Ring Free Gingival Techniqea

NCT07204717 | Completed

• 1 other identifier: Abant IBU.
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

Objective Peri-implant keratinized mucosa deficiency is a significant factor affecting implant success. Therefore, it is crucial to choose a suitable technique for increasing the width of the keratinized mucosa. This study aims to compare two different approaches of free gingival graft (FGG) application in the treatment of insufficient peri-implant keratinized mucosa and to determine the most effective and predictable technique. Materials and Methods A total of 38 systemically healthy patients with ≤2 mm of keratinized mucosa in the mandibular anterior region (teeth 33-43) and 38 dental implants were included. Patients were randomly assigned to two groups: Test ( Ring FGG) and Control (Conventional FGG). Clinical parameters including Bleeding on Probing (BOP), Gingival Index (GI), Plaque Index (PI), Probing Depth (PD), Width of Keratinized Mucosa (KMW), Peri-implant Mucosal Thickness (PMT), and Graft Surface Area (GSA) were recorded at baseline, and at 1, 3, and 12 months postoperatively.

Conditions

Free Gingival Graft Volume Change

Keywords

Dental Implant; Keratinized Mucosa.; Rıng free gingival graft; Free gingival graft

Outcome Measures

Primary Outcomes (1)

• keratinize gingiva

  increasing the amount of keratinized gingiva

  2 week

Study Arms (2)

ring free gingival graft

EXPERIMENTAL

ring free gingival graft

Procedure: ring free gingival greft

standard free gingival technique

ACTIVE COMPARATOR

standard techinique

Procedure: free gingival graft

Interventions

free gingival graft PROCEDURE

standard free gingival technique

standard free gingival technique

ring free gingival greft PROCEDURE

ring free gingival greft technique

Also known as: ring free gingival

ring free gingival graft

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: male and female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \. Systemically healthy individuals 2. Age over 18 years 3. Non-smokers 4. No antibiotic therapy for any reason in the past 6 months 5. No previous soft tissue surgery performed in the region of interest 6. KMW≤ 2 mm 7. Presence of inadequate keratinized tissue in the vestibular and/or lingual area of the anterior mandibular implant region 8. Mentally competent to understand the study purpose and procedures explained both verbally and in writing

You may not qualify if:

• \- 1. Presence of peri-implantitis in the implant(s) planned for FGG application (defined as probing depth ≥ 5 mm, pus discharge, mobility, or severe bone loss) 2. Inability to maintain oral hygiene or presence of implant body and/or abutment fractures in the related region 3. Presence of pathological conditions in the palate that prevent harvesting of a free gingival graft 4. History of systemic diseases such as Diabetes Mellitus, Chronic Renal Failure, Cancer, Bleeding Disorders, Connective Tissue Diseases, etc.
• \. Use of anticoagulant and/or antiplatelet medications

Sponsors & Collaborators

• Esra ATEŞ: lead

Study Sites (1)

Department of Periodontology, Faculty of Dentistry, Bolu Abant İzzet Baysal University,

Bolu, Bolu, 14100, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: assistant professor

Study Record Dates

• First Submitted: September 19, 2025
• First Posted: October 2, 2025
• Study Start: October 21, 2018
• Primary Completion: July 15, 2020
• Study Completion: August 20, 2020
• Last Updated: October 2, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP

Locations

TU (1)