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For the management of peridontal and peri-implant conditions, free epithelial grafts have been proposed to provide a sufficient band of keratinized mucosa with the goal of enhancing confort during brushing and reducing the level of inflammation. Nevertheless, these are subjected to dimensional changes that may jeopardise the final outcome of providing sufficient keratinized mucosa to teeth and implants. Hence, this prospective study will aim at shedding light on the dimensional changes and the variables affecting these changes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Free epithelial graft | Experimental | Free epithelial graft at implant and teeth sites to increase the band of keratinized mucosa |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Free epithelial (gingival) graft | Procedure | 1mm thickness epithelial layer harvested from the palate (1st molar area) is grafted and stabilised at the dental or implant area deficient of keratinized mucosa |
| Measure | Description | Time Frame |
|---|---|---|
| Change in keratinized mucosa | Area of keratinized mucosa gain | 3 weeks, 3 months, 6 months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Factor 1 affecting the dimensional changes | Avascular area exposed to the graft (implant/tooth surface) | 3 weeks, 3 months, 6 months |
| Factor 2 affecting the dimensional changes | Thickness in mm of the graft |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centro de Implantologia Cirugia Oral y Maxilofacial | Badajoz | 06011 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30461016 | Background | Monje A, Blasi G. Significance of keratinized mucosa/gingiva on peri-implant and adjacent periodontal conditions in erratic maintenance compliers. J Periodontol. 2019 May;90(5):445-453. doi: 10.1002/JPER.18-0471. Epub 2018 Dec 7. | |
| 34970744 | Derived | Monje A, Blasi G, Amerio E, Sanz-Martin I, Nart J. Dimensional changes in free epithelialized gingival/mucosal grafts at tooth and implant sites: A prospective cohort study. J Periodontol. 2022 Jul;93(7):1014-1023. doi: 10.1002/JPER.21-0521. Epub 2022 Jan 25. |
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| ID | Term |
|---|---|
| D002638 | Chewing Gum |
| D014180 | Transplantation |
| ID | Term |
|---|---|
| D053149 | Plant Gums |
| D001704 | Biopolymers |
| D011108 | Polymers |
| D046911 | Macromolecular Substances |
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Teeth and implants receiving free epithelial grafts harvested from the palate
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| 3 weeks, 3 months, 6 months |
| Factor 3 affecting the dimensional changes | Thickness in mm of the recipient connective tissue | 3 weeks, 3 months, 6 months |
| D011134 |
| Polysaccharides |
| D002241 | Carbohydrates |
| D053147 | Plant Exudates |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D002182 | Candy |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
| D013514 | Surgical Procedures, Operative |