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

NCT06496776 | Completed DMC

• 1 other identifier: UDDS-OMFS-2-2024
• Study Type: interventional
• Target: 14
• Locations: 1 country
• Sites: 1

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.

Conditions

Edentulous Jaw; Missing Teeth; Gingival Diseases

Outcome Measures

Primary Outcomes (2)

• Change in the width of the keratinized gingiva

  The width of the attached gingiva will be measured using a periodontal probe (William's probe). This measurement will be made at the mesial, distal, and middle positions within the surgical area (from the crest of the alveolar ridge to the mucogingival junction), and the mean of these measurements will be recorded.

  This variable will be measured at one day before surgery (T0), at one month (T1) and two months (T2) after the implant surgical insertion.

• Change in the thickness of the keratinized gingiva

  To measure the thickness of the keratinized gingiva, an endodontic file equipped with a rubber tip will be used to penetrate the gingiva at various points within the surgical area until it reaches the bone surface. These points are located midway between the mid-crestal of keratinized gingiva and the mucogingival junction, spaced 2 millimeters apart, and extending from the mesial to the distal aspects of the surgical area. The thickness will be then measured using a ruler, and the mean of these values will be recorded.

  This variable will be measured at one day before surgery (T0), at one month (T1) and two months (T2) after the implant surgical insertion.

Study Arms (1)

Choukroun's method

EXPERIMENTAL

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

Procedure: Choukroun's technique

Interventions

Choukroun's technique PROCEDURE

Suturing will be done using the method described by Choukroun.

Choukroun's method

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Damascus University: lead
• Al-Wataniya University: collaborator

Study Sites (1)

Department of Oral and Maxillofacial Surgery

Hama, 332H 67A, Syria

Location

Related Publications (4)

• 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.

  PMID: 19400063 BACKGROUND

• 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.

  PMID: 17656275 BACKGROUND

• 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.

  PMID: 10167360 BACKGROUND

• 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.

  PMID: 34114382 BACKGROUND

MeSH Terms

Conditions

Jaw, Edentulous; Anodontia; Gingival Diseases

Condition Hierarchy (Ancestors)

Jaw Diseases; Musculoskeletal Diseases; Stomatognathic Diseases; Mouth, Edentulous; Mouth Diseases; Tooth Diseases; Tooth Abnormalities; Stomatognathic System Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Periodontal Diseases

Study Officials

• Tarek Khaled Abou-Agwa, DDS MSc PhD

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

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 4, 2024
• First Posted: July 11, 2024
• Study Start: September 15, 2022
• Primary Completion: February 13, 2023
• Study Completion: April 15, 2023
• Last Updated: July 11, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

SY (1)