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CTRI Number  CTRI/2025/07/090576 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 25/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing Joined vs. Separate Dental Implants: Which Lasts Longer and Works Better? 
Scientific Title of Study   Comparative evaluation of splinted and non-splinted abutments with variable connections.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr K Anusha Ravindra  
Designation  Ph D Student 
Affiliation  Sri Siddhartha Dental College and Hospital 
Address  Room No.4,Department of Prosthodontics,Sri Siddhartha Dental College and Hospital, Agalakote B H Road,Tumakuru

Tumkur
KARNATAKA
572107
India 
Phone  9964155888  
Fax    
Email  anusharavindra5888@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramesh Chowdhary 
Designation  Professor 
Affiliation  Sri Siddhartha Dental College and Hospital 
Address  Room No.4, Department of Prosthodontics, Sri Siddhartha Dental College and Hospital Agalakote B H Road Tumakuru

Tumkur
KARNATAKA
572107
India 
Phone  9845206898  
Fax    
Email  drramc@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ramesh Chowdhary 
Designation  Professor 
Affiliation  Sri Siddhartha Dental College and Hospital 
Address  Room No.4, Department of Prosthodontics, Sri Siddhartha Dental College and Hospital Agalakote B H Road Tumakuru

Tumkur
KARNATAKA
572107
India 
Phone  9845206898  
Fax    
Email  drramc@yahoo.com  
 
Source of Monetary or Material Support  
Dr K Anusha Ravindra Sri Siddhartha Dental College and Hospital Sri Siddhartha Academy of Higher Education 
 
Primary Sponsor  
Name  Dr K Anusha Ravindra 
Address  Sri Siddhartha Dental College, B H Road, Agalkote, Tumkur-572107 
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 
Dr K Anusha Ravindra  Sri Siddhartha Dental College and Hospital  Room no.4, Department of Prosthodontics, Agalakote, B.H.Road
Tumkur
KARNATAKA 
9964155888

anusharavindra5888@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Siddhartha Dental College and Hospital Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K068||Other specified disorders of gingiva and edentulous alveolar ridge,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nobel Biocare Spiral Implants  Caparison between Step implant abutment connection (90 degree) and Morse taper implant abutment connection (11 degree) in both single and splinted implants in 80 cases. 
Intervention  Straumann TISLA Implants  Caparison between Step implant abutment connection (90 degree) and Morse taper implant abutment connection (11 degree) in both single and splinted implants in 80 cases. 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  participants with single or two mandibular posterior teeth missing and requiring implant treatment for the same
Participants should not have any contraindication for dental surgery
Participants must have sufficient bone quality and quantity for implant placement as determined by clinical and radiographic evaluations Sufficient bone height and width to place at least 10 mm length and 3.8 diameter Minimum inter arch space should be ideal 10-12 mm
Participants must be able to understand the study requirements and provide informed consent
 
 
ExclusionCriteria 
Details  Participants with uncontrolled systemic diseases such as diabetes cardiovascular disease or immunodeficiency disorders
Heavy smokers more than 10 cigarettes per day or those unwilling to cease smoking during the study period
Participants currently on medications that could interfere with bone healing such as bisphosphonates or corticosteroids
Patients who were completely edentulous and wearing complete denture
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Stability  Every 3 months for 2 years 
 
Secondary Outcome  
Outcome  TimePoints 
survival  2 years 
Peri implant bone loss  2 years 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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   N/A 
Date of First Enrollment (India)   01/01/2026 
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 Applicable 
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [anusharavindra5888@gmail.com].

  6. For how long will this data be available start date provided 01-06-2026 and end date provided 01-06-2031?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This randomized clinical trial aims to compare the stability, survival, and marginal bone loss of two implant abutment connection Conical Hex Morse taper and Step butt joint in screw and cement retained restorations. A total of 80 patients are divided into two parts 40 with a single mandibular molar missing and 40 with two posterior teeth missing. Each part has subgroups based on implant type and retention method. Diagnostic records, CBCT, and intraoral scans are used for planning. A delayed loading protocol is followed, with follow-up at 3, 6, 12, and 24 months. Bone loss is measured radiographically stability via ISQ values. Statistical analysis will be done using SPSS with ANOVA Kruskal Wallis and post hoc tests. The study aims to guide clinicians in selecting optimal implant-abutment systems for long-term success.

 
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