Three-dimensional Changes in Free Gingival Grafts Around Dental Implants
Evaluation of the Three-dimensional Changes in Free Gingival Grafts Around Dental Implants
Biruni University
32 participants
Nov 10, 2024
INTERVENTIONAL
Conditions
Summary
The purpose of this study is to evaluate the stability of the free gingival graft dimensions around dental implants and to compare three-dimensional changes according to smoking status. Its primary goal is to provide an answer to: Is this grafting procedure stable around dental implants? Are there any differences in tissue stability between smoker and non-smoker patients? Our study consists of 2 groups: The first group includes smoker patients who need free gingival grafts around their dental implants (n=16). The second group includes non-smoker patients who need free gingival grafts around their dental implants (n=16). Clinical measurements will be recorded at the baseline, 1st month, 3rd month, and 6th month of the study. An intraoral digital scanner will be used to measure the dimension changes of the graft at the baseline, after the surgery, 1st month, 3rd month, and 6th month of the study. Wound healing will be evaluated on postoperative days 10, 1 month, 3 months, and 6 months. Visual Analog Scale will be used to measure postoperative pain, and the number of painkillers taken will be recorded.
Eligibility
Inclusion Criteria5
- Periodontal and peri-implant tissue health
- Good oral hygiene (plaque accumulation <20%)
- Either around the functioning implant or in patients scheduled for second-stage surgery following implant surgery <2 mm keratinized gingiva on the vestibular side of the implant
- No systemic disease and medication use that may affect soft tissue healing.
- Volunteering to participate in the study
Exclusion Criteria6
- Systemic disease that is a contraindication to the surgical procedure,
- Uncontrolled diabetes (HbA1c > 7),
- Being pregnant or breastfeeding,
- Autoimmune and/or inflammatory diseases of the oral cavity,
- Active periodontal disease,
- Incorrectly positioned implants
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Interventions
After adequate local anesthesia is achieved, a horizontal incision will be placed at mucogingival junction level to prepare the recipient bed. A split-thickness flap will be raised without disturbing the periosteum. A free gingival graft will be obtained from the palate. The graft will be shaped and sutured to the recipient surface.
Locations(1)
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NCT06399198