Impact of Keratinized Mucosa Augmentation as an Adjunct to Non-Surgical Therapy in the Management of Peri-Implantitis

What this Trial Is About

Researchers are evaluating whether increasing the width and thickness of keratinized mucosa around dental implants can improve outcomes in patients with peri-implantitis who have less than 2 mm of keratinized mucosa. The study compares non-surgical peri-implantitis treatment alone to the same treatment combined with a free gingival graft (FGG) procedure. This research aims to understand if adding mucosa augmentation helps control the disease better and supports peri-implant tissue health. All participants first receive non-surgical therapy involving mechanical cleaning of implant surfaces and saline irrigation. After one month, patients in the test group undergo an additional procedure where a graft is taken from the palate and placed to increase keratinized mucosa. The control group continues with supportive periodontal care without surgery. Clinical and radiographic evaluations are done regularly to assess treatment effects. Participants attend scheduled visits for measurements including probing depth, bleeding on probing, plaque levels, keratinized mucosa width and thickness, vestibular depth, and mucosal recession. These assessments are performed by trained examiners to monitor healing and tissue changes over 12 months. The primary outcome is the change in probing depth after treatment. Safety and effectiveness of the interventions are carefully tracked throughout the study period.

Adjunctive Keratinized Mucosa Augmentation in Peri-Implantitis