Dental Implant, Free Gingival Graft, Smoking
Conditions
Brief summary
There are studies investigating the dimensional changes following free gingival graft (FGG) around teeth with inadequate attached gingiva, however no study investigating the effect of smoking on dimensional changes following FGG around dental implants exists. In the present study, we hypothesized that smoking might increase the dimensional change of FGG around dental implants and affect the healing of donor site.
Interventions
Following recipient site preparation, free gingival graft obtained from palatal mucosa was applied to buccal sites of dental implants having inadequate keratinized attached mucosa.
Sponsors
Study design
Eligibility
Inclusion criteria
Implants with inadequate attached gingiva on the buccal site, which placed in posterior region at least 1 year ago, and loaded with a fixed prosthetic restoration at least 6 months ago.
Exclusion criteria
Implants with peri-implantitis, patients who had previously the soft or hard tissue graft surgery at the site in question, patients who had previously operated from the donor site, patients with systemic disease that may interfere with periodontal surgery, patients taking any medication that can prolong bleeding, patients with immune system disease, infectious diseases such as hepatitis or HIV, individuals under the age of 18, and women with pregnant or breastfeeding.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| dimensional change of free gingival graft | 0,1, 3, 6 months | the changes in vertical dimension of free gingival graft was measured by functional and visual methods intra-orally by individual stents, and horizontal dimension of free gingival graft was measured on digital photographs using specific software. |
| change in total free gingival graft area | 0, 7th day, 1,3, 6 months | total free gingival graft area was calculated on digital photographs using specific software. |
Secondary
| Measure | Time frame |
|---|---|
| Depth of vestibule sulcus | 0, 7th day, 1,3, 6 months |
| tissue thickness of recipient and donor sites | 0, 7th day, 1,3, 6 months |
| VAS | 0,1,2,3,4,5,6,7. days |