Wound Dehiscence
Conditions
Brief summary
This case report describes a novel technique for management of peri-implant wound dehiscence that involves using auto graft from the same surgical site to seal the dehiscence defect.
Interventions
Thick lingual flap was de-epithelized and partially dissected to increase its length then flipped and sutured to the buccal flap to obtain primary closure
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adult patients in a healthy systemic condition. 2. Both genders 3. Patients should have single missing tooth. 4. Seibert Class I ridge defect. 5. Patients should approve to deliver a signature to a written consent after study nature explanation.
Exclusion criteria
* 1- Patients with any smoking habits. 2- Pregnant females, decisional impaired individuals, Prisoners and handicapped patients. 3- Patients having poor oral hygiene or not wanting to carry out oral hygiene measures. 4- Patients with infections either periodontally or periapically.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| complete primary intention healing of the wound dehiscence | 3 months | complete uneventful healing will be assessed clinically by measuring soft tissue width and thickness using periodontal probe under local anesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| esthetic outcome and patient satisfaction. | 3 months | esthetic outcome will be measured using pink esthetic score. Pink esthetic score (PES) will be recorded for five variables: mesial papilla, distal papilla, curvature of the facial mucosa, level of the facial mucosa, and root convexity/soft tissue color and texture at the facial aspect of the implant site. A score of 2, 1, or 0 will be assigned to all five parameters. also patient satisfaction will be recorded using: • (VAS) Visual analogue scale to measure postoperative pain. Pain score reported by the patient. directly through Visual Analogue Scale score (from 0 to 10. 0: no pain, 1: minimal pain, 5: moderate pain, 10: severe pain) which will be recorded after 2 weeks (Yildirim et al., 2017) |
Countries
Egypt