Dental, Implant
Conditions
Keywords
implant, connective tissue graft, xenogenic membrane
Brief summary
This clinical trial aims to evaluate the effectiveness of the Modified Vascularized Interpositional Periosteal Connective Tissue Graft (mVIP-CTG) compared to Xenogeneic Collagen Matrix (XCM) around immediate implant in esthetic zone . This study will assess outcomes such as keratinized tissue thickness, keratinized tissue width, pink esthetic score and radiographic buccal cortex thickness over a defined follow-up period. By comparing mVIP-CTG to XCM, the study seeks to determine which method provides superior clinical and aesthetic results for best soft tissue augmentation
Detailed description
This study investigates two surgical techniques for managing peri-implant soft tissue deficiencies: the Modified Vascularized Interpositional Periosteal Connective Tissue Graft (VIP-CTG) and the Xenogeneic Collagen Matrix (XCM). Peri-implant soft tissue deficiencies, characterized by inadequate tissue volume or recession around dental implants, can lead to complications such as implant exposure, sensitivity, and aesthetic concerns. Conventional treatment methods aim to enhance soft tissue volume and improve the aesthetic and functional outcomes of implants. The mVIP-CTG approach utilizes autogenous pedicle grafts to improve tissue thickness and width, potentially enhancing soft tissue integration and thickness around immediate implants. In contrast, XCM is a xenogenic membrane offering a minimally invasive alternative substitute for soft tissue regeneration. The study design includes randomized assignment of participants to either the mVIP-CTG group or XCM group, with standardized surgical and follow-up protocols. Primary and secondary outcomes will include peri-implant soft tissue thickness, keratinized tissue width, pink esthetic score, and radiographic buccaal cortex thickness. Statistical analysis will evaluate the comparative effectiveness of both techniques in promoting peri-implant soft tissue regeneration and aesthetic recovery.
Interventions
PROCEDUREconnective tissue graft
10 patients received mVIP-CTG
DEVICExenogenic collagen membrane
10 patients received XCM
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
- * systemically healthy * teeth indicated for extraction due to trauma or root fracture * periodontally healthy * Good oral health * Selected patients of both sexes are 20-40 years old.
Exclusion criteria
* parafunctional habits * smoking, alcoholism * pregnancy * lactation * untreated periodontal diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| keratinized tissue thickness | baseline, 3 months, 6 months | measurement of Kertinized tissue thickness around implant using endodontic file |
| keratinized tissue width | baseline, 3 months and 6 months | measurement of keratinized tissue width using graduated UNC-15 Probe |
| buccal cortex thickness | baseline and 6 months | measurement of buccal cortex thickness using CBCT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pink esthetic score | baseline and 6 months | measurement of pink aesthetic using visual scale of pink asethetic score |
Countries
Egypt
Outcome results
None listed