Comparing Outcomes of Free Gingival Grafts Applied Before or During Implant Surgery at Mandibular Posterior Sites with Limited Keratinized Gum Tissue

What this Trial Is About

This research aims to compare clinical outcomes and tissue stability at dental implant sites in the lower jaw mandibular posterior region where there is insufficient buccal keratinized gingiva. It evaluates the use of free gingival grafts applied either before implant surgery or during the second stage of implant surgery to support implant success and tissue health. The study has two groups one receiving free gingival graft surgery at the same time as the second stage of implant surgery followed by restoration after 6 to 8 weeks, and the other receiving the graft 6 to 8 weeks before implant placement. These two timing approaches for the graft are being assessed to determine their effects on tissue stability and clinical outcomes around the implants. Participants will undergo measurements of the width and thickness of keratinized mucosa before surgery, immediately after, and at 2 and 6 months post-surgery. Additional follow-ups at least 6 months after restoration will assess discomfort, plaque buildup, bleeding on probing, probing depth around the implant, marginal bone loss, and patient satisfaction. This detailed monitoring helps understand the impact of graft timing on implant site health over time.

Clinical Effects of Keratinized Mucosa Augmentation Around Dental Implant With Free Gingival Graft in Different Surgical Timing at Mandibular Posterior Sites