Autogenous graft versus collagen matrices for peri-implant soft tissue augmentation. A systematic review and network meta-analysis.
Grazia Tommasato, Massimo Del Fabbro, Nadim Oliva...
https://pubmed.ncbi.nlm.nih.gov/38704784Actively Recruiting
Led by Damascus University · Updated on 2025-03-05
30
Participants Needed
1
Research Sites
30 weeks
Total Duration
Researchers are evaluating two methods to improve soft tissue around single dental implants in the front upper jaw area, focusing on people missing one tooth with enough bone and gum tissue. The study compares a traditional connective tissue graft (CTG) taken from the patient's palate with a less invasive xenogeneic collagen matrix (XCM) to see if XCM can offer similar results while reducing surgery time and donor site discomfort. This trial is randomized and controlled, aiming to enhance implant esthetics and function with fewer complications. Participants undergo detailed digital planning using CBCT scans and intraoral scans to precisely place the dental implant with a surgical guide. After implant placement, they are randomly assigned to receive either the CTG harvested from the palate or the XCM graft applied to the gum. The CTG involves a second surgical site to collect tissue, while the XCM is prepared by moistening and adapting it before securing it to the gum. Both groups receive a screw-retained provisional restoration immediately after surgery to support healing and appearance. During the study, participants will have assessments at baseline, immediately after surgery, and at 3 months to measure soft tissue changes using digital models. Additional evaluations include gum health, bone loss via X-rays, patient pain and swelling reports, aesthetic satisfaction, and surgery time. Follow-up visits extend to 6 months to monitor healing, complications, and tissue condition. The study collects detailed clinical and patient-reported data to compare outcomes and guide future implant treatments.
CONDITIONS
Enhancing Soft Tissues Around Inserted Implants by Two Different Methods
You may qualify if you...
You will not qualify if you...
Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) including clinical and radiographic examinations
Duration - Single day surgical procedure with immediate provisional restoration
Participants undergo dental implant placement and soft tissue augmentation using either a connective tissue graft or a xenogeneic collagen matrix. A full-thickness flap is elevated, the implant is placed using a surgical guide, and the soft tissue is augmented accordingly. A provisional restoration is attached immediately after surgery.
1 surgical visit (in-person)
Duration - 6 months
Participants attend follow-up visits to assess healing, soft tissue profile, clinical outcomes, aesthetic satisfaction, and complications up to 6 months after surgery.
Visits at 1 week, 3 months, and 6 months postoperatively
Total: 1 location
1
Damascus University
Damascus, Syria, 00000
Actively Recruiting
A
Ali Omair, DDS
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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