Influence of Z Shaped and Conventional Sulcular Incisions on Healing and Interproximal Bone Loss in Implant Surgery
- Conditions
- Healing Surgical WoundsBone Loss
- Interventions
- Procedure: Z shaped incisionProcedure: H shaped incision
- Registration Number
- NCT04195841
- Lead Sponsor
- Krishnadevaraya College of Dental Sciences & Hospital
- Brief Summary
The present study is a human, prospective, parallel, randomised controlled clinical trial conducted to check the interproximal bone loss of Z shaped incision over conventional sulcular H shaped incision.The trial is in accordance with the Consolidated Standards of Reporting Trials (CONSORT) criteria, 2010.
- Detailed Description
Twenty healthy individuals satisfying the inclusion and exclusion criteria were recruited for the study. A detailed, thorough medical and dental history was obtained and each patient was subjected to comprehensive clinical and radiological examination. All patients were informed about the nature of the study, the surgical procedure involved, potential benefits and risks associated with the surgical procedure and written informed consent were obtained from all patients. In the test group patients Z shaped incision was done to place implants and H shaped sulcular incision was placed in control group.
The clinical and radiographic parameters were recorded at baseline,24 hours,7days, three months and six months postoperatively.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Not specified
- Target Recruitment
- 20
- Patients with single or multiple edentulous spaces in the maxillary and mandibular arches having Siebert's Class 1 and 2 ridge defects.
- Patients willing to participate in the study.
- Patients above 18 years of age.
- Patients exhibiting keratinized tissue width more than or equal to 2 mm.
- Systemically healthy patients.
- Patients who demonstrate full mouth plaque control and bleeding scores<25% and showing good compliance.
- Patients who do not give consent.
- Untreated periodontal disease, caries.
- Insufficient oral hygiene.
- Smokers.
- Previous radiation therapy.
- Patients with known systemic diseases and conditions
- Pregnant and lactating women.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Test group Z shaped incision Two horizontal incisions placed 1-2 mm away from the papilla of the teeth adjacent to the edentulous space following the mesial and distal contour of the teeth. These two horizontal incisions are then connected by an oblique incision from the disto-buccal to mesio lingual point angles. Control group H shaped incision Sulcular incisions placed in the proximal sides of the adjacent tooth facing the edentulous space in a bucco lingual direction extending between the proximal line angles Mid crestal incision performed in the attached mucosa of the edentulous area connecting the sulcular incisions of the adjacent teeth from the distal to mesial tooth
- Primary Outcome Measures
Name Time Method Inter proximal bone level 6 months Mesial and distal peri-implant radiographic bone level will be recorded in millimetres on the digital radiographs with grid at baseline and follow up
Healing 7 days Early wound healing index is assessed. values 1-5 is present. Increase in score depicts worse healing.
- Secondary Outcome Measures
Name Time Method Visual Analouge Score 7 days a questionnaire will be given to the patients in which their responses for Visual Analog Score that ranges from 1-10 values and highest values indicate the worst outcome, variation in feeding habits, analgesics dosage is recorded.
Clinical attachment level 3 months The amount of attached gingiva was measured by subtracting the probing depth from the amount of keratinised mucosa
Trial Locations
- Locations (1)
Krishnadevaraya college of dental sciences
🇮🇳Bangalore, Karnataka, India