The Evaluation of Free Gingival Graft Operations Around Implant or Teeth on Quality of Life
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the quality of life of patients who underwent FGG surgery around the natural tooth and as a second surgery after the implant operation, in comparison with general oral health assesment index(GOHAI).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Thirty-two participants were included who were referred to the periodontology clinic suffering insufficient keratinized gingiva / mucosa deficiency around the implant and / or tooth/teeth. GOHAI-total and GOHAI psychological impact, functional limitation, pain and discomfort, behavioral impact subcategories were recorded at before and postoperative first week and 30th day. Also, satisfaction questionnaires, number of painkillers and visual analog scale values were recorded.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Free gingival graft around dental implant patients Test Group (TG) consists of patients have free gingival graft around dental implant patients |
Procedure: Free Gingival Graft
In the recipient area, a half-thickness flap with two vertical incision widths was removed with a horizontal incision with 15C blades from the mucogingival junction. The recipient site was determined such that one or two teeth or one tooth extends into the mesial and distal regions of the tooth. Muscle attachments were dissected and FGG was placed on recipient bed and non-resorbable monofilament sutures were used for fixing the four corners of the graft.
|
| Active Comparator: Free gingival graft around the teeth Control Group (CG) consists of patients have free gingival graft around the teeth. |
Procedure: Free Gingival Graft
In the recipient area, a half-thickness flap with two vertical incision widths was removed with a horizontal incision with 15C blades from the mucogingival junction. The recipient site was determined such that one or two teeth or one tooth extends into the mesial and distal regions of the tooth. Muscle attachments were dissected and FGG was placed on recipient bed and non-resorbable monofilament sutures were used for fixing the four corners of the graft.
|
Outcome Measures
Primary Outcome Measures
- General Oral Health Assesment Index (GOHAI) scores- intragroup comparisons change between from baseline to other follow-up times and intergroup comparisons all follow-up times [Baseline, postoperative 1., 2., 3., 4., 5., 6. and 7. days and first month.]
The questions that contains 12 items and that give subcategorized about functional limitations, pain and discomfort, psychological impacts, and behavioral impact.
Secondary Outcome Measures
- Age [baseline]
18-65 years
Other Outcome Measures
- Gender [baseline]
male, female
- Keratinized gingival width (KGW) [baseline, first month]
the distance between the gingival margin and mucogingival junction from tooth/implant in operation area
- Graft volume (GV) [during surgery]
graft vertical height X graft mesiodistal length X graft thickness
- Surgery localization [baseline]
maxilla, mandible, anterior, posterior
- Operation time [during surgery]
operation time between of first incision and last suture
- Satisfaction questionnaires [first month]
A questionnaire designed by authors with 12 questions was used to assess patient satisfaction. Answers were either categorized as "positive" or "negative".
- Visual Analog Scale (VAS) [postoperative 1., 2., 3., 4., 5., 6. and 7. days]
a 100-mm horizontal scale and classify the level of postoperative pain experience from 0 (no pain) to 100 (the worst pain ever experienced)
- Painkiller consumption [postoperative 1., 2., 3., 4., 5., 6. and 7. days]
the total number of painkillers for each follow-up day
Eligibility Criteria
Criteria
Inclusion Criteria:
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Non-smoking
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Teeth and implants with keratinized gingiva width <1 mm
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A healthy periodontal and peri-implant condition
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Patients who didn't have ever experience periodontal surgery had first oral surgery experience with dental FGG operation for the first time
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Patients who underwent implant surgery for the first oral surgery experience
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Maximum two teeth/implants on recipient area
Exclusion Criteria:
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Patients receiving any medication to disrupt wound healing
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Lactation or pregnancy
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Caries or defects on the tooth root surface
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Periapical lesion in the recipient area active periodontal disease
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Patients who have previously had periodontal or oral surgery experiences
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Beykent University Faculty of Dentistry | Istanbul | Turkey | 34500 |
Sponsors and Collaborators
- University of Beykent
- Kutahya Health Sciences University
- Istanbul Aydın University
Investigators
- Study Director: serap karakış akcan, phd, Beykent University
- Principal Investigator: berceste güler, phd, Kutahya Health Sciences University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- B.30.2.AYD.0.00.00-480.2/184