Flipped Autograft for Treating Surgical Wound Dehiscence

Flipped Autograft: a Novel Approach for Management of Wound Dehiscence in Implant Dentistry

This case report describes a novel technique for management of peri-implant wound dehiscence that involves using auto graft from the same surgical site to seal the dehiscence defect.

Study Overview

• Status: Completed
• Conditions: Wound Dehiscence
• Intervention / Treatment: Procedure: flipped autograft

• Study Type: Interventional
• Enrollment (Actual): 10
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: ahmed hamdy, master degree; Phone Number: +201061112512; Email: ahmed.esmaail@bue.edu.eg

Study Locations

• Egypt
  • Cairo, Egypt, 11837
    • Ahmed Hamdy

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. Adult patients in a healthy systemic condition.
2. Both genders
3. Patients should have single missing tooth.
4. Seibert Class I ridge defect.
5. Patients should approve to deliver a signature to a written consent after study nature explanation.

Exclusion Criteria:

• 1- Patients with any smoking habits. 2- Pregnant females, decisional impaired individuals, Prisoners and handicapped patients.

  3- Patients having poor oral hygiene or not wanting to carry out oral hygiene measures.

  4- Patients with infections either periodontally or periapically.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: flipped autograft	Procedure: flipped autograft; Thick lingual flap was de-epithelized and partially dissected to increase its length then flipped and sutured to the buccal flap to obtain primary closure

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
complete primary intention healing of the wound dehiscence	complete uneventful healing will be assessed clinically by measuring soft tissue width and thickness using periodontal probe under local anesthesia	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
esthetic outcome and patient satisfaction.	esthetic outcome will be measured using pink esthetic score. Pink esthetic score (PES) will be recorded for five variables: "mesial papilla, distal papilla, curvature of the facial mucosa, level of the facial mucosa, and root convexity/soft tissue color and texture at the facial aspect of the implant site". A score of 2, 1, or 0 will be assigned to all five parameters. also patient satisfaction will be recorded using: • (VAS) Visual analogue scale to measure postoperative pain. Pain score reported by the patient. directly through Visual Analogue Scale score (from 0 to 10. 0: no pain, 1: minimal pain, 5: moderate pain, 10: severe pain) which will be recorded after 2 weeks (Yildirim et al., 2017)	3 months

Collaborators and Investigators

• Sponsor: Ain Shams University
• Collaborators: British University In Egypt

Study record dates

Study Major Dates

• Study Start (Actual): July 22, 2021
• Primary Completion (Actual): January 29, 2022
• Study Completion (Actual): April 27, 2022

Study Registration Dates

• First Submitted: August 20, 2022
• First Submitted That Met QC Criteria: August 22, 2022
• First Posted (Actual): August 24, 2022

Study Record Updates

• Last Update Posted (Actual): April 2, 2024
• Last Update Submitted That Met QC Criteria: March 31, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: hamdy

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No