Efficacy of Gingival Grafts During the Implantation Process in the Increasing of Peri-implant Keratinized Tissue Width and Soft Tissues Thickness
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Damascus University
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- The thickness of the peri-implant soft tissues
Study Overview
Brief Summary
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.
Detailed 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 21 Years to 83 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patients who have lost posterior teeth (premolars or molars).
- •A decrease in the amount of keratinized gingiva (less than 2 mm from the alveolar process to the mucogingival junction).
- •good oral health (plaque index ≤1).
Exclusion Criteria
- •heavy smokers (more than 10 cigarettes per day)
- •uncontrolled diabetes or other systemic diseases.
Arms & Interventions
Free gingival graft
Free gingival graft will be applied and and followed for 3 months
Intervention: Efficacy of free gingival grafts during in the increasing of peri-implant keratinized tissue width and soft tissues thickness (Other)
Connective tissue graft
Connective tissue graft will be applied and and followed for 3 months
Intervention: Efficacy of connective tissue grafts during in the increasing of peri-implant keratinized tissue width and soft tissues thickness (Other)
No grafts will be applied.
No grafts of any types will be applied.
Intervention: No types of grafts will be made to improve the quality of the peri-implant mucosa (Other)
Outcomes
Primary Outcomes
The thickness of the peri-implant soft tissues
Time Frame: after 1 month and 3 months
The thickness of the peri-implant soft tissues will be measured clinically by the direct transgingival propping method.
The width of the keratinized gingiva
Time Frame: after 1 month and 3 months
The width of the keratinized gingiva will be measured using a UNC-15 probe from the middle of the alveolar process at the site studied to the mucogingival junction, which was determined by the rollover technique.
Secondary Outcomes
No secondary outcomes reported