Home » Trials » SLCTR/2026/029


Comparison of Oral Health–Related Quality of Life in Patients with Distal Extension Denture Bases Rehabilitated Using Cast and Flexible Partial Dentures: A six month follow up

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SLCTR Registration Number

SLCTR/2026/029


Date of Registration

27 Oct 2026

The date of last modification

Oct 27, 2026



Application Summary


Scientific Title of Trial

Comparison of Oral Health–Related Quality of Life in Patients with Distal Extension Denture Bases Rehabilitated Using Cast and Flexible Partial Dentures: A six month follow up


Public Title of Trial

Comparison of Oral Health-Related Quality of Life in Patients with Mandibular Distal Extension Partial Edentulism Rehabilitated with Cast and Flexible Partial Dentures: A Randomized Controlled Trial


Disease or Health Condition(s) Studied

Oral Health.


Scientific Acronym

None


Public Acronym


Brief title

Comparison of Oral Health related Quality of life (OHRQoL) in Patients with Distal Extensions Bases Removable Partial Denture (RPD)


Universal Trial Number

U1111-1343-9359


Any other number(s) assigned to the trial and issuing authority

ANDC/RAC/2026/136


Trial Details


What is the research question being addressed?

Among adults with mandibular Kennedy Class I or II distal extension partial edentulism, is there a difference in the change in oral health-related quality of life from baseline to six months between patients rehabilitated with cast partial dentures and those rehabilitated with flexible partial dentures?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Device feasibility


Study Phase

Not Applicable


Intervention(s) planned

Study setting: The study will be conducted in the Department of Prosthodontics, Islam Dental College, Sialkot, and Azra Naheed Dental College, The Superior University, Lahore. Randomization: Eligible participants who provide informed consent will be randomly allocated in a 1:1 ratio to either the flexible removable partial denture group or the cast partial denture group. A computer-generated block randomization sequence will be used. Variable block sizes of 4 and 6 will be used to maintain balanced allocation while reducing predictability of the sequence. Allocation concealment will be maintained using sequentially numbered, opaque, sealed envelopes prepared according to the randomization sequence. The allocation envelope will be opened only after a participant has been enrolled and baseline assessment has been completed. Intervention group – Flexible removable partial denture: Participants allocated to the intervention group will receive a flexible removable partial denture fabricated using Vertex™ ThermoSens flexible resin. The denture will be fabricated, finished, fitted and adjusted according to the manufacturer's instructions and standard clinical prosthodontic procedures. Comparator group – Cast partial denture: Participants allocated to the comparator group will receive a cast removable partial denture fabricated with a cobalt-chromium framework (CERACAST C-C) and heat-activated acrylic denture base, following standard prosthodontic laboratory and clinical procedures. Insertion and follow-up: The assigned prosthesis will be inserted after completion of fabrication and clinical evaluation. Both groups will receive equivalent clinical instructions regarding insertion, removal, hygiene and maintenance. Necessary post-insertion adjustments will be provided according to clinical need. Outcome assessments will be performed using the same procedures and at the same predefined time points in both groups: baseline before prosthesis insertion, one month after insertion and six months after insertion.


Inclusion criteria

  1. Male and female adults aged 30–60 years.
  2. Patients with Kennedy Class I or Class II mandibular distal extension partial edentulism.
  3. Distal extension involving missing mandibular molars and at least the second premolar.
  4. Patients requiring rehabilitation with a removable partial denture.
  5. Patients who are able to understand and respond to the Oral Health Impact Profile-14 (OHIP-14) questionnaire.

Exclusion criteria

  1. Active oral pathology that may influence the study outcomes.
  2. Temporomandibular joint disorder.
  3. Neurological disease affecting the ability to respond reliably to the questionnaire.
  4. Oral or other relevant neoplasia.
  5. Dependence on a caregiver for routine oral/denture care.
  6. A bedridden condition that prevents attendance for scheduled follow-up.
  7. Any condition judged by the investigators to interfere with fabrication, use or assessment of the study prosthesis.


Primary outcome(s)

1.

Between-arm difference in mean change in total Oral Health–Related Quality of Life (OHIP-14) score. OHIP-14. Each item is scored 0–4, giving a total of 0–56; higher scores indicate poorer oral health-related quality of life.

[

Baseline 6 months post insertion.

]

Secondary outcome(s)

1.

Between-arm difference in mean change in total OHIP-14

[

1 month post insertion

]
2.

Between-arm difference in mean change in each OHIP-14 domain score (functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, handicap). Each domain is the sum of its two items (0–8).

[

Baseline 1 month post insertion 6 months post insertion.

]

Target number/sample size

20 subjects (10 in each arm)


Countries of recruitment

Pakistan


Anticipated start date

2026-11-01


Anticipated end date

2027-07-01


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

none


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2023-03-09


Approval number

ANDC/RAC/2023/30 and IDC/3/112


Details of Ethics Review Committee

Name: Azra Naheed Dental College
Institutional Address:Main Campus: 31-Tipu, New Garden Town, Lahore. University Campus: 17-km Main Raiwind Road, Lahore.
Telephone:092-042-111-00-00-78, 092-042-35330361-3
Email:

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr.Naveed Inayat
Professor
Azra Naheed Dental College Superior University, 17km Raiwind Rd, Kot Araian, Lahore, 54000
+924238104228
+923334436164

naveed.inayat@superior.edu.pk

Contact Person for Public Queries

Dr. Mahvish Wahad Khan
Assistant Professor
Avicenna Medical & Dental College DHA Phase IX, Bedian Road, Lahore
+924237167562
+923004000343

mahvishwahad@avicennamch.edu.pk


Primary study sponsor/organization

Azra Naheed Dental College

31-Tipu, New Garden Town, Lahore.



Secondary study sponsor (If any)







Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

Yes


IPD sharing plan description

De-identified individual participant data underlying the results reported in the publication will be made available, including baseline demographic characteristics and individual OHIP-14 scores collected at baseline, one month and six months after prosthesis insertion. The study protocol and statistical analysis plan will also be made available where appropriate. Data will be shared with researchers who submit a methodologically sound research proposal for an approved scientific purpose, including secondary analyses and individual participant data meta-analysis. Requests should be directed to the Principal Investigator via the contact email provided in the trial record. Data requestors may be required to sign a data access agreement, and all shared data will be de-identified.


Study protocol available

Yes


Protocol version and date


Protocol URL


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results