Efficacy of Gingival Grafts During the Implantation Process on the Peri-implant Mucosa

Damascus University

Status: Completed

Conditions: Transplants; Dental Implants

Treatments: Other: Efficacy of connective tissue grafts during in the increasing of peri-implant keratinized tissue width and soft tissues thickness; Other: No types of grafts will be made to improve the quality of the peri-implant mucosa; Other: Efficacy of free gingival grafts during in the increasing of peri-implant keratinized tissue width and soft tissues thickness

Study type: Interventional

Funder types: Other

Identifiers

NCT06065254

UDDS-Perio-01-2023

Details and patient eligibility

About

This study aims to compare the changes in the peri-implant mucosa during the application of two soft tissue grafting methods, which are free gingival graft (FGG) and connective tissue graft (CTG) taken from the palatine in terms of the width of the keratinized mucosa and the thickness of the peri-implant soft tissues.

Full description

The presence of adequate width of the keratinized gingiva may be necessary in some special cases such as the presence of fixed prostheses on the teeth with sublingual margins or peri implants. There is an association between insufficiency of the keratinized tissues peri implants with greater plaque accumulation, signs of inflammation, soft tissue recession, and loss of attachment. The sample will consist of 33 dental implant sites and divide randomly into three groups: Group I (Experiential, n=11): FGG; Group II: (Experiential, n=11): CTG; and Group III: (Control, n=11): No procedure will be done to improve the quality of the peri-implant tissues. The width of the keratinized gingiva will be measured preoperative with a UNC-15 and the thickness of the peri-implant soft tissues will be measured clinically by direct transgingival propping method. These measurements will be repeated after 1 and 3 months.

Enrollment: 18 patients

Sex: All

Ages: 21 to 83 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. patients who have lost posterior teeth (premolars or molars).
2. A decrease in the amount of keratinized gingiva (less than 2 mm from the alveolar process to the mucogingival junction).
3. good oral health (plaque index ≤1).

Exclusion criteria

1. heavy smokers (more than 10 cigarettes per day)
2. uncontrolled diabetes or other systemic diseases.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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18 participants in 3 patient groups

Free gingival graft

Experimental group

Description:

Free gingival graft will be applied and and followed for 3 months

Treatment:

Other: Efficacy of free gingival grafts during in the increasing of peri-implant keratinized tissue width and soft tissues thickness

Connective tissue graft

Experimental group

Description:

Connective tissue graft will be applied and and followed for 3 months

Treatment:

Other: Efficacy of connective tissue grafts during in the increasing of peri-implant keratinized tissue width and soft tissues thickness

No grafts will be applied.

Other group

Description:

No grafts of any types will be applied.

Treatment:

Other: No types of grafts will be made to improve the quality of the peri-implant mucosa