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The present study will evaluate the difference in terms of keratinazed mucosa (KM) in computer guided implant placement with immediate loading, comparing a flapless approach to flap surgery with connective tissue graft.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Connective tissue graft | Active Comparator | patient in this group will be treated with a flap and a connective tissue graft at the moment of implant placement. |
|
| Flapess | Active Comparator | patient in this group will be treated with a flapless approach at the moment of implant placement. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Connective tissue graft | Procedure | Implants will be placed with a flap and a connective tissue graft. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Widht of Keratinized mucosa | variation of keratized mucosa from t0 | 2-4-8-12-24 weeks - 1-2-3-4-5 years |
| Measure | Description | Time Frame |
|---|---|---|
| implant survival | Implant in function | 1-2-3-4-5 years |
| marginal bone loss | variation of marginal bone loss over time | 1-2-3-4-5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Time | surgical time differences between the two groups | day 1 |
| prosthetic complications | number and type of prosthetic complications over time |
Inclusion Criteria:
Eclusion Criteria
Patients who refuse to co-operate
Systemic conditions of exclusion:
Local exclusion conditions:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinica Odontoiatrica Giorgio Vogel | Recruiting | Milan | MI | 20142 | Italy |
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two groups will be compared with different treatment
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surgical treatment will be conducted with surgeon-investigator and patient unblinded. the outcome assessor will be blinded as primary outcome measurements will be taken on a computer.
| Flapless | Procedure | Implants will be placed with a flapless approach |
|
| Vas Scale | Prom: patient VAS scale for post-operative pain, from 0 to 10, where 10 is higher and 0 is minimum. | 2 weeks |
| 1-2-3-4-5 years |