Modified Pedicle Subepithelial Connective Tissue Graft for Interdental Papillary Reconstruction Around Delayed Implants in the Esthetic Zone: A Case Series Trail (delay implant)

Ahmed Sadek Mohamed

Status: Unknown

Conditions: Papilla Reconstruction

Treatments: Procedure: papilla reconstruction

Study type: Interventional

Funder types: Other

Identifiers

NCT04843826

PER 111

per 122 (Registry Identifier)

Details and patient eligibility

About

This case series trial aims to evaluate the effect of a modified pedicle subepithelial connective tissue graft in creating anatomical papilla around one-stage delayed implant in the esthetic zone to establish better esthetics.

Full description

• Preparation of the implant site will be prepared by a crestal incision on the ridge bisecting the existing keratinized mucosa and vertical releasing incisions extending to the vestibule. The papillae of the adjacent teeth are not included in the flap design.
• A full thickness flap will be raised buccally exposing the underlined ridge of the implant site. A surgical drill guide will be used for the precise placement of the pilot drill. After pilot drill application, the osteotomy will be prepared with the corresponding size of parallel drill.
• The implant will be placed in the recipient site by means of an insertion device. The implant neck will be positioned flushing with the crestal bone level.
• The healing abutment extension of the implant will be placed in such a way that the head of the implant protruded about 2 to 3 mm from the bone crest.
• Reassessment of the case to assure absence of any signs of inflammation and presence of normal tissues before the surgical procedure

Enrollment: 10 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Exclusion Criteria:

1. Pregnant females.
2. Smokers as smoking is a contraindication for any plastic periodontal surgery (Khuller, et al., 2009)
3. Handicapped and mentally retarded patients.
4. Patients undergoing radiotherapy.
5. Presence of systemic disease that would affect wound healing

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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10 participants in 1 patient group

delayed implant

Experimental group

Description:

1. Patients 18 years or older. 2. Periodontally and systemically healthy. 3. Sufficient bone width and height for implant placement 4. Adequate mesiodistal width and inter-arch space for placement of a delayed implant. 5. Full mouth plaque index less than 15% (Bentley and Disney, 1995) 6. cooperative patients who will comply to follow up visits

Treatment:

Procedure: papilla reconstruction