Novel Soft Tissue Augmentation Technique Using Free Gingival Graft Simultaneous With Posterior Mandibular Implant

Misr International University22 enrolled

Overview

Presence of keratinized tissue (KT) around dental implants, plays a crucial role in stability and health of peri-implant tissues. Several studies reported that, minimum of 2 mm keratinized tissue width is required to achieve long-term longevity. Insufficient keratinized mucosa leads to biofilm accumulation, soft tissue inflammation, eventually peri-implant mucositis and peri-implantitis. Hence, the aim of the present trial is to evaluate KTW gain, linear and volumetric changes in buccal soft tissue along with hard tissue alterations following implant restoration at sites treated either with delayed implant placement \&amp; simultaneous FGG or the conventional FGG protocol prior to implant placement.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Free Gingival Graft Free Gingival Graft Volume Change Keratinized Tissue

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Adults at or above the age of 18. * Lower Posterior missing tooth/ teeth with minimal KT \< 2mm * Sufficient alveolar ridge length minimum 13-15 mm to IAN •. Sufficient alveolar ridge width minimum of 6 mm * Patients able to tolerate surgical periodontal procedures. * Patients who provided an informed consent and accepted the one-year follow-up period. Exclusion Criteria * Patients diagnosed with periodontal diseases (Caton et al., 2018). * Current or previous smokers. * Pregnant and lactating females. * Patients with medical conditions that would compromise the surgical procedures; uncontrolled diabetes mellitus, taking intravenous Bisphosphonates for treatment of osteoporosis. * Patients with active infection related to the site of implant. * Patients with parafunctional habits. * Patients with shallow vestibule

Outcomes

Primary Outcomes

Keratinized tissue width

Measure Clinically and Digitally at 0 - 3 - 6 - 12 months postoperative

Time frame: 0 - 3 - 6 - 12 months

Secondary Outcomes

Linear changes in buccal soft tissue contour

Time frame: 0-3, 0-6, 0-12 Months

Interdental Papilla height changes

Time frame: 12 months

Midfacial margin changes

Time frame: 12 Months

Crestal bone level changes

Time frame: 12 Months

Bone labial to the implant

Time frame: 12 Months

Survival Rate

Time frame: 12 Months

Novel Soft Tissue Augmentation Technique Using Free Gingival Graft Simultaneous With Posterior Mandibular Implant

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts