Marginal Bone Loss, Soft Tissue Augmentation at Dental Implants
Conditions
Keywords
Implantology, Buccal Fat Pad, Immediate Implant, Palatal Gingival Graft, Socket Seal, Soft tissue graft, Posterior Maxilla
Brief summary
The aim of this interventional study is to evaluate the best method to place the autogenous soft tissue grafts for primary closure over immediately-placed dental implants. \- Primary hypothesis, there is no differences between the two techniques of placement.
Detailed description
The peri-implant mucosa provides protection to the underlying bone via its immune response and protection from apical biofilm migration. An adequate band of attached keratinized mucosa limit early marginal bone loss and improved aesthetic outcomes around implant prostheses. There are several effective socket seal surgery (SSS) techniques to improve the clinical results in the preservation of the alveolar ridge and lessen bone resorption. Autologous soft tissue grafts still provide the gold standard in gaining keratinized tissue and mucosal thickness compared to autologous substitutes on the market. Simultaneous soft tissue grafts at the time of implant placement can counteract the reduction in ridge width and maintain the ridge architecture regardless of the soft tissue phenotype at the site.
Interventions
PROCEDUREFree autogenous soft tissue grafts
Free autogenous soft tissue grafts (Buccal Pad Fat and Palatal Gingival Graft) that will be placed over immediately-placed dental implants
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Good oral hygiene. * Medically free from systemic diseases that actually contraindicate implant surgery. * Patient cooperation. * The presence of the intact walls of the socket after tooth extraction.
Exclusion criteria
* General contraindications for dental and/or surgical treatments. * Concurrent or previous radiotherapy of head area. * Smoking. * Pregnancy. * Patients refused the procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Marginal Bone Loss | 6 months postoperative | Marginal Bone Loss around immediately-placed dental implants will be measured in millimeters on cross-sectional view of CBCT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Soft Tissue Healing | At insertion of the prosthetic part (T0) After 2-month post-insertion of the prosthetic part | Using Pink Esthetic Score |
Countries
Egypt
Outcome results
None listed