Minimal atrophy of the mandible Loss of teeth due to accident, extraction or local periodontal disease
Conditions
Interventions
This is a randomized controlled split mouth clinical trial involving 19 partially edentulous adult participants in the posterior mandible, totaling 38 surgical sites and 38 dental implants. Each parti
Sponsors
Faculdade de Odontologia - Universidade Federal de Goiás (UFG)
Faculdade de Odontologia - Universidade Federal de Goiás (UFG)
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Age 18 years or older; need for dental implant placement to rehabilitate bilateral single tooth edentulous spaces in the posterior mandible with indication for soft tissue thickness augmentation and a minimum horizontal ridge defect of 1 millimeter; minimum width of 2 millimeters of keratinized and attached mucosa over the ridge; good systemic health; post extraction socket healing period of at least 6 months; absence of previous hard or soft tissue augmentation procedures in the surgical area; minimum ridge width of 7 millimeters and minimum bone height of 9.5 millimeters as assessed by cone beam computed tomography
Exclusion criteria
Exclusion criteria: Smokers consuming more than 10 cigarettes per day; diabetes mellitus; untreated periodontitis; diseases affecting connective tissue metabolism; chronic use of anti inflammatory drugs antibiotics or bisphosphonates; substance abuse; pregnant women or women planning pregnancy within 4 months after study initiation; history of radiotherapy in the head and neck region; dental implants previously placed in the experimental sites whether exposed or not to the oral cavity; insufficient dental spaces for adequate prosthetic rehabilitation; ongoing orthodontic treatment; oncologic patients or individuals with diseases that prevent the execution of the proposed procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the change in peri implant buccal soft tissue thickness measured clinically and digitally from baseline to 4 6 and 12 months after implant placement and prosthetic rehabilitation using clinical examination and digital analysis expressed in millimeters | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the change in horizontal ridge defect measured clinically and digitally over time using clinical examination and digital analysis expressed in millimeters;To evaluate changes in peri implant clinical parameters including plaque index bleeding on probing keratinized mucosa width and papilla height over time using clinical examination expressed as clinical indices and measurements;To evaluate marginal bone level changes using standardized radiographs expressed in millimeters;To evaluate patient reported outcomes including postoperative pain analgesic consumption oral health related quality of life and patient satisfaction using validated questionnaires and visual analog scale expressed as scores and frequencies;To evaluate surgical time required for each intervention measured during the procedure expressed in minutes;To evaluate the frequency and type of intraoperative and postoperative complications using clinical assessment expressed as frequency and type of events;To evaluate implant survival rate over the follow up period using clinical and radiographic criteria expressed as percentage of surviving implants | — |
Countries
BR
Contacts
Public ContactLucas Capeletti
Faculdade de Odontologia - Universidade Federal de Goiás (UFG)
Outcome results
None listed