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How different gum cutting methods during implant surgery affect healing and the natural appearance of the gums between teeth

IMPACT OF INCISION TYPES ON PAPILLA INTEGRITY AFTER SECOND STAGE IMPLANT SURGERY - nil

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/02/103820
Enrollment
45
Registered
2026-02-13
Start date
Unknown
Completion date
Unknown
Last updated
2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K081- Complete loss of teeth

Interventions

Intervention1: Second stage implant surgery done by Punch incision after 3-4 months of Implant placement followed by reassessment at respective follow ups: Second-stage implant surgery using a punch

Sponsors

Dr Kanchan Doliya
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Age and health: Adults aged 18 to 70 years, in good systemic health, with no uncontrolled systemic diseases such as diabetes or osteoporosis. 2.Gingival biotype: Thick gingival biotypes (greater than or equal to 1mm) to minimize confounding due to thin tissue responses. 3.Adequate oral hygiene: Patients with adequate oral hygiene. 4.Good compliance: Patients who could undertake further consultation in due time.

Exclusion criteria

Exclusion criteria: 1.Systemic conditions: Patients with systemic diseases like uncontrolled diabetes, immune disorders, or cardiovascular complications. 2.Acute oral infections: Presence of untreated infections, abscesses, or inflammatory conditions around the surgical area. 3.Thin gingival biotypes: Gingival tissue less than 1mm thick, as it may lead to greater susceptibility to recession and compromised healing. 4.Non compliance: Patients unable to maintain follow up appointments or adhere to post surgical care instructions.

Design outcomes

Primary

MeasureTime frame
The outcomes of this thesis are to evaluate and compare how different second stage implant techniques (mid crestal incision, punch incision, and laser) affect the preservation of interdental papilla, healing quality, patient comfort, and overall esthetic results after implant surgery.Timepoint: Follow-ups are marked at multiple intervals: 3 4 months post-implant, 2 weeks post-second stage, at crown placement and at 3 6 months after crown placement to confirm stability of papilla form.

Secondary

MeasureTime frame
Evaluation of papilla integrity by using digital measurements (ImageJ software) and indices such as Jemt s papilla index and Pink esthetic scoreTimepoint: 3 4 months post-implant, 2 weeks post-second stage, at crown placement and at 3 6 months after crown placement

Countries

India

Contacts

Public ContactDr Anjani Kumar Pathak

Faculty of Dental Sciences, King George Medical University

anjanipathak@kgmcindia.edu9415373505

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Mar 14, 2026