patients with Angle Class 2 or 3
- Signs of Temporo-mandibular disorders
- Compliance is a problem (Alcoholism/ drug addiction)
- Risk of over-eruption of teeth
- Patients wanting removable partial dentures
Contacts and Locations| Contact: Saadika Khan, PhD | +27 21 937 3006 | skhan@uwc.ac.za |
| South Africa | |
| Saadika Khan | Not yet recruiting |
| Cape Town, Western Cape, South Africa, 7800 | |
| Contact: Saadika Khan skhan@uwc.ac.za | |
| Principal Investigator: Saadika Khan | |
| Principal Investigator: | Saadika Khan, PhD | Staff Member |
More Information
No publications provided
| Responsible Party: | Dr Saadika Khan, Dr, University of the Western Cape |
| ClinicalTrials.gov Identifier: | NCT01597206 History of Changes |
| Other Study ID Numbers: | SDA Clinical Trial, SDA South African RCT |
| Study First Received: | May 9, 2012 |
| Last Updated: | May 10, 2012 |
| Health Authority: | South Africa: Human Research Ethics Committee |
Keywords provided by University of the Western Cape:
|
randomized trial intervention shortened dental arch patient satisfaction |
Additional relevant MeSH terms:
|
Tooth Abnormalities Stomatognathic System Abnormalities Stomatognathic Diseases Tooth Diseases Congenital Abnormalities Cobalt |
Trace Elements Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013