Novel Soft Tissue Augmentation Technique Using Free Gingival Graft Simultaneous With Posterior Mandibular Implant

Misr International University

Status: Enrolling

Conditions: Keratinized Tissue; Free Gingival Graft Volume Change; Free Gingival Graft

Treatments: Procedure: One Step Protocol; Procedure: Two Steps Protocol

Study type: Interventional

Funder types: Other; NETWORK

Identifiers

NCT06645925

IDCE - 13

Details and patient eligibility

About

Presence of keratinized tissue (KT) around dental implants, plays a crucial role in stability and health of peri-implant tissues. Several studies reported that, minimum of 2 mm keratinized tissue width is required to achieve long-term longevity. Insufficient keratinized mucosa leads to biofilm accumulation, soft tissue inflammation, eventually peri-implant mucositis and peri-implantitis. Hence, the aim of the present trial is to evaluate KTW gain, linear and volumetric changes in buccal soft tissue along with hard tissue alterations following implant restoration at sites treated either with delayed implant placement & simultaneous FGG or the conventional FGG protocol prior to implant placement.

Enrollment: 22 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Adults at or above the age of 18.

• Lower Posterior missing tooth/ teeth with minimal KT < 2mm

• Sufficient alveolar ridge length minimum 13-15 mm to IAN

  •. Sufficient alveolar ridge width minimum of 6 mm

• Patients able to tolerate surgical periodontal procedures.

• Patients who provided an informed consent and accepted the one-year follow-up period.

Exclusion Criteria

• Patients diagnosed with periodontal diseases (Caton et al., 2018).
• Current or previous smokers.
• Pregnant and lactating females.
• Patients with medical conditions that would compromise the surgical procedures; uncontrolled diabetes mellitus, taking intravenous Bisphosphonates for treatment of osteoporosis.
• Patients with active infection related to the site of implant.
• Patients with parafunctional habits.
• Patients with shallow vestibule

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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22 participants in 2 patient groups

One Step Protocol

Experimental group

Description:

FGG simultaneous with delayed implant placement

Treatment:

Procedure: One Step Protocol

Two Steps protocol

Active Comparator group

Description:

Conventional FGG protocol, prior to implant placement

Treatment:

Procedure: Two Steps Protocol