Study of Palatal Tissue Grafts During Second-Stage Dental Implant Surgery and Their Effects on Gum Health Around Implants

What this Trial Is About

Researchers are evaluating the effects of autogenous grafts taken from different palatal regions on the tissue around dental implants during second-stage implant surgery. The study aims to compare how these grafts affect the width and thickness of the peri-implant mucosa, including tissue health and patient satisfaction. This evaluation involves clinical, radiographic, and digital methods to understand early effects on peri-implant soft tissue management. Participants are randomly assigned to one of two groups one receiving grafts including marginal and interdental palatal gingiva, and the other receiving grafts harvested about 1.5 mm apical to the palatal gingival margin. These grafts are applied during the second-stage implant surgery. The study uses a double-blind design to compare these two grafting techniques and their impact on the peri-implant mucosa. Participants will undergo assessments before implant placement, at the second-stage surgery 3 months, 6 months after implant placement, and 12 months after prosthetic loading. Evaluations include mucosal thickness and width, vestibular depth, plaque and bleeding indices, probing depth, mucosal recession, bone level, esthetic scores, pain, analgesic use, patient satisfaction, esthetic outcome, and oral health quality of life. The study involves clinical visits and monitoring of tissue changes and patient-reported outcomes over about one year after implant loading.

Clinical, Radiographic, and Digital Evaluation of the Effects of Autogenous Grafts on Peri-implant Mucosa