Soft Tissue Augmentation Using The Dome Technique Around Immediate Implants In The Esthetic Zone. A Case Series
试验速览
- 阶段
- 不适用
- 入组人数
- 10
- 主要终点
- Pink esthetic score (PES)
研究概览
简要总结
Following tooth loss, a considerable reduction in hard- and soft-tissue volume can be expected (Tan WL, et al., 2012), (AraujoMG, et al., 2015). In the anterior maxilla, tissue loss can make future implant restorations more challenging and less predictable in terms of achieving and maintaining favorable soft-tissue-emergence profiles. Even with careful implant planning and placement, marginal gingival recession of 0.5-1 mm has been a common finding with single-tooth implants (Nisapakultorn K, et al., 2010), (Suphanantachat S, et al., 2012). This is partly attributed to bone remodeling after implant surgery, and occurs regardless of implant-placement protocol used (Hof M, et al., 2015).
详细描述
The dome technique addresses the placement of the CT, as it is layered over the implant and takes the shape of an inverted dome. The advantage of the dome CT technique is that it allows for both buccal and coronal augmentation of local soft tissue, while maximizing blood supply to the area by using tunneling-technique principles. It enhances and augments the peri-implant tissue foundation for a favorable facial and interproximal restorative emergence profile. As this technique does not involve raising an independent buccal flap, the gingival tissue of the adjacent teeth is not compromised, and thus the risk of recession and formation of black triangles on the adjacent teeth is minimized.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients with healthy systemic condition
- •Patients aged from 20 to 45 years old Availability of bone apical and palatal to the socket to provide primary stability.
- •Presence of adequate gingival architecture with the surrounding dentition
- •Patient provides an informed consent
- •Adequate Inter-arch space for implant placement
- •Favorable occlusion (no traumatic occlusion)
- •Good oral hygiene
- •Accepts 6-month follow-up period
排除标准
- •Patients with signs of acute infection related to the area of interest
- •Patients with habits that may jeopardize the implant longevity and affect the results of the study such as para-functional habits
- •Current and former smokers
- •Pregnant females
- •HIV or Hepatitis; 5/Physical handicaps that would interfere with the ability to perform adequate oral hygiene
- •Alcoholism or chronic drug abuse; 7/ Heavy smokers >10/cigarettes per day
研究组 & 干预措施
single am
single arm , superiority trial , tunneling technique in connective tissue graft around dental implants
干预措施: connective tissue grafting by Dome Technique (Procedure)
结局指标
主要结局
Pink esthetic score (PES)
时间窗: 6 months
The PES is based on seven variables mesial papilla, distal papilla, soft - tissue level, soft tissue contour, alveolar process deficiency, soft tissue color and texture . The PES is based on seven variables mesial papilla, distal papilla, soft - tissue level, soft tissue contour, alveolar process deficiency, soft tissue color and texture . it's numerical
次要结局
- Gingival Thickness(6 months)
- Post - Surgical Patient Satisfaction(6 months)
研究者
Yasmine Abbas Elsayed
professor: Mona Shoeib , associated professor: Enji ahmed mahmoud
Cairo University