Comparing Buccal Fat Pad and Platelet-rich Fibrin for Covering Zygomatic Implants to Improve Soft Tissue and Reduce Complications in Severe Upper Jaw Bone Loss

What this Trial Is About

This research aims to compare two methods for covering zygomatic implants during reconstruction of the atrophic posterior maxilla the buccal pad of fat and platelet rich fibrin PRF. The study evaluates which method better supports peri-implant soft tissue thickness and reduces postoperative complications. The goal is to identify the most suitable coverage to ensure proper soft tissue profile and minimize complications during the implant loading and final restoration phases. Participants will receive either the buccal fat pad coverage or PRF coverage over the zygomatic implants. PRF is freshly prepared by drawing blood, centrifuging it to form a fibrin membrane, which is then placed at the surgical site. The buccal fat pad is carefully dissected and repositioned over the implant body and secured with sutures. Both procedures are performed during implant placement, with attention to careful tissue handling to avoid premature traction. During the study, clinical evaluations will measure peri-implant soft tissue thickness and monitor postoperative complications at multiple time points the operation day, 72 hours, 1 week, 15 days, 1 month, 4 months, 6 months, and 12 months. These assessments will help determine the effectiveness and safety of each coverage method. The total participation duration lasts up to 12 months with regular follow-ups to ensure thorough monitoring and data collection.

Assessment of Soft Tissue Thickness Following Utilization of Buccal Pad of Fat Versus Platelet-rich Fibrin for Covering Zygomatic Implants: A Randomized Clinical Trial