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NOT YET RECRUITING
NCT07772414
NA

Apical Flap Repositioning vs. Mucosa Excision With Free Gingival Grafts for Peri-Implant Keratinized Mucosa Augmentation

Sponsor: University of Barcelona

View on ClinicalTrials.gov

Summary

The goal of this clinical trial is to learn which surgical technique works better to increase the amount of firm gum tissue (called keratinized mucosa) around dental implants in adults. The main question it aims to answer is: -Does repositioning the gum flap upward with stitches lead to a greater gain in firm gum tissue width at 6 months compared to simply removing the extra gum tissue, when both techniques are combined with a free gum graft? Researchers will compare two techniques used during the second stage of implant surgery to see which one produces a greater gain in firm gum tissue around the implant. Participants will: * Receive a free gum graft (a small piece of tissue taken from the roof of the mouth) placed around their dental implant during a routine surgical visit * Be randomly assigned to one of the two surgical techniques * Have digital scans of their mouth taken at 5 timepoints over 6 months * Complete a pain diary and answer questions about their experience during the first week after surgery * Attend follow-up visits at 6 weeks, 3 months, and 6 months after surgery

Official title: Multicenter Randomized Clinical Trial Comparing Apical Flap Repositioning Versus Vestibular Mucosa Excision Associated With Free Gingival Grafts for Peri-Implant Keratinized Mucosa Augmentation

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

46

Start Date

2026-09-30

Completion Date

2029-03-30

Last Updated

2026-08-19

Healthy Volunteers

No

Interventions

PROCEDURE

Free gingival graft with apical flap repositioning

Autologous free gingival graft harvested from the palate and placed at the recipient site. The vestibular mucosal flap is repositioned apically and sutured to the periosteum during second-stage implant surgery.

PROCEDURE

Free gingival graft with vestibular mucosa excision

Autologous free gingival graft harvested from the palate and placed at the recipient site. The vestibular mucous tissue is excised during second-stage implant surgery.

Locations (1)

Hospital Odontològic Universitat de Barcelona, L'Hospitalet de Llobregat,

Barcelona, Barcelona, Spain