Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
Healthy Volunteers
ID06305000

Impact of Keratinized Mucosa Augmentation Following Non-surgical Therapy on Treatment Outcomes of Peri-implant Mucositis

Led by Biruni University · Updated on 2026-02-10

48

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating how the width of keratinized mucosa affects peri-implant tissues in people with peri-implant mucositis. The study aims to determine if increasing this mucosa width using a free gingival graft (FGG) alongside non-surgical therapy offers clinical and biochemical benefits compared to non-surgical therapy alone. The key question is whether FGG improves clinical periodontal parameters and inflammatory markers in peri-implant crevicular fluid. The study includes four groups: a healthy group with sufficient keratinized mucosa (≥ 2mm), a mucositis group with sufficient mucosa, a mucositis group with insufficient mucosa (< 2mm) receiving only non-surgical treatment, and a mucositis group with insufficient mucosa receiving both FGG and non-surgical treatment. Non-surgical therapy involves oral hygiene instructions, scaling, and subgingival cleaning in a single appointment. For those receiving FGG, the graft is taken from the palate and stitched onto the implant site after preparing the tissue. Participants will be evaluated at baseline, 1 month, 4 months, and 7 months. Researchers will collect peri-implant crevicular fluid samples and measure clinical parameters such as plaque index, gingival index, bleeding on probing, mucosa width, and probing depth at these times. Levels of inflammatory markers IL-1β, RANKL, OPG, and their ratio will be analyzed. The study monitors changes in tissue health and inflammation to assess the potential benefits of FGG with non-surgical therapy.

CONDITIONS

Brief Title

Impact of Keratinized Mucosa Augmentation on Treatment Outcomes of Peri-implant Mucositis

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Individual dental implants with a fixed prosthetic restoration that has been functional for at least 1 year
  • No systemic disease and medication use that may affect periodontal or peri-implanter tissues
  • Not receiving periodontal treatment in the last 6 months
  • Volunteering to participate in the study
Not Eligible

You will not qualify if you...

  • Prosthetic restorations with an excessive contour which do not allow peri-implant pocket measurement
  • Being pregnant or breastfeeding
  • Autoimmune and/or inflammatory diseases of the oral cavity
  • Active periodontal disease
  • Smokers (≥ 10 cigarettes per day)
  • Improperly positioned implants

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Non-surgical Treatment

Duration - 1 day

Participants receive oral hygiene instructions and undergo full mouth supragingival scaling and subgingival debridement in a single appointment under local anesthesia.

1 visit (in-person)

Free Gingival Graft

Duration - 1 day

Participants with insufficient keratinized mucosa receive a free gingival graft following non-surgical treatment involving a surgical procedure to augment keratinized mucosa.

1 visit (in-person)

Follow-up Assessments

Duration - 7 months

Participants attend periodic visits to assess inflammatory parameters, plaque index, gingival index, bleeding on probing, keratinized mucosa width, and probing depth after treatment.

Visits at 1 month, 4 months, and 7 months post-treatment

Trial Site Locations

Total: 1 location

1

Biruni University

Istanbul, Turkey (Türkiye)

Actively Recruiting

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Research Team

A

Ayse E Selman

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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