UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000033316
Receipt number R000037978
Scientific Title Influence of using oral appliances during sleep on conditions of remaining teeth and residual ridges in removable partial denture wearers
Date of disclosure of the study information 2018/07/07
Last modified on 2023/01/09 16:33:20

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Basic information

Public title

Influence of using oral appliances during sleep on conditions of remaining teeth and residual ridges in removable partial denture wearers

Acronym

Influence of OA on sleep bruxism in RPD wearers

Scientific Title

Influence of using oral appliances during sleep on conditions of remaining teeth and residual ridges in removable partial denture wearers

Scientific Title:Acronym

Influence of OA on sleep bruxism in RPD wearers

Region

Japan


Condition

Condition

partially edentulous dental arch
sleep bruxism

Classification by specialty

Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the influence of using oral appliances (night dentures) during sleep on the conditionds of remaining teeth (including periodontal tissues) and residual ridges in partial removable denture wearers.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

tooth mobility

Key secondary outcomes

clinical periodontal examination
tooth attrition
residual ridge condition
quality of sleeping
radiographic examination


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Device,equipment

Interventions/Control_1

wearing oral appliances (night denture) duaring sleep at night

Interventions/Control_2

wearing no oral appliances duaring sleep at night

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

diagnosed with sleep bruxism
wearring removable partial denture
classified as B-2 to B-4 with Eichner's classification

Key exclusion criteria

Acute symptoms of oral and craniofacial diseases
Currently under periodontal treatment(except supportive periodontal therapy)
Current use of an oral appliance during sleep
Having an abutment tooth conected with next tooth with fixed prosthesis
Contraction of infectious disease or systemic disease(leukemia, HIV, etc.)

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Junichiro
Middle name
Last name Wada

Organization

Division of Oral Health Sciences,
Track of Medical and Dental Sciences,
Graduate School of Medical and Dental Sciences,
Tokyo Medical and Dental University (TMDU)

Division name

Department of Removable Partial Prosthodontics

Zip code

113-8510

Address

1-5-45, Yushima, Bunkyo-ku, Tokyo, Japan

TEL

03-5803-5515

Email

wadajun.rpro@tmd.ac.jp


Public contact

Name of contact person

1st name Junichiro
Middle name
Last name Wada

Organization

Tokyo Medical and Dental University (TMDU)

Division name

Department of Removable Partial Prosthodontics

Zip code

113-8510

Address

1-5-45, Yushima, Bunkyo-ku, Tokyo, Japan

TEL

03-5803-5515

Homepage URL


Email

wadajun.rpro@tmd.ac.jp


Sponsor or person

Institute

Tokyo Medical and Dental University (TMDU)

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Medical and Dental University (TMDU)

Address

1-5-45, Yushima, Bunkyo-ku, Tokyo, #113-8510, Japan

Tel

03-5803-5515

Email

wadajun.rpro@tmd.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 07 Month 07 Day


Related information

URL releasing protocol

https://center6.umin.ac.jp/cgi-bin/ctr/ctr_view_reg.cgi?recptno=R000037978

Publication of results

Published


Result

URL related to results and publications

https://www.jstage.jst.go.jp/article/jpr/advpub/0/advpub_JPR_D_21_00230/_pdf/-char/ja

Number of participants that the trial has enrolled

36

Results

At 6-month follow-up examination (T6), the mobility of the removable partial denture (RPD) abutment tooth (PTV) in intervention group was significantly lower than that in control group. PTV was significantly lower at T6 than that at baseline (T0) in intervention group. It can be concluded that a night denture placement might inhibit the increase in mobility of RPD abutment teeth and be effective in protecting them in RPD wearers with sleep bruxism.

Results date posted

2023 Year 01 Month 09 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Removable partial denture (RPD) wearers with a diagnosis of sleep bruxism (SB) using a miniature electromyogram device (BiteStrip).

Participant flow

The candidates for this trial were removable partial denture (RPS) wearers who visited the Tokyo Medical and Dental University (TMDU) Dental Hospital. The inclusion criteria were as follows: classified B2-B4 based on the Eichner classification, continuous use of RPD(s) for at least 1 month, and reasonable oral hygiene. The exclusion criteria were as follows: acute dental and periodontal disease, all RPD abutment teeth connected to other teeth with fixed prostheses, and current use of RPD or ND during sleep. All candidates were informed of the study purpose in written descriptions of the protocol before they provided consent to participate.
Before recruitment, candidates were screened for SB using a miniature electromyogram device (BiteStrip). BiteStrip counts the amount of masseter muscle activity above the 30% of the maximum voluntary contraction level and produces a four-grade score based on the number of counted events (L: less than 30 events; 1: 31-60 events; 2: 61-100 events; 3: more than 101 events). In this study, candidates with a BiteStrip score of 2 or 3 were diagnosed with SB and recruited as participants. After recruitment, all abutment teeth on which the direct retainers were designed were assessed using clinical periodontal examinations. In addition, participants were also assessed for SB using BiteStrip at the 6-month follow-up assessment.
Afterward, the participants were randomly allocated into two groups: the intervention group (wearing night denture (ND) during sleeping) and the control group (wearing nothing during sleeping).

Adverse events

None.

Outcome measures

Mobility of removable partial denture abutment tooth measured using electronic tooth mobility measuring device (Periotest).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 07 Month 05 Day

Date of IRB

2018 Year 09 Month 27 Day

Anticipated trial start date

2020 Year 09 Month 30 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 07 Month 07 Day

Last modified on

2023 Year 01 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037978


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name