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GingivaNCT07294287

Impact of Microneedling on the Gingival Tissue Surrounding Implant Supported Fixed Restoration.

A study testing Microneedling Combined with Accelerated Growth Factor (AGF) and Accelerated Growth Factor (AGF) Injection Only in people with Gingiva and Dental Implants, run by Tanta University at 1 site in Egypt.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This randomized clinical trial aims to evaluate the effect of microneedling with and without accelerated growth factor (AGF) injection on gingival tissue surrounding implant-supported fixed restorations. Read more about this study

Who is it for?
Ages 18 to 34 years
Conditions the study is for
Gingiva, Dental Implants
What is being tested?
Microneedling Combined with Accelerated Growth Factor (AGF) and Accelerated Growth Factor (AGF) Injection Only
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteEgypt
Study dates
5 Oct 2024to 5 Jan 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 34 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients aged 18-34 years
  • Thin gingival biotype ( 0.8- 1mm GT at maxillary anterior teeth)
  • Non-smokers
  • Plaque index (PI) score 0-1
  • No bleeding on probing
  • No malocclusion or crowding affecting implant site

Who cannot join

  • Active orthodontic treatment
  • Previous periodontal surgery at study sites
  • Systemic diseases affecting healing
  • Use of anticoagulants or drugs causing gingival enlargement
  • Mucogingival stress or bruxism

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Faculty of Dentistry, Tanta University

    Tanta, Gharbia Governorate, 31527

Other trials in Egypt

About this study

This randomized clinical trial aims to evaluate the effect of microneedling with and without accelerated growth factor (AGF) injection on gingival tissue surrounding implant-supported fixed restorations. The peri-implant soft tissue phenotype is an important determinant of long-term implant stability and esthetic success. Patients with thin gingival biotype are more susceptible to mucosal recession, soft tissue transparency, and peri-implant complications. Enhancing gingival thickness and keratinized tissue width using minimally invasive methods can improve esthetic and biological outcomes.

Microneedling has recently been proposed as a simple and minimally invasive approach that stimulates local healing by inducing controlled micro-injury. It triggers angiogenesis and the release of intrinsic growth factors that promote soft tissue regeneration. Accelerated Growth Factor (AGF) is an autologous platelet concentrate obtained through a single-step centrifugation technique. It contains a high concentration of platelet-derived and vascular growth factors that enhance tissue repair and collagen synthesis. Combining microneedling with AGF may therefore produce synergistic effects, improving the soft tissue phenotype and peri-implant mucosal stability.

Read more

The study will include 20 participants aged 18-34 years with thin gingival biotype (0.8-1 mm) around maxillary anterior implants. Participants will be randomly assigned to one of two groups:

  1. AGF group: AGF injection alone.
  2. Microneedling + AGF group: Microneedling using sterile disposable lancets until pinpoint bleeding occurs, followed by AGF injection (0.2-0.3 mL per site).

Clinical parameters including gingival thickness (GT), keratinized tissue width (KTW), probing depth (PD), and bleeding index (BI) will be recorded at baseline, 3 months, and 6 months. All participants will receive standardized zirconia restorations following osseointegration. Statistical analysis will include intra- and inter-group comparisons, with significance set at p < 0.05.

The study is expected to clarify whether combining microneedling with AGF enhances peri-implant soft tissue thickness more effectively than AGF alone. If successful, this combined minimally invasive approach may offer a practical and biologically based technique to improve soft tissue health and esthetics around dental implants.

Read the detailed description

The peri-implant mucosa plays a crucial role in the biological and esthetic stability of dental implants. A thin gingival biotype is often associated with soft tissue recession, marginal bone loss, and esthetic compromise. Conventional augmentation techniques such as connective tissue grafting are effective but involve additional morbidity, donor site discomfort, and variable esthetic results. This study investigates a minimally invasive approach combining microneedling and accelerated growth factor (AGF) injection to enhance the gingival tissue phenotype around implant-supported restorations.

Microneedling is based on creating controlled micro-perforations in the soft tissue surface using fine needles. These micro-injuries induce a natural wound healing cascade that includes platelet activation, release of endogenous growth factors, angiogenesis, and fibroblast stimulation. The process enhances collagen deposition and epithelial thickening, which may increase the overall gingival thickness and keratinized tissue width.

AGF is an autologous blood-derived product obtained by a standardized single-step centrifugation technique that separates platelet-rich fractions containing high levels of biologically active molecules such as PDGF, VEGF, and TGF-β. These factors promote tissue regeneration and accelerate wound healing. Injecting AGF into peri-implant mucosa provides a reservoir of growth factors that stimulate fibroblast activity, improve tissue vascularity, and enhance collagen formation.

The hypothesis of this trial is that combining microneedling with AGF will yield superior soft tissue enhancement compared to AGF alone.

Study Design

This is a prospective, randomized, single-blinded, parallel-arm interventional clinical trial. 20 sites for patients aged 18-34 years with thin gingival biotype (0.8-1mm) in the maxillary anterior region will be included. Participants will be randomly assigned to two groups using a computer-generated random sequence:

  1. AGF Group: AGF injection only.
  2. Microneedling + AGF Group: Microneedling using sterile disposable lancets until pinpoint bleeding occurs, immediately followed by AGF injection (0.2-0.3 mL per site).

Methodology

The study follows five sequential phases:

  1. Pre-surgical Phase: Clinical and radiographic evaluation, oral hygiene instructions, baseline measurement of GT, KTW, PD, and BI.
  2. Surgical Phase: Implant placement in the maxillary anterior region followed by 3-4 months of osseointegration.
  3. Intervention Phase: Randomized treatment application after healing.
  4. Restorative Phase: Fabrication and cementation of standardized zirconia crowns.
  5. Follow-up Phase: Assessment of all parameters at baseline, 3, and 6 months. Outcome Measures
  • Primary Outcome: Gingival thickness (GT) at baseline, 3, and 6 months.
  • Secondary Outcomes: Keratinized tissue width (KTW), probing depth (PD), and bleeding index (BI).

Statistical Analysis Data will be analyzed using SPSS software (IBM). Paired and unpaired t-tests will compare intra- and inter-group differences. The significance level will be set at p < 0.05.

Being tested
Microneedling Combined with Accelerated Growth Factor (AGF), Accelerated Growth Factor (AGF) Injection Only

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Microneedling Combined with Accelerated Growth Factor (AGF)Procedure or surgery

    Participants in this arm received microneedling around the peri-implant mucosa in the maxillary anterior region using sterile disposable glucometer lancets under aseptic conditions. Repeated micro-perforations were created circumferentially until pinpoint bleeding appeared. Immediately afterward, autologous Accelerated Growth Factor (AGF) was injected (0.2-0.3 mL per site) into the treated mucosa. AGF was prepared from 10 mL of venous blood using a single-step centrifugation protocol to isolate the growth factor-rich fraction. Gingival thickness and soft tissue parameters were assessed using an intraoral scanner combined with a transgingival file measurement technique at baseline, 3 months, and 6 months.

  • Accelerated Growth Factor (AGF) Injection OnlyProcedure or surgery

    Participants in this arm received autologous Accelerated Growth Factor (AGF) injection alone into the peri-implant mucosa (0.2-0.3 mL per site) in the maxillary anterior region, without prior microneedling. The AGF was prepared from 10 mL of venous blood via a standardized single-step centrifugation procedure to obtain a growth factor-rich fraction. Gingival thickness and soft tissue parameters were evaluated using the same intraoral scanner and transgingival file method at baseline, 3 months, and 6 months

Study groups in NCT07294287
Study groupRoleWhat they receive
Accelerated Growth Factor (AGF) Injection OnlyActive comparatorParticipants in this arm received autologous Accelerated Growth Factor (AGF) injection alone into the peri-implant mucosa (0.2-0.3 mL per site) in the maxillary anterior region, without prior microneedling. The AGF was prepared from 10 mL of venous blood via a standardized single-step centrifugation procedure to obtain a growth factor-rich fraction. Gingival thickness and soft tissue parameters were evaluated using the same intraoral scanner and transgingival file method at baseline, 3 months, and 6 months
Receives: Procedure: Accelerated Growth Factor (AGF) Injection Only
Microneedling Combined with Accelerated Growth Factor (AGF)ExperimentalParticipants in this arm received microneedling around the peri-implant mucosa in the maxillary anterior region using sterile disposable glucometer lancets under aseptic conditions. Repeated micro-perforations were created circumferentially until pinpoint bleeding appeared. Immediately afterward, autologous Accelerated Growth Factor (AGF) was injected (0.2-0.3 mL per site) into the treated mucosa. AGF was prepared from 10 mL of venous blood using a single-step centrifugation protocol to isolate the growth factor-rich fraction. Gingival thickness and soft tissue parameters were assessed using an intraoral scanner combined with a transgingival file measurement technique at baseline, 3 months, and 6 months.
Receives: Procedure: Microneedling Combined with Accelerated Growth Factor (AGF)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Gingival thickness (GT)

    Gingival thickness will be measured to assess the effect of accelerated growth factor injection with and without microneedling on peri-implant soft tissue phenotype.

    Measurements will be taken at the mid-facial point of the implant site using a transgingival file technique combined with digital evaluation via intraoral scanning to ensure accuracy and reproducibility.

    Measured: Baseline, 3 months, and 6 months after intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Dec 2025
  2. Study start5 Oct 2024
  3. Primary completion10 Dec 2025 (estimated)
  4. Study completion5 Jan 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants are randomly assigned to one of two parallel treatment groups: AGF alone. Microneedling combined with Accelerated Growth Factor (AGF) Each participant receives only one type of intervention, and the outcomes are compared between groups.
Masking
Single blind
Who is masked
Participant
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07294287
Sponsor's protocol ID
#R-FP-10-24-3150
Status last verified
Dec 2025
First submitted
7 Dec 2025
Last updated
19 Dec 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bawankar PV, Tuli P, Kolte AP, Kolte RA. Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial. J Indian Soc Periodontol. 2024 Nov-Dec;28(6):643-650. doi: 10.4103/jisp.jisp_158_24. Epub 2025 Apr 3.

    PubMed 40313337
  • Ozsagir ZB, Saglam E, Sen Yilmaz B, Choukroun J, Tunali M. Injectable platelet-rich fibrin and microneedling for gingival augmentation in thin periodontal phenotype: A randomized controlled clinical trial. J Clin Periodontol. 2020 Apr;47(4):489-499. doi: 10.1111/jcpe.13247. Epub 2020 Feb 11.

    PubMed 31912532

Questions about this trial

What is this clinical trial studying?

A study testing Microneedling Combined with Accelerated Growth Factor (AGF) and Accelerated Growth Factor (AGF) Injection Only in people with Gingiva and Dental Implants, run by Tanta University at 1 site in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 19 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Gingival thickness (GT) (time frame: Baseline, 3 months, and 6 months after intervention). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07294287, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Dec 2025.

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