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The Effect of Smoking on Dimensional Changes of Free Gingival Graft Around Dental Implants

Not Applicable
Completed
Conditions
Free Gingival Graft
Smoking
Dental Implant
Interventions
Procedure: Free gingival graft
Registration Number
NCT04340830
Lead Sponsor
Ege University
Brief Summary

There are studies investigating the dimensional changes following free gingival graft (FGG) around teeth with inadequate attached gingiva, however no study investigating the effect of smoking on dimensional changes following FGG around dental implants exists. In the present study, we hypothesized that smoking might increase the dimensional change of FGG around dental implants and affect the healing of donor site.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
18
Inclusion Criteria

Implants with inadequate attached gingiva on the buccal site, which placed in posterior region at least 1 year ago, and loaded with a fixed prosthetic restoration at least 6 months ago.

Exclusion Criteria

Implants with peri-implantitis, patients who had previously the soft or hard tissue graft surgery at the site in question, patients who had previously operated from the donor site, patients with systemic disease that may interfere with periodontal surgery, patients taking any medication that can prolong bleeding, patients with immune system disease, infectious diseases such as hepatitis or HIV, individuals under the age of 18, and women with pregnant or breastfeeding.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
smokerFree gingival graftThose consuming at least 10 cigarette a day for ten years were included in smoker group.
non-smokerFree gingival graftPatients who never smoke were included in non-smoker group. Patients who quit smoking were not included in this group.
Primary Outcome Measures
NameTimeMethod
dimensional change of free gingival graft0,1, 3, 6 months

the changes in vertical dimension of free gingival graft was measured by functional and visual methods intra-orally by individual stents, and horizontal dimension of free gingival graft was measured on digital photographs using specific software.

change in total free gingival graft area0, 7th day, 1,3, 6 months

total free gingival graft area was calculated on digital photographs using specific software.

Secondary Outcome Measures
NameTimeMethod
Depth of vestibule sulcus0, 7th day, 1,3, 6 months
tissue thickness of recipient and donor sites0, 7th day, 1,3, 6 months
VAS0,1,2,3,4,5,6,7. days
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