Soft Tissue Management in Peri-Implant Regions
Effects of Ribose Cross-Linked Thick Collagen Membranes and Connective Tissue Grafts on Peri-Implant Tissue
1 other identifier
interventional
20
1 country
1
Brief Summary
Background:This study aimed to compare the effect of ribose cross-linked thick collagen membrane (RCCM) with that of subepithelial connective tissue graft (CTG) in sites with soft tissue deficiency in the horizontal aspect around the implant. Methods:Single implant sites were included in the study of 20 systemically healthy patients. All procedures were performed concurrently with implant placement; SCTG was administered in ten patients, and RCCM in the other ten. Before the operation, the PIMT and peri-implant mucosa width (PIMW) were measured. Visual analog scale (VAS) and Oral Health Impact profile-14 (OHIP-14) scores were recorded on post-operative days 1, 3, and 7. At 1 and 3 months measurements were repeated. Results:In terms of PIMT, an average increase of 1.87 mm was recorded in the RCCM group and 1.99 mm in the SCTG group. The rate of increase in PIMT was statistically similar in both the groups (p\>0.05). The OHIP-14 and VAS scores were similar between the groups on days 1, 3, and 7. There was a decrease at 3 months in both the groups. Conclusion:Within the limits of this study, RCCM provided a similar increase in PIMT as SCTG. RCCM is a promising alternative to SCTG for increasing the PIMT. Keywords: Collagen, Connective tissue, Dental implants, Oral mucosa
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Dec 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2024
CompletedFirst Submitted
Initial submission to the registry
March 11, 2025
CompletedFirst Posted
Study publicly available on registry
March 17, 2025
CompletedDecember 9, 2025
March 1, 2025
1.1 years
March 11, 2025
December 2, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Peri-implant Mucosa Thickness
Changes in peri-implant mucosal thickness at baseline, month 1 and month 3
From the beginning to the 3rd month
Study Arms (2)
Control
OTHERConnective Tissue Graft
Test
ACTIVE COMPARATORRibose Cross-Linked Thick Collagen Membrane
Interventions
Implant treatment was performed in 20 patients with a single tooth deficiency and soft tissue deficiency in the horizontal direction in the edentulous site. All patients received bone-level titanium implants. Soft tissue augmentation was performed simultaneously with implant treatment. The group were divided into CTG , and 10 patients were randomly assigned to group.
Implant treatment was performed in 20 patients with a single tooth deficiency and soft tissue deficiency in the horizontal direction in the edentulous site. All patients received bone-level titanium implants. Soft tissue augmentation was performed simultaneously with implant treatment. The groups were divided into RCCM, and 10 patients were randomly assigned to group.
Eligibility Criteria
You may qualify if:
- Systemically healthy
- The edentulous space for which implant treatment is planned to be single tooth size and molar tooth site
- Those with soft tissue deficiency in the horizontal aspect in the site where implant treatment is planned
- Age between 18-60 years
- Does not have a condition that may cause a bleeding disorder
- No nausea-vomiting reflex
- Patients with good oral hygiene
You may not qualify if:
- Patients with systemic disorders (diabetes, hypertension, radiotherapy/ chemotherapy, etc.)
- Patients who have insufficient horizontal alveolar bone in the site where implant treatment is planned and who may lead to bone dehiscence after implant placement
- Patients with collagen allergy
- Those taking any medication that may affect wound healing
- Those with bleeding disorders
- Smokers who smoke more than 10 cigarettes a day
- Poor oral hygiene
- Those with vomiting-nausea reflex
- Allergic to anti-inflammatory drugs
- Patients with pregnancy/breastfeeding status.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ömer Alperen Kırmızıgüllead
- Inonu Universitycollaborator
Study Sites (1)
Inonu Unıversity Faculty of Dentistry
Malatya, Turkey (Türkiye)
Related Publications (27)
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PMID: 31087334RESULTZucchelli G, Tavelli L, McGuire MK, Rasperini G, Feinberg SE, Wang HL, Giannobile WV. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction. J Periodontol. 2020 Jan;91(1):9-16. doi: 10.1002/JPER.19-0350. Epub 2019 Oct 6.
PMID: 31461778RESULTVallecillo C, Toledano-Osorio M, Vallecillo-Rivas M, Toledano M, Rodriguez-Archilla A, Osorio R. Collagen Matrix vs. Autogenous Connective Tissue Graft for Soft Tissue Augmentation: A Systematic Review and Meta-Analysis. Polymers (Basel). 2021 May 31;13(11):1810. doi: 10.3390/polym13111810.
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PMID: 27310522RESULTThoma DS, Strauss FJ, Mancini L, Gasser TJW, Jung RE. Minimal invasiveness in soft tissue augmentation at dental implants: A systematic review and meta-analysis of patient-reported outcome measures. Periodontol 2000. 2023 Feb;91(1):182-198. doi: 10.1111/prd.12465. Epub 2022 Aug 11.
PMID: 35950734RESULTThoma DS, Strauss FJ. On the discrepancy between professionally assessed and patient-reported outcome measures. J Periodontal Implant Sci. 2022 Apr;52(2):89-90. doi: 10.5051/jpis.225202edi01. No abstract available.
PMID: 35505571RESULTThoma DS, Gasser TJW, Hammerle CHF, Strauss FJ, Jung RE. Soft tissue augmentation with a volume-stable collagen matrix or an autogenous connective tissue graft at implant sites: Five-year results of a randomized controlled trial post implant loading. J Periodontol. 2023 Feb;94(2):230-243. doi: 10.1002/JPER.22-0226. Epub 2022 Oct 28.
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Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant Prof Dr
Study Record Dates
First Submitted
March 11, 2025
First Posted
March 17, 2025
Study Start
December 1, 2023
Primary Completion
December 30, 2024
Study Completion
December 30, 2024
Last Updated
December 9, 2025
Record last verified: 2025-03
Data Sharing
- IPD Sharing
- Will not share