How to Place Autogenous Soft Tissue Grafts Ideally for Primary Closure Over Immediately Placed Dental Implants? A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Marginal Bone Loss
研究概览
简要总结
The aim of this interventional study is to evaluate the best method to place the autogenous soft tissue grafts for primary closure over immediately-placed dental implants.
- Primary hypothesis, there is no differences between the two techniques of placement.
详细描述
The peri-implant mucosa provides protection to the underlying bone via its immune response and protection from apical biofilm migration. An adequate band of attached keratinized mucosa limit early marginal bone loss and improved aesthetic outcomes around implant prostheses. There are several effective socket seal surgery (SSS) techniques to improve the clinical results in the preservation of the alveolar ridge and lessen bone resorption.
Autologous soft tissue grafts still provide the gold standard in gaining keratinized tissue and mucosal thickness compared to autologous substitutes on the market. Simultaneous soft tissue grafts at the time of implant placement can counteract the reduction in ridge width and maintain the ridge architecture regardless of the soft tissue phenotype at the site.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Good oral hygiene.
- •Medically free from systemic diseases that actually contraindicate implant surgery.
- •Patient cooperation.
- •The presence of the intact walls of the socket after tooth extraction.
排除标准
- •General contraindications for dental and/or surgical treatments.
- •Concurrent or previous radiotherapy of head area.
- •Pregnancy.
- •Patients refused the procedure.
研究组 & 干预措施
Free autogenous soft tissue graft that will be placed within the prepared split thickness flaps
Included 10 immediately-placed dental implants with free autogenous soft tissue graft that were placed within the prepared split thickness flaps
干预措施: Free autogenous soft tissue grafts (Procedure)
Free autogenous soft tissue graft that will be placed without split thickness flaps
Included 10 immediately-placed dental implants with free autogenous soft tissue graft that were placed without split thickness flaps.
干预措施: Free autogenous soft tissue grafts (Procedure)
结局指标
主要结局
Marginal Bone Loss
时间窗: 6 months postoperative
Marginal Bone Loss around immediately-placed dental implants will be measured in millimeters on cross-sectional view of CBCT
次要结局
- Soft Tissue Healing(At insertion of the prosthetic part (T0) After 2-month post-insertion of the prosthetic part)
- Soft Tissue Healing(1 to 2 weeks postaugmentation)