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The influence and relationship of flap tension and graft size on gain of mucosal thickness: A prospective cohort study ('Flap Tension')

Not Applicable
Recruiting
Conditions
Soft-tissue dehiscence in the upper jaw (single tooth implant or pontic)
Registration Number
DRKS00025804
Lead Sponsor
niversität Zürich, Zentrum für Zahnmedizin, Klinik für Rekonstruktive Zahnmedizin
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria

• Maxillary single implant sites with two neighboring teeth or pontic sites with two neighboring teeth aimed for reconstruction with an FDP or an RBB
• GBR procedures and implant surgeries at least 3 months ago (if performed)
• Biologic or esthetic indication for a soft tissue augmentation
• Clinical attachment level >80% at neighboring teeth

Exclusion Criteria

• Active periodontitis (PD =5mm)
• Smoking of >10 cigarettes per day
• General contraindications for dental and/or surgical treatment
• Uncontrolled diabetes
• Pregnancy or breast feeding
• Disease affecting connective tissue metabolism (e.g. collagenases)
• Allergy to collagen-based substitutes
• Allergy against local anesthetics

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Volumetric change from Baseline (visit 1) to 8 weeks of healing following soft tissue augmentation (visit 4), based on intraoral scans (STL-files)
Secondary Outcome Measures
NameTimeMethod
• Initial soft tissue thickness (CBCT scan)<br>• Flap tension at wound closure (measured with a high precision advanced force strain gauge)<br>• Volume gain following surgery (Superimposition of STL files)<br>• Flap thickness at surgery (with caliper)<br>• Surgery time from first incision to last suture<br>• Mucosal scarring index at 1 week following surgery
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