mucogingival problem around implant, deficiency in thickness and width of keratinize tissue. Minimal keratinized residual ridge mucosa
Conditions
Interventions
Intervention 1: “Intervention group one”: For treatment with Accordian method, tissue with 60% mesiodistal length of the recipient area is provided.The graft is removed with a minimum thickness of 1
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: More than one implant (with min. mesiodistal length 15 mm). The width of the keratinized tissue should be less than 2 mm.
Exclusion criteria
Exclusion criteria: Systemic disease affecting periodontal conditions and wound healing Signs of inflammation Bleeding during probing Secretion of pus and active infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| "Width of the keratinized tissue". Timepoint: evaluating Width of the keratinized tissue 1, 3, and 6 months after surgery. Method of measurement: As with similar studies, the reference point for measuring the width of the keratinized tissue is gingival margin in the central region of the implant. The width of the keratinized tissue is measured by doing the roll test and measuring the distance with the Michigan Probe to the mucogingival Line.;"Vestibular Depth". Timepoint: evaluating Vestibular Depth 1, 3, and 6 months after surgery. Method of measurement: As with similar studies, the reference point for measuring the Vestibular Depth is gingival margin in the central region of the implant. Vestibular depth is measured by measuring the margin of the gingiva in the central region of the implant with the Michigan O probe to the depth of the vestibule.;"probing depth". Timepoint: evaluating probing depth 1, 3, and 6 months after surgery. Method of measurement: The probing depth is measured as the penetration of the probe into the sulcus around the implant with the Michigan O probe.;"Plaque index". Timepoint: evaluating Plaque index 1, 3, and 6 months after surgery. Method of measurement: The amount of plaque is recorded according to the Silness & Loe index. In this index, the score is zero for the absence of microbial plaque, the score of one corresponding to the presence of a thin layer of plaque that is characterized by moving the probe on the margin of the free gingiva. If there is a moderate amount of plaque visible to the naked eye, it is awarded a score of 2 and if there is a large accumulation of a score of 3.;"bleeding on probing". Timepoint: evaluating bleeding on probing 1, 3, and 6 months after surgery. Method of measurement: Bleeding during probing is recorded as the presence or absence of bleeding during probing.;"pain". Timepoint: Pain is measured daily after surgery until total removal of pain. Method of measurement: After surgery, the pain is recorde | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNiusha Namadmalian Esfahani
Tehran University of Medical Sciences
Outcome results
None listed