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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12609000617268
Ethics application status
Approved
Date submitted
8/07/2009
Date registered
27/07/2009
Date last updated
27/07/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of systemic antibiotics on clinical and patient-centered outcomes of implant therapy- a randomised controlled clinical trial
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Scientific title
The effect of systemic peri-operative antibiotic coverage on clinical and patient-centered outcomes in systemically healthy adults undergoing dental implant therapy
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Universal Trial Number (UTN)
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Trial acronym
Antibiotics and patient centred outcomes in implant surgery
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
surgical placement of dental implants
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Condition category
Condition code
Oral and Gastrointestinal
4835
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Antibiotics during implant surgery as follows:
Pre-operative antibiotics oral tablets of 2 g amoxicillin 1 hour prior to standard implant placement test group 1
Post-operative antibiotics oral tablets of 2 g amoxicillin following implant placement test group 2,
Pre-operative antibiotics oral tablets of 2 g amoxicillin 1 hour prior to standard implant placement and 500 mg thrice daily on days 2 through 3 after standard implant placement for test group 3.
The control group will be given a placebo tablet
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Intervention code [1]
4310
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Treatment: Drugs
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Comparator / control treatment
placebo oral tablet (sugar pill) of 2g 1 hour prior to standard implant placement without any antibiotics.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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patient centered outcomes
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Assessment method [1]
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Timepoint [1]
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Visual analogue scores (VAS) on pain, swelling, bruising and bleeding will be completed by the patients on day 1,2,3,4,5,6 in the evenings before they go to bed. The Visual analogue scores for day 7 and day 14 will be completed at the chairside, as the patients will visit the clinic for suture removal and re-evaluation.
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Primary outcome [2]
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Presence of surgical complications will be assessed. Such complications might include: suppuration, intra oral swelling extra oral swelling intra / extra oral hematoma incomplete flap closure absess The evaluation of such complications will be dichotomous: presence or absence
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Assessment method [2]
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Timepoint [2]
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1 week, 2 weeks, 4 weeks and 8 weeks after surgery
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Secondary outcome [1]
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clinical parametres of oral tissue healing conditions assessed through clinical examination (healing complications such as swelling, incomplete closure f the surgical flap, post surgical infection, suppuration etc)
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Assessment method [1]
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Timepoint [1]
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1 week, 2 weeks, 4 weeks and 8 weeks after surgery
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Eligibility
Key inclusion criteria
adult patients who require implant therapy for replacement of missing teeth, but are otherwise systemically healthy
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Minimum age
20
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
pregnacy, previous antibiotic use for 6 months, allergy in Penicillin and related antibiotics, smoking.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients candidates for receiving oral implants within the Griffith University clinic will be offered the chance to enrol in teh study if they fullfill all inclusion criteria.
allocation concealment will be done by sealed opaque envelopes prepared in the centre of Singapore, where the study administration resides.
The study will be double blind and patients will be assigned to treatment or control group through predetermined lists
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
55
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
1883
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4215
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Recruitment outside Australia
Country [1]
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Singapore
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State/province [1]
1715
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Country [2]
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Spain
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State/province [2]
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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International Team of Implantology (ITI)
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Address [1]
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ITI Centre Peter Merian-Weg 10 4052 Basel, Switzerland
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Country [1]
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Switzerland
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Primary sponsor type
Charities/Societies/Foundations
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Name
International Team of Implantology (ITI)
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Address
ITI Centre
Peter Merian-Weg 10
4052 Basel, Switzerland
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Country
Switzerland
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Secondary sponsor category [1]
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University
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Name [1]
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Griffith University
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Address [1]
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16-30 High Street Southport, Gold Coast QLD 4216
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Country [1]
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Australia
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Other collaborator category [1]
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Government body
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Name [1]
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National Institute of Health, National Dental Centre
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Address [1]
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5 Second Hospital Avenue Singapore 168938
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Country [1]
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Singapore
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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National Dental Centre Institutional Review Board
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Ethics committee address [1]
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5 Second Hospital Avenue Singapore 168938
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Ethics committee country [1]
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Singapore
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Date submitted for ethics approval [1]
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16/11/2008
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Approval date [1]
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05/03/2009
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Ethics approval number [1]
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112/2008
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Summary
Brief summary
The aims of the study are to determine the effect of various systemic antibiotic prophylaxis regimes on patient-centred outcomes and perceptions, postsurgical complications in patients undergoing standard oral implant therapy. The hypothesis is that the use of both peri-operative and/or post-operative systemic antibiotics does not provide additional benefits, in terms of decreasing postsurgical complications. 336 medically healthy adults who are consecutively admitted to 7 study centres for standard oral implant therapy will be randomly assigned to one of the 4 groups (3 test and 1 control groups). Pre-operative antibiotics of 2 g amoxicillin 1 hour prior to standard implant placement will be prescribed to test group 1 (positive control), post-operative antibiotics of 2 g amoxicillin following implant placement for test group 2, and pre-operative antibiotics of 2 g amoxicillin 1 hour prior to standard implant placement and 500 mg thrice daily on days 2 through 3 after standard implant placement for test group 3. The control group will be given a placebo tablet of 2g 1 hour prior to standard implant placement without any antibiotics. Subjects will be examined clinically by blinded examiners at 1 week, 2 weeks, 4 weeks and 8 weeks from implant installation for post-operative complications. In addition, Visual analogue scores (VAS) on pain, swelling, bruising and bleeding will be obtained from the patients from day 1 through day 7 and 14. The present study will answer an important clinical question with regards to the recommendation of antibiotic usage to prevent post-operative complications (suppuration) with oral implant placement and to recommend a protocol of pre-, peri- or post-operative administration of antibiotics, if required.
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Trial website
n/A
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Trial related presentations / publications
Do preoperative antibiotics prevent dental implant complications? Balevi B. Evid Based Dent. 2008;9(4):109-10 [Dental implant-related infections] López-Cerero L. Enferm Infecc Microbiol Clin. 2008 Nov;26(9):589-92. Early wound healing following one-stage dental implant placement with and without antibiotic prophylaxis: a pilot study. Khoury SB, Thomas L, Walters JD, Sheridan JF, Leblebicioglu B. J Periodontol. 2008 Oct;79(10):1904-12. Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complications. Esposito M, Grusovin MG, Talati M, Coulthard P, Oliver R, Worthington HV. Cochrane Database Syst Rev. 2008 Jul 16;(3):CD004152.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Nikos Mattheos
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Address
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16-30 High Street QLD 4215 Southport
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Country
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Australia
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Phone
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+61 7 5678 0725
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Nikos Mattheos
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Address
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16-30 High Street QLD 4215 Southport
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Country
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Australia
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Phone
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+61 7 5678 0725
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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