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CTRI Number  CTRI/2025/07/090131 [Registered on: 03/07/2025] Trial Registered Prospectively
Last Modified On: 02/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare different types of implant connections based on its aesthetics, survival rate and gingival health 
Scientific Title of Study   Comparison of the effect of different types of custom abutments on aesthetic and survival outcomes, and peri-implant tissue health - A randomised control trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Krishnaprasad A 
Designation  Junior resident 
Affiliation  Government Dental College, Kozhikode 
Address  Department of Prosthodontics, Room no.51, 4th Floor, Government Dental College, Government Medical College,

Kozhikode
KERALA
673008
India 
Phone  9496651997  
Fax    
Email  krishnaprasada.97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pramod Kumar A V 
Designation  Head of the department 
Affiliation  Government Dental College, Kozhikode 
Address  Department of Prosthodontics, Room no.51, 4th Floor, Government Dental College, Government Medical College,

Kozhikode
KERALA
673008
India 
Phone  9447169055  
Fax    
Email  pramodav@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Krishnaprasad A 
Designation  Junior resident 
Affiliation  Government Dental College, Kozhikode 
Address  Department of Prosthodontics, Room no.51, 4th Floor, Government Dental College, Government Medical College,

Kozhikode
KERALA
673008
India 
Phone  9496651997  
Fax    
Email  krishnaprasada.97@gmail.com  
 
Source of Monetary or Material Support  
Government Dental College, Government Medical College, Kozhikode, 673008 
 
Primary Sponsor  
Name  Krishnaprasad A 
Address  Government Dental College, Government Medical College, Kozhikode, 673008 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Krishnaprasad A  Department of Prosthodontics, Government Dental College, Kozhikode  Department of Prosthodontics, Room no.51, 4th floor, Government Dental College, Kozhikode, 673008
Thrissur
KERALA 
9496651997

krishnaprasada.97@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUITIONAL ETHICS COMMITTEE GOVERNMENT DENTAL COLLEGE, KOZHIKODE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy patients with missing teeth 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group MPA: Implants with milled PEEK custom abutment. Group ZHA: Implants with Zr hybrid custom abutment. Group PHA: Implants with PEEK hybrid custom abutment. Group DMLS: Implants with DMLS Co-Cr custom abutment.   In the above mentioned group the following parameters are assessed: 1.Gingival health: which include peri implant pocket depth (PPD), bleeding on probing (BOP) and plaque index (PI) at 1 week after final prosthesis insertion, 3 months and 6 months. 2.Marginal bone level: Immediately after final prosthesis insertion, 3 months and 6 months. 3.Pink esthetic score (PES): during the final prosthesis delivery and at 3 months and 6 months. 4.Survival rate of prosthesis: After 3 months and 6 months.  
Comparator Agent  Group PFT: Implants with prefabricated titanium implant abutments.  In the above mentioned group the following parameters are assessed: 1.Gingival health: which include peri implant pocket depth (PPD), bleeding on probing (BOP) and plaque index (PI) at 1 week after final prosthesis insertion, 3 months and 6 months. 2.Marginal bone level: Immediately after final prosthesis insertion, 3 months and 6 months. 3.Pink esthetic score (PES): during the final prosthesis delivery and at 3 months and 6 months. 4.Survival rate of prosthesis: After 3 months and 6 months.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Participants of age 18 - 60 years regardless of the gender.
2.Patients with single or multiple missing teeth to be replaced by implant prosthesis.
3.Patients with good oral hygiene and without any uncontrolled periodontal disease.
4.Sufficient mesio-distal and apico-coronal space for implant prosthesis placement.
5.Patients having stable occlusion.
6.Systemically healthy participants without any history of periodontal disease and smoking. 
 
ExclusionCriteria 
Details  1.Patients developing systemic diseases during the study that would interfere with dental implant therapy.
2.Patients who are pregnant or becoming pregnant during the course of the study.
3.Patients failing to obtain osseointegration after implant placement. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Gingival health: which include peri implant pocket depth (PPD), bleeding on probing (BOP) and plaque index (PI)
2.Marginal bone level
3.Pink esthetic score (PES)
4.Survival rate of prosthesis
 
1.Gingival health: which include peri implant pocket depth (PPD), bleeding on probing (BOP) and plaque index (PI) at 1 week after final prosthesis insertion, 3 months and 6 months.
2.Marginal bone level: Immediately after final prosthesis insertion, 3 months and 6 months.
3.Pink esthetic score (PES): during the final prosthesis delivery and at 3 months and 6 months.
4.Survival rate of prosthesis: After 3 months and 6 months.
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   02/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Comparison of the effect of different types of custom abutments on aesthetic and survival outcomes, and peri-implant tissue health - a randomised control trial. 

This study investigates the gingival health, marginal bone level, pink esthetic score and survival rate of prosthesis in 5 different groups with different types of implant abutments. The groups are Group PFT: Implants with prefabricated titanium implant abutments. Group MPA: Implants with milled PEEK custom abutment. Group ZHA: Implants with Zr hybrid custom abutment.  Group PHA: Implants with PEEK hybrid custom abutment. Group DMLS: Implants with DMLS Co-Cr custom abutment. sample size of the study is 50 and the study period is 2 years. 

The null hypothesis states that there is no significant difference in terms of aesthetic and survival outcomes, and peri-implant tissue health of Groups: MPA, ZHA, PHA and DMLS when compared to prefabricated titanium implant abutments (PHA).

The outcomes are assessed as follows

Gingival health: which include peri implant pocket depth (PPD), bleeding on probing (BOP) and plaque index (PI) at 1 week after final prosthesis insertion, 3 months and 6 months. Marginal bone levels immediately after final prosthesis insertion, 3 months and 6 months. Pink esthetic score (PES) during the final prosthesis delivery and at 3 months and 6 months. Survival rate of prosthesis after 3 months and 6 months.

 
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