All-on-6 upper jaw implants placed with stackable guided surgery and immediate loading
Official title: All-on-X (Full-arch Implant-supported Rehabilitation) Stackable Surgical Guides for Maxillary Terminal Dentition: a 2-year Retrospective Analysis
Run by Menoufia University · NCT07353619 · Data updated 2026-11-12
This study will test whether a fully digital stackable guided surgery workflow with immediate loading works well for adults needing full-arch upper jaw (All-on-6) implants.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 40 Years to 70 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Menoufia University Academic / other |
| Locations | 1 site (Shibīn al Kawm, Menoufia) |
| Status | Recruiting |
| Started | January 1, 2024 |
| Main results expected | March 1, 2026 |
| Study ends | May 1, 2026 |
| Registry record updated | January 20, 2026 |
| Trial ID | NCT07353619 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with terminal maxillary dentition treated with a prosthetically driven All‑on‑6 protocol using a fully digital stackable guided surgery workflow, immediate loading, and complete clinical and radiographic records are ideal candidates.
✕Probably not a fit
Patients with uncontrolled systemic disease, prior head and neck radiotherapy, untreated periodontal or peri‑implant infection, severe maxillary atrophy, need for simultaneous bone grafting, FP‑3 prosthetic design, or cases done without guided surgery or immediate loading are unlikely to benefit or be included.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a retrospective analysis of a prospectively maintained clinical database of adults with terminal maxillary dentition treated with a prosthetically driven All-on-6 protocol. Planning used three-dimensional imaging and dedicated software to design stackable surgical guides that allow guided bone reduction and fully guided implant placement, followed by immediate loading when insertion torque reached at least 35 Ncm. Patients received screw-retained provisional fixed prostheses on multi-unit abutments with minimized occlusal contacts and were followed clinically and radiographically for a minimum of two years. Primary outcome is implant survival at six months, with secondary peri-implant clinical parameters and regression analysis to explore the influence of surgical and prosthetic variables including basal seating guide design.
Why it matters
Potential benefit: If successful, this technique could speed up upper‑jaw rehabilitation and produce predictable implant survival and peri‑implant health for patients needing full‑arch implants.
How similar studies have gone: Previous reports of All‑on‑X protocols with guided surgery and immediate loading have generally shown high implant survival rates, though the specific use of stackable guides for guided bone reduction is less extensively reported.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Adult patients presenting with terminal dentition of the maxillary arch Rehabilitation with a maxillary All-on-6 implant-supported complete fixed dental prosthesis Treatment performed using a fully digital stackable guided surgery workflow Immediate loading with a provisional fixed prosthesis Availability of complete clinical and radiographic records Minimum follow-up period of 2 years Prosthetic design classified as (Fixed prosthesis) FP-1 or FP-2 according to Misch classification Exclusion Criteria: Uncontrolled systemic conditions contraindicating implant surgery History of head and neck radiotherapy Presence of untreated periodontal or peri-implant infection at the time of surgery Incomplete or missing clinical or radiographic records Cases requiring simultaneous bone grafting procedures Severe maxillary atrophy (Cawood and Howell Class III-V) Cases requiring FP-3 prosthetic design Rehabilitation performed without guided surgery or without immediate loading
Where it's running
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Faculty of Dentistry
Shibīn al Kawm, Menoufia, Egypt Recruiting
Study contacts
- Principal investigator: Mohammed El-Sawy, PhD — Menoufia University
- Study coordinator: Mohammed El-Sawy, PhD
- Email: Dr_sawy@windowslive.com
- Phone: 00201061314522
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.