Alveolar Ridge Augmentation, Tissue Donors, Tissue Transplantation
Conditions
Brief summary
This study will compare peri implant tissue stability following connective tissue graft harvested fromLateral Palate or the Tuberosity Area. As far as we know, it remains controversial whether peri-implant soft tissue stability could be achieved after soft tissue augmentation with the connective tissue graft from the tuberosity or the lateral palate. Soft tissue stability evaluated by intra oral scanner will be described as primary outcome.
Detailed description
Ridge resorption is a common finding after tooth extraction. Recently, there is an increasing concern about this issue during implant-supported reconstruction in the esthetic zone. Although the previous studies supports the guided bone regeneration procedures for reconstruction of contour deficiencies, the replacement of the mineralized materials with the bone has been questioned. Therefore, recently, using connective tissue grafts instead of allogenic or xenogenic materials has been addressed. The palate is routinely used as the donor site for harvesting the connective tissue graft. The graft can be harvested by de-epithelialized method or it can be harvested conventionally from deep palate during flap elevation. Another choice for harvesting the connective tissue graft is the tuberosity area, which can be used when you need small to moderate amount of soft tissue (around 1-2 implants). The connective tissues harvested from these sites have quite different characteristics, which might influence on the fate of the treatment in terms of the stability. therefore, we decided to compare the stability of the grafts harvested from the deep palate or tuberosity.
Interventions
PROCEDUREconnective tissue graft
Connective tissue graft surgery will be done for increasing soft tissue volume. In this methods connective tissue will be harvested from lateral palate or tuberosity area.
Sponsors
Tehran University of Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. more than 18 years old. 2. systemically and periodontally healthy patients. 3. need of single implant placement between two maxillary teeth. 4. need of tissue augmentation due to concavity or soft tissue thickness less than 2 millimetres . 5. more than 3 month after extraction. 6. full mouth plaque index lesser than 20%. 7. sufficient mesiodistal and buccolingual space. 8. At least 10 millimetres mesiodistal dimension in tuberosity. 9. sufficient implant primary stability. 10. at least 6 mm crestal ridge width.
Exclusion criteria
1. History of periodontitis and radiotherapy. 2. Need of horizontal ridge augmentation. 3. Previous soft tissue augmentation. 4. Heavy smoker( more than 10 cigarette per day) 5. Local or systemic conditions that would interfere with routine periodontal therapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| soft tissue volume change 0-3 | from baseline (immediately before surgery) to 3 months | changes of soft tissue volume from baseline (immediately before surgery) to 3 months by intra oral scanner |
| soft tissue volume change 0-6 | from baseline (immediately before surgery) to 6 months | changes of soft tissue volume from baseline (immediately before surgery) to 6 months by intra oral scanner |
| soft tissue volume change 3-6 | from 3 months to 6 months | changes of soft tissue volume from 3 months to 6 months by intra oral scanner |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The level of the pain by questionnaire through visual analogue scale | immediately after surgery | evaluation of the level of the pain by questionnaire through visual analogue scale method |
| Palliative 0-7 | immediately after surgery to 7 days later | the number of palliatives the patient used during the first week after surgery |
| Pink aesthetic score | 3 months after surgery | evaluation of the aesthetic score by photography |
Countries
Iran
Contacts
Primary ContactNeda Moslemi, Periodontist
Outcome results
None listed