Clinical trial Recruiting at 1 site Observational Ages 40 to 70

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 typeObservational
Ages40 Years to 70 Years
SexAll
Enrollment40 (estimated)
SponsorMenoufia University
Academic / other
Locations1 site (Shibīn al Kawm, Menoufia)
StatusRecruiting
StartedJanuary 1, 2024
Main results expectedMarch 1, 2026
Study endsMay 1, 2026
Registry record updatedJanuary 20, 2026
Trial IDNCT07353619 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

  • Faculty of Dentistry
    Shibīn al Kawm, Menoufia, Egypt
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.