Keratinized Mucosa
Conditions
Keywords
keratinized tissue width , porcine collagen matrix
Brief summary
Aim of the Study To evaluate the using of porcine collagen matrix for keratinized tissue augmentation around delayed dental implant. Primary Outcome: Peri-implant keratinized mucosal width and thickness following the use of porcine collagen matrix using (Mucoderm®-Botiss gmbh) compared to the gold standard FGG augmentation. Secondary Outcome: 1. Crestal bone change (CBC) 2. Pocket depth (PD) 3. Bleeding on probing (BOP) 4. Plaque index (PI) PICOT P: Population: Patient with suitable ridge dimension for delayed implant placement. I: Intervention: Implant insertion followed by porcine collagen matrix soft tissue augmentation C: Control: Autogenous FGG O: Outcomes * Enhancing keratinized mucosal width and thickness * Evaluating : 1. Crestal bone change (CBC) 2. perimplant Pocket depth (PD) 3. Bleeding on probing (BOP) 4. Plaque index (PI) 5. Modified PES. T: Time A 6 months follow up .
Detailed description
this study aiming to augment KMW with FGG and MUCODERM following apically positioned flap the primary outcomes to measure is KMW and MT
Interventions
the study is done to patient who lacks of keratinized mucosa width by apically positioned flap and using of FGG as gold standard and Mucoderm as compartive group
Sponsors
Study design
Eligibility
Inclusion criteria
* 1- Partially or fully edentulous sites with previous implant placed in posterior maxillary or mandibular areas. 2- Inadequate keratinized tissue ≤2 3- Patient age ranged from 20 to 45 years old for both genders. 4- Submerged Osteointegrated implants with no sings of inflammation before implant insertion. 5- Optimal compliance as evidenced by no missed treatment appointments and positive attitude toward oral hygiene.
Exclusion criteria
* 1- Smokers 2- Pregnant or lactating female 3- Treatment with any systemic drug that could affect wound healing (ex- corticosteroids ) 4- History of systemic disease affect wound healing ex diabetes 5- Patient with bruxism and parafunctional habits. 6- Limited inter arch restoration space.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Keratinized mucosa width | 1 month , 3 month , 6 months follow up | before the operation reading , immediately after operation , 1 month follow up , 3 months follow up and 6 months follow up the reading will done using periodontal probe |
| keratinized tissue thickness | 1 month , 3 month , 6 months follow up | measures the Keratinized tissue thickness using periodontal probe |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| probing depth for adjacent teeth | 6 months | probing depth for adjacent teeth |
| bleeding on probingn | 1 month , 3 month , 6 months follow up | bleeding on probing for this patient is mesure using papillary bleeding index. |
| crestal bone loss around dental implant | 1 month , 3 month , 6 months follow up | measuring crestal bone loss around implant using CBCT and periapical xray |
Countries
Egypt