Autogenous Soft Tissue Grafts for Primary Closure Over Immediately Placed Dental Implants (BFP - FGG)

Mansoura University

Status: Not yet enrolling

Conditions: Soft Tissue Augmentation at Dental Implants; Marginal Bone Loss

Treatments: Procedure: Free autogenous soft tissue grafts

Study type: Interventional

Funder types: Other

Identifiers

NCT07327047

RP.25.05.3

Details and patient eligibility

About

The aim of this interventional study is to evaluate the best method to place the autogenous soft tissue grafts for primary closure over immediately-placed dental implants.

- Primary hypothesis, there is no differences between the two techniques of placement.

Full description

The peri-implant mucosa provides protection to the underlying bone via its immune response and protection from apical biofilm migration. An adequate band of attached keratinized mucosa limit early marginal bone loss and improved aesthetic outcomes around implant prostheses. There are several effective socket seal surgery (SSS) techniques to improve the clinical results in the preservation of the alveolar ridge and lessen bone resorption.

Autologous soft tissue grafts still provide the gold standard in gaining keratinized tissue and mucosal thickness compared to autologous substitutes on the market. Simultaneous soft tissue grafts at the time of implant placement can counteract the reduction in ridge width and maintain the ridge architecture regardless of the soft tissue phenotype at the site.

Enrollment: 20 estimated patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Good oral hygiene.
• Medically free from systemic diseases that actually contraindicate implant surgery.
• Patient cooperation.
• The presence of the intact walls of the socket after tooth extraction.

Exclusion criteria

• General contraindications for dental and/or surgical treatments.
• Concurrent or previous radiotherapy of head area.
• Smoking.
• Pregnancy.
• Patients refused the procedure.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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20 participants in 2 patient groups

Free autogenous soft tissue graft that will be placed without split thickness flaps

Other group

Description:

Included 10 immediately-placed dental implants with free autogenous soft tissue graft that were placed without split thickness flaps.

Treatment:

Procedure: Free autogenous soft tissue grafts

Free autogenous soft tissue graft that will be placed within the prepared split thickness flaps

Other group

Description:

Included 10 immediately-placed dental implants with free autogenous soft tissue graft that were placed within the prepared split thickness flaps

Treatment:

Procedure: Free autogenous soft tissue grafts