A Study Comparing Immediate Versus Delayed Soft Tissue Grafting After Immediate Implant Placement in the Upper Front Teeth

What this Trial Is About

This trial involves patients who need a single immediate dental implant in the front upper jaw premaxilla. Researchers are studying how the timing of soft tissue grafting affects healing and bone preservation around the implant. The study compares immediate soft tissue grafting done at the time of implant placement to delayed grafting performed three months later, aiming to find the best approach for implant success and tissue stability. Participants are randomly assigned to one of two groups the immediate soft tissue grafting group or the delayed soft tissue grafting group. Both groups receive a connective tissue graft taken from the palate and inserted into the buccal mucosa to thicken the soft tissue around the implant. Along with implant placement, the bone socket is filled with a bone graft material to reduce bone loss and support soft tissue. Temporary crowns are placed within 48 hours, and sutures are removed one week after grafting. Throughout the study, patients undergo evaluations including low-dose cone beam CT scans at baseline, 1 year, and 5 years to measure bone resorption. Other assessments include soft tissue profile changes, esthetic scores, probing depths, plaque, and bleeding measurements. The study lasts several years to monitor long-term outcomes, ensuring detailed tracking of implant stability, tissue health, and esthetics.

Timing of Soft Tissue Grafting Following Immediate Implant Placement