Peri-implant Mucosa Thickness
Conditions
Keywords
microneedling, hyaluronic acid, I-PRF, gingival thickness, peri-implant
Brief summary
This study aims to compare the use of microneedling alone versus with hyaluronic acid or i-PRF in conjunction with microneedling in peri-implant mucosa in the esthetic zone to test the superior increase in gingival thickness.
Detailed description
Despite the rising demand for esthetics and the prevailing use of dental implants in the recent era, the soft tissue remains a dilemma that affects patients' satisfaction and the implants' longevity in the oral environment, especially in the esthetic region of the maxilla. Various studies have been done to test the effectiveness of microneedling, hyaluronic acid, and i-PRF as alternative non-invasive or minimally invasive methods targeting tissue enhancement in the gingiva, and have proven that they have notable and desirable results. However, there is a lack in the literature regarding the use of these previously mentioned treatment options with regard to peri-implant soft tissue, and which of the delivered solutions offers superior results with reference to peri-implant mucosa in conjunction with microneedling.
Interventions
Hyaluronic acid (HA) is a genuine linear glycosaminoglycan that is present within the extracellular matrix of connective, epithelial, and neural tissues.
Injectable PRF (i-PRF) is a notable method in enhancing soft tissue phenotypes, relying on its injectable form that can be well delivered to targeted areas to ensure proper distribution of growth factors and cytokines.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with delayed implants placed in the maxillary esthetic region in correct positioning and angulation * Patients with peri-implant gingival thickness ≤ 1 mm * Patients with healthy gingiva and who can maintain good oral hygiene around implants
Exclusion criteria
* Marginal bone loss ≤ 2 mm * Patients with peri-implantitis or periodontitis * Patients with systemic conditions or diseases impairing healing or soft tissue metabolism * Pregnant or lactating females * Patients taking medications affecting the gingiva
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Peri-implant gingival thickness | 6 months |
Contacts
Ain Shams Univeristy
Ain Shams University