Peri-implant HealthNCT07330609
Clinical, Radiographic, and Digital Evaluation of the Effects of Autogenous Grafts on Peri-implant Mucosa
A study testing Coronal palatal tissue and Apical palatal tissue in people with Peri-implant Health and Free Gingival Graft, run by Kutahya Health Sciences University at 1 site in Turkey (Türkiye).
Trial summary
This study aims to evaluate the effects of autogenous grafts harvested from different palatal regions on the peri-implant mucosa when applied during second-stage dental implant surgery. Read more about this study
- Who is it for?
- Ages 18 months and older
- Conditions the study is for
- Peri-implant Health, Free Gingival Graft, Peri-implant Mucositis
- What is being tested?
- Coronal palatal tissue and Apical palatal tissue
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 2 Feb 2026to 1 Nov 2027
- 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 months and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Age over 18 years
- Systemically healthy patients
- Presence of premolar or molar tooth loss in the mandible
- Adequate mesiodistal and interocclusal space for implant and restoration placement
- At least four months elapsed since tooth extraction
- Alveolar bone width of at least 6 mm and sufficient alveolar bone height to allow implant placement without compromising anatomical structures
Show all 12Show fewer
- Full-mouth plaque and bleeding scores less than 20%
- Presence of opposing teeth in occlusion
- Keratinized mucosa width in the relevant region less than 2 mm
- Keratinized mucosa thickness in the relevant region of 2 mm or less
- Presence of a healthy second premolar in the maxilla
- Provision of written informed consent and permission for the use of data for research purposes
Who cannot join
- Poor oral hygiene
- Uncontrolled periodontal disease
- Pregnancy or lactation at any stage of the study
- Uncontrolled diabetes mellitus
- Immunocompromised patients
- Previous radiotherapy to the head and neck region
Show all 11Show fewer
- Diseases or medications affecting bone metabolism
- Antibiotic use within the three months prior to the procedure
- Smoking more than 10 cigarettes per day
- Pre- or simultaneous bone augmentation prior to implant placement
- Lack of primary stability at the time of implant placement
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Kutahya Health Sciences University
Kütahya, Merkez, 43100
Ezgi Gürbüz, +905557411860, ezgi.dogan@ksbu.edu.tr
About this study
Official title: Clinical, Radiographic, and Digital Evaluation of the Effects of Autogenous Grafts Harvested From Different Palatal Sites and Applied During Second-stage Implant Surgery on the Peri-implant Mucosa
This study aims to evaluate the effects of autogenous grafts harvested from different palatal regions on the peri-implant mucosa when applied during second-stage dental implant surgery.
Clinical, radiographic, and digital assessment methods will be used to investigate the early effects of these grafts on peri-implant mucosal width and thickness. In addition, peri-implant tissue health and patient-reported outcomes will be evaluated to compare the effectiveness of the grafting techniques in peri-implant soft tissue management.
- Being tested
- Coronal palatal tissue, Apical palatal tissue
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Coronal palatal tissueProcedure or surgery
This group will receive palatal grafts including marginal and interdental gingiva. This coronal palatal tissue will be applied to the peri-implant tissue at the second-stage implant surgery.
Apical palatal tissueProcedure or surgery
This group will receive palatal grafts harvested from approximately 1.5 mm apical to the gingival margin. This graft will be applied to the peri-implant tissue at the second-stage implant surgery.
| Study group | Role | What they receive |
|---|---|---|
| Coronal palatal tissue | Experimental | Participants in this group will receive grafts including marginal and interdental palatal gingiva. Receives: Procedure: Coronal palatal tissue |
| Apical palatal tissue | Active comparator | Participants in this group will receive grafts harvested from approximately 1.5 mm apical to the palatal gingival margin. Receives: Procedure: Apical palatal tissue |
What is being measured
The primary outcome is the main question the study is designed to answer.
Peri-implant Mucosal Thickness
The primary outcome is the change in peri-implant mucosal thickness measured at four time points using clinical and digital methods.
Measured: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)
Secondary outcomes (13)
Keratinized Mucosa Width
Keratinized tissue width will be measured from the mid-buccal aspect of the edentulous area.
Measured: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)
Vestibular Depth
Vestibular depth is defined as the vertical distance between the midcrestal area and the point of greatest concavity of the mucosal fold.
Measured: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)
Modified Plaque Index
Modified plaque index will be measured at six points around each implant by an index with a minimum value of 0 and a maximum of 3.
Measured: Postoperative 6th month after implant placement and 12th month after prosthetic loading
Modified Bleeding Index
Modified bleeding index will be measured at six points around each implant by an index with a minimum value of 0 and a maximum of 3.
Measured: Postoperative 6th month after implant placement and 12th month after prosthetic loading
Peri- implant Probing Depth
Peri-implant probing depth will be measured at six points around each implant.
Measured: Postoperative 6th month after implant placement and 12th month after prosthetic loading
Mucosal Recession
Mucosal recession will be measured as the distance between the implant abutment interface and the mucosal margin.
Measured: 12th month after prosthetic loading
Marginal Bone Level
Marginal bone level will be measured on periapical radiographs taken by the parallel technique.
Measured: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)
Pink Esthetic Score (PES)
Peri-implant soft tissue esthetics will be evaluated using the Pink Esthetic Score with a minimum value of 0 and a maximum of 14.
Measured: Postoperative 3rd month (second-stage implant surgery) and 12th month after prosthetic loading
Postoperative Pain Assessment
Postoperative pain as patient-reported outcome will be recorded using a visual analog scale (VAS; 0-100).
Measured: Postoperative 14 days (daily after graft application)
Analgesic Consumption
The amount of analgesic medication used (mg) will be recorded.
Measured: Postoperative 14.days (after graft application)
Patient Satisfaction
Patient satisfaction with the surgical procedure will be assessed using a three-point Likert scale (0 = no, 1 = maybe, 2 = yes).
Measured: Postoperative 14.days (after graft application)
Patient-Perceived Esthetic Outcome
Patient perception of peri-implant soft tissue esthetics will be evaluated using a visual analog scale (VAS; 0-100).
Measured: 12th month after prosthetic loading
Oral Health-Related Quality of Life
Oral health-related quality of life will be assessed using the Oral Health Impact Profile (OHIP-14) questionnaire.
Measured: Postoperative 3rd month (second-stage implant surgery) and 12th month after prosthetic loading
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jan 2026
- Study start2 Feb 2026
- Primary completion2 Aug 2027 (estimated)
- Study completion1 Nov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Peri-implant HealthStudies of the same condition, open and under way.
- More trials run by Kutahya Health Sciences UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomized controlled clinical trial with parallel groups
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kutahya Health Sciences University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ezgi Gürbüz, Kutahya Health Sciences University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07330609
- Sponsor's protocol ID
- KSBU001
- Status last verified
- Dec 2025
- First submitted
- 29 Dec 2025
- Last updated
- 28 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Zigdon H, Machtei EE. The dimensions of keratinized mucosa around implants affect clinical and immunological parameters. Clin Oral Implants Res. 2008 Apr;19(4):387-92. doi: 10.1111/j.1600-0501.2007.01492.x. Epub 2008 Feb 11.
PubMed 18266873Bassetti RG, Stahli A, Bassetti MA, Sculean A. Soft tissue augmentation procedures at second-stage surgery: a systematic review. Clin Oral Investig. 2016 Sep;20(7):1369-87. doi: 10.1007/s00784-016-1815-2. Epub 2016 Apr 4.
PubMed 27041111
Study at a glance
From the registry record, last updated by the sponsor on 28 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical, Radiographic, and Digital Evaluation of the Effects of Autogenous Grafts Harvested From Different Palatal Sites and Applied During Second-stage Implant Surgery on the Peri-implant Mucosa
- ClinicalTrials.gov ID
- NCT07330609
- Acronym / sponsor ID
- KSBU001
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Kutahya Health Sciences UniversityUniversity, hospital or other
- Study start
- 2 Feb 2026 (actual)
- Primary completion
- 2 Aug 2027 (estimated)
- Study completion
- 1 Nov 2027 (estimated)
- First posted
- 9 Jan 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the effects of autogenous grafts harvested from different palatal regions on the peri-implant mucosa when applied during second-stage dental implant surgery.
Clinical, radiographic, and digital assessment methods will be used to investigate the early effects of these grafts on peri-implant mucosal width and thickness. In addition, peri-implant tissue health and patient-reported outcomes will be evaluated to compare the effectiveness of the grafting techniques in peri-implant soft tissue management.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Randomized controlled clinical trial with parallel groups
| Arm | Type | Receives |
|---|---|---|
| Coronal palatal tissue | Experimental | Procedure: Coronal palatal tissueParticipants in this group will receive grafts including marginal and interdental palatal gingiva. |
| Apical palatal tissue | Active comparator | Procedure: Apical palatal tissueParticipants in this group will receive grafts harvested from approximately 1.5 mm apical to the palatal gingival margin. |
Who may qualify
- Ages
- 18 months and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (12 listed)
- Age over 18 years
- Systemically healthy patients
- Presence of premolar or molar tooth loss in the mandible
- Adequate mesiodistal and interocclusal space for implant and restoration placement
- At least four months elapsed since tooth extraction
Key exclusion criteria (11 listed)
- Poor oral hygiene
- Uncontrolled periodontal disease
- Pregnancy or lactation at any stage of the study
- Uncontrolled diabetes mellitus
- Immunocompromised patients
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Coronal palatal tissueThis group will receive palatal grafts including marginal and interdental gingiva. This coronal palatal tissue will be applied to the peri-implant tissue at the second-stage implant surgery. | Procedure or surgery | Coronal palatal tissue |
| Apical palatal tissueThis group will receive palatal grafts harvested from approximately 1.5 mm apical to the gingival margin. This graft will be applied to the peri-implant tissue at the second-stage implant surgery. | Procedure or surgery | Apical palatal tissue |
Primary outcome
Peri-implant Mucosal Thickness
Time frame: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)
The primary outcome is the change in peri-implant mucosal thickness measured at four time points using clinical and digital methods.
13 secondary outcomes
Keratinized Mucosa Width
Time frame: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)
Vestibular Depth
Time frame: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)
Modified Plaque Index
Time frame: Postoperative 6th month after implant placement and 12th month after prosthetic loading
Modified Bleeding Index
Time frame: Postoperative 6th month after implant placement and 12th month after prosthetic loading
Peri- implant Probing Depth
Time frame: Postoperative 6th month after implant placement and 12th month after prosthetic loading
Mucosal Recession
Time frame: 12th month after prosthetic loading
Marginal Bone Level
Time frame: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)
Pink Esthetic Score (PES)
Time frame: Postoperative 3rd month (second-stage implant surgery) and 12th month after prosthetic loading
Postoperative Pain Assessment
Time frame: Postoperative 14 days (daily after graft application)
Analgesic Consumption
Time frame: Postoperative 14.days (after graft application)
Patient Satisfaction
Time frame: Postoperative 14.days (after graft application)
Patient-Perceived Esthetic Outcome
Time frame: 12th month after prosthetic loading
Oral Health-Related Quality of Life
Time frame: Postoperative 3rd month (second-stage implant surgery) and 12th month after prosthetic loading
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jul 2026.
- Background: PubMed 18266873Zigdon H, Machtei EE. The dimensions of keratinized mucosa around implants affect clinical and immunological parameters. Clin Oral Implants Res. 2008 Apr;19(4):387-92. doi: 10.1111/j.1600-0501.2007.01492.x. Epub 2008 Feb 11.
- Background: PubMed 27041111Bassetti RG, Stahli A, Bassetti MA, Sculean A. Soft tissue augmentation procedures at second-stage surgery: a systematic review. Clin Oral Investig. 2016 Sep;20(7):1369-87. doi: 10.1007/s00784-016-1815-2. Epub 2016 Apr 4.
- Individual participant dataSharing planned: No
Related trials for Peri-implant Health
Active, not recruiting
The Aim of the Study Will be Clinically and Radio Graphically Comparison of Two Implant Designs Used to Treat Atrophied Mandible . Implant Design Comparison Will Done for Implant Stability,Peri-implant Soft Tissue Health Changes and Bone Changes .Patients Will be Divided Randomly Into Two Group
Dental Implant Bone Loss, Peri-Implant Health
Active, not recruiting
Influence of Implant Insertion Depth on Peri-implant Bone Changes Around Short Implants
Tooth Loss, Edentulism
Not yet recruitingObservational study
Association Between Peri-implant Tissue Health and Crown Shape: a Prospective Study
Dental Implants
Active, not recruitingObservational study
Influence of Prosthetic Characteristics of Implant-Supported Crowns on Peri-implant Health and Osseointegration: A Comparison Between Digital and Conventional Workflows
Implant-supported Single Crowns, Osseointegration
Not yet recruitingObservational study
Plaque and Bleeding on Probing Around Implants Supporting Fixed Full-Arch Dental Prostheses
Peri-Implant Health
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Coronal palatal tissue and Apical palatal tissue in people with Peri-implant Health and Free Gingival Graft, run by Kutahya Health Sciences University at 1 site in Turkey (Türkiye).
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 12 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 28 Jul 2026. 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 Turkey (Türkiye). 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?
Contact Ezgi Gürbüz (+905557411860, ezgi.dogan@ksbu.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Peri-implant Mucosal Thickness (time frame: Pre-operative and post-operative (before implant placement, 3rd month (second-stage implant surgery), 6th month after implant placement, and 12th month after prosthetic loading)). 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 NCT07330609, 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 28 Jul 2026.