The Effect of a Suturing Technique on the Gingival Tissues Around Dental Implants

NCT ID: NCT06496776

Last Updated: 2024-07-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 14 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-09-15
• Study Completion Date: 2023-04-15

Brief Summary

There is general agreement that a thick zone of the keratinized tissues around implants promotes accurate prosthetic procedures, permits oral hygiene maintenance, resists recession, and enables esthetic blending with surrounding tissues. A new procedure called Choukroun's technique has been suggested, and it consists of a combination of horizontal apical mattress suture with regular suture to increase the keratinized tissue in the mandibular arch during the first stage after implantation. The proposed procedure has not been evaluated yet in a cohort of patients. Therefore, this study aimed to evaluate the impact of Choukroun's technique on the width and thickness of the keratinized gingiva after oral surgery.

Detailed Description

A clinical trial will be conducted on patients referred to the Department of Oral and Maxillofacial Surgery at the Faculty of Dentistry, Al-Wataniya Private University, who have been referred to undergo dental implant surgery. The inclusion criteria for the study group were as follows: patients with mandibular missing teeth, good oral health, good general health, 18 to 70 years old, at least 1 mm thickness of keratinized gingiva, and at least 1 mm width of the attached gingiva. A total of 14 patients aged 27 to 67 years will be included in the study. After inserting the dental implants, the suturing will be conducted according to Choukroun's method.

The width and thickness of the keratinized gingiva will be assessed before surgery and at one and two months post-surgery. Repeated measures Analysis of Variance (ANOVA) will be applied to detect significant differences between assessment times.

Conditions

Edentulous Jaw; Missing Teeth; Gingival Diseases

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Choukroun's method

Patients in this group will have a specific suturing technique (called Choukroun's method) after dental implant insertion.

Group Type: EXPERIMENTAL

Choukroun's technique

Intervention Type: PROCEDURE

Suturing will be done using the method described by Choukroun.

Interventions

Choukroun's technique

Suturing will be done using the method described by Choukroun.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients with mandibular missing teeth
• Good oral health
• Good general health
• Male or female
• Age between 18 and 70 years old,
• Thickness of the keratinized gingiva is at least 1 mm,
• The width of the attached gingiva is at least 1 mm.

Exclusion Criteria

• Patients who are smokers
• Pregnant or lactating women
• Patients with systemic diseases
• Patients who have been taking medication in the last six months that could influence wound healing after surgery and
• Patients with oral inflammation such as periodontal disease.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Al-Wataniya University

OTHER

Sponsor Role: collaborator

Damascus University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Tarek Khaled Abou-Agwa, DDS MSc PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Oral and Maxillofacial Surgery, College of Dentistry, Al-Wataniya Private University

Locations

Department of Oral and Maxillofacial Surgery

Hama, , Syria

Countries

Syria

References

Silverstein LH, Kurtzman GM, Shatz PC. Suturing for optimal soft-tissue management. J Oral Implantol. 2009;35(2):82-90. doi: 10.1563/1548-1336-35.2.82.

Reference Type: BACKGROUND

PMID: 19400063 (View on PubMed)

Banche G, Roana J, Mandras N, Amasio M, Gallesio C, Allizond V, Angeretti A, Tullio V, Cuffini AM. Microbial adherence on various intraoral suture materials in patients undergoing dental surgery. J Oral Maxillofac Surg. 2007 Aug;65(8):1503-7. doi: 10.1016/j.joms.2006.10.066.

Reference Type: BACKGROUND

PMID: 17656275 (View on PubMed)

Rodeheaver GT, Beltran KA, Green CW, Faulkner BC, Stiles BM, Stanimir GW, Traeland H, Fried GM, Brown HC, Edlich RF. Biomechanical and clinical performance of a new synthetic monofilament absorbable suture. J Long Term Eff Med Implants. 1996;6(3-4):181-98.

Reference Type: BACKGROUND

PMID: 10167360 (View on PubMed)

Lee WH, Kuchler U, Cha JK, Stavropoulos A, Lee JS. Distance of insertion points in a mattress suture from the wound margin for ideal primary closure in alveolar mucosa: an in vitro experimental study. J Periodontal Implant Sci. 2021 Jun;51(3):189-198. doi: 10.5051/jpis.2100680034.

Reference Type: BACKGROUND

PMID: 34114382 (View on PubMed)

Other Identifiers

UDDS-OMFS-2-2024

Identifier Type: -

Identifier Source: org_study_id