The Effect of a Suturing Technique on the Gingival Tissues Around Dental Implants

Not Applicable

Completed

• Conditions: Missing Teeth; Gingival Diseases; Edentulous Jaw
• Interventions: Procedure: Choukroun's technique

• Registration Number: NCT06496776
• Lead Sponsor: Damascus University

Brief Summary

There is general agreement that a thick zone of the keratinized tissues around implants promotes accurate prosthetic procedures, permits oral hygiene maintenance, resists recession, and enables esthetic blending with surrounding tissues. A new procedure called Choukroun's technique has been suggested, and it consists of a combination of horizontal apical mattress suture with regular suture to increase the keratinized tissue in the mandibular arch during the first stage after implantation. The proposed procedure has not been evaluated yet in a cohort of patients. Therefore, this study aimed to evaluate the impact of Choukroun's technique on the width and thickness of the keratinized gingiva after oral surgery.

Detailed Description

A clinical trial will be conducted on patients referred to the Department of Oral and Maxillofacial Surgery at the Faculty of Dentistry, Al-Wataniya Private University, who have been referred to undergo dental implant surgery. The inclusion criteria for the study group were as follows: patients with mandibular missing teeth, good oral health, good general health, 18 to 70 years old, at least 1 mm thickness of keratinized gingiva, and at least 1 mm width of the attached gingiva. A total of 14 patients aged 27 to 67 years will be included in the study. After inserting the dental implants, the suturing will be conducted according to Choukroun's method.

The width and thickness of the keratinized gingiva will be assessed before surgery and at one and two months post-surgery. Repeated measures Analysis of Variance (ANOVA) will be applied to detect significant differences between assessment times.

Study Timeline

• Study Start: 2022-09-15
• Primary Completion: 2023-02-13
• Study Completion: 2023-04-15
• Status Verified: 2024-07
• Study First Submitted: 2024-07-04
• Study First Submitted QC: 2024-07-04
• Last Update Submitted: 2024-07-04
• Study First Posted: 2024-07-11
• Last Update Posted: 2024-07-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 14

Inclusion Criteria

• Patients with mandibular missing teeth
• Good oral health
• Good general health
• Male or female
• Age between 18 and 70 years old,
• Thickness of the keratinized gingiva is at least 1 mm,
• The width of the attached gingiva is at least 1 mm.

Exclusion Criteria

• Patients who are smokers
• Pregnant or lactating women
• Patients with systemic diseases
• Patients who have been taking medication in the last six months that could influence wound healing after surgery and
• Patients with oral inflammation such as periodontal disease.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Choukroun's method	Choukroun's technique	Patients in this group will have a specific suturing technique (called Choukroun's method) after dental implant insertion.

Primary Outcome Measures

Name	Time	Method
Change in the width of the keratinized gingiva	This variable will be measured at one day before surgery (T0), at one month (T1) and two months (T2) after the implant surgical insertion.	The width of the attached gingiva will be measured using a periodontal probe (William's probe). This measurement will be made at the mesial, distal, and middle positions within the surgical area (from the crest of the alveolar ridge to the mucogingival junction), and the mean of these measurements will be recorded.
Change in the thickness of the keratinized gingiva	This variable will be measured at one day before surgery (T0), at one month (T1) and two months (T2) after the implant surgical insertion.	To measure the thickness of the keratinized gingiva, an endodontic file equipped with a rubber tip will be used to penetrate the gingiva at various points within the surgical area until it reaches the bone surface. These points are located midway between the mid-crestal of keratinized gingiva and the mucogingival junction, spaced 2 millimeters apart, and extending from the mesial to the distal aspects of the surgical area. The thickness will be then measured using a ruler, and the mean of these values will be recorded.

Trial Locations

Locations (1)

Department of Oral and Maxillofacial Surgery; 🇸🇾 Hama, Syrian Arab Republic