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IRCT2013072414142N1 IRCT 2013-08-08 Vice chancellor for research and technology, Hamadan University of Medical Sciences Comparison of soft tissue reconstruction between adjacent implants using bone and connective tissue graft in patients missing two adjacent teeth Comparative evaluation of papilla reconstruction between adjacent implants using bone and connective tissue graft in patients referring to Periodontics Department of Hamadan School of Dentistry 2013-06-20 anticipated 20 Complete https://irct.ir/trial/13816 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. 3 missing two adjacent teeth, with bone resorption and papilla loss in the area. Intervention 1: FDBA bone block that has been immersed in saline will be used and for adaptation to the area will be trimmed by scissor and fixed in place with titanium screw. Intervention 2: The palatal mucosa between the canine and the mesial line angle of first molar will be used as the source of connective tissue. Connective tissue graft harvested from the palate by making a single incision parallel and at a distance of 2mm from the gingival margin using a scalpel with a size 15 blade. After horizontal and vertical incisions the graft will be separate and donor site sutured.The graft will be placed on top of the alveolar bone between two implants and then sutured with an absorbable suture.
public Dr Syed Reza Arabi
Postcode: 6517838377, Periodontics Department, School of Dentistry, Shahid Fahmideh Street, Hamadan
Hamedan Iran (Islamic Republic of) 6517838377 +98 81 1838 1086 sr_arabi@yahoo.com Hamadan University of Medical Sciences scientific Dr Syed Reza Arabi
Postcode: 6517838377, Periodontics Department, School of Dentistry, Shahid Fahmideh Street, Hamadan
Hamedan Iran (Islamic Republic of) 6517838377 +98 81 1838 1086 sr_arabi@yahoo.com Hamadan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: missing two adjacent tooth so that there is the possibility of placing two implants in bone site; the area is edentulous for at least 3 months Exclusion criteria: periodontal plastic surgery or Bone graft history in the area; presence of any systemic disease (Including uncontrolled diabetes, osteomyelitis) that may affect implant placement or soft tissue management; smoking; Pregnancy 25 years 50 years Both k08.2 Atrophy of edentulous alveolar ridge Treatment - Surgery Treatment - Surgery FDBA bone block that has been immersed in saline will be used and for adaptation to the area will be trimmed by scissor and fixed in place with titanium screw. The palatal mucosa between the canine and the mesial line angle of first molar will be used as the source of connective tissue. Connective tissue graft harvested from the palate by making a single incision parallel and at a distance of 2mm from the gingival margin using a scalpel with a size 15 blade. After horizontal and vertical incisions the graft will be separate and donor site sutured.The graft will be placed on top of the alveolar bone between two implants and then sutured with an absorbable suture. Papilla height based on papilla index. Timepoint: 3 months after intervention,6 months after intervention. Method of measurement: Qualitative determination of vertical distance between the tip of papilla to the line connecting Zenith of soft tissue margin at adjacent crowns based on grading system of Papilla index (Jemt).This index is classified into five grades (0,1,2,3,4) . Distance from the tip of the papilla to the alveolar crest. Timepoint: 3 months after intervention,6 months after intervention. Method of measurement: Quantitative measurement of vertical distance from the tip of papilla between two implants to the alveolar crest in periapical radiography using radiopaque indicator in millimeters. Vice chancellor for research and technology, Hamadan University of Medical Sciences Approved 2013-06-12 Ethics Committee, Hamadan University of Medical Sciences Postcode: 65178-38377, Periodontics Department, School of Dentistry, Shahid Fahmideh Street, Hamadan Hamedan Iran (Islamic Republic of)