Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Comparing flapless and flap surgery techniques for dental implants

Official title: Width of Keratinazed Mucosa in Immediately Loaded Posterior Implant Restorations Treated With Different Surgical Approaches: Randomized Clinical Study.

Run by University of Milan · NCT05073952 · Data updated 2026-11-12

This study tests whether using a flapless technique or traditional flap surgery for dental implants leads to better healing of the gum tissue in patients with missing back teeth.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment44 (estimated)
SponsorUniversity of Milan
Academic / other
Drugs / interventionschemotherapy, radiation
Locations1 site (Milan, MI)
StatusRecruiting
StartedOctober 18, 2021
Main results expectedJune 1, 2023
Study endsJune 1, 2028
Registry record updatedDecember 3, 2021
Trial IDNCT05073952 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with partial edentulism in the posterior region and adequate bone volume for implant placement.

Probably not a fit

Patients with systemic conditions that affect healing or those who cannot maintain proper oral hygiene may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the differences in keratinized mucosa after dental implant placement using two techniques: a flapless approach and traditional flap surgery with connective tissue grafts. It focuses on patients with partial edentulism in the posterior region who have sufficient bone volume for implant placement. The study utilizes computer-guided implantology to enhance precision and outcomes. Participants will be monitored for variations in keratinized mucosa following the procedures.

Why it matters

Potential benefit: If successful, this study could lead to improved healing and aesthetic outcomes for patients receiving dental implants.

How similar studies have gone: Previous studies have shown promising results with flapless implant techniques, suggesting potential benefits in terms of recovery and mucosal health.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18+
* Patients with partial edentulism in the posterior region (4-7) upper or lower for at least 3 months
* Patient whose tomographic examination shows adequate bone volumes for computer guided placement of a standard diameter implant (\> 3.5 mm) without the need for bone regeneration procedures
* Patients who have accepted informed consent and participation in the study
* Patients who do not have exclusion criteria

Eclusion Criteria

* Patients who refuse to co-operate
* Systemic conditions of exclusion:

  * Medical conditions requiring prolonged use of steroids
  * Severe hemophilia
  * In therapy with intravenous bisphosphonates
  * History of white blood cell dysfunction or deficiency
  * History of head and neck radiotherapy or chemotherapy
  * History of kidney failure
  * Pregnant or breastfeeding patient
  * History of uncontrolled endocrine disorders
  * Physical handicaps that hinder proper oral hygiene
  * Use of experimental devices or drugs within 30 days prior to implant placement surgery
  * Alcoholism or drug abuse
  * Smokers of\> 10 cigarettes per day or the equivalent cigar or\> 10 tobacco-based chewings per day
  * Conditions or circumstances that prevent the completion of participation in the study or interfere with the analysis of the study results

Local exclusion conditions:

* Local inflammation, including untreated periodontitis
* Patients with erosive lichen planus
* History of local radiation therapy
* Presence of bone lesions
* Unhealed extraction sites
* History of bone reconstruction and bone grafting techniques in the sites where the implants are to be inserted
* Bruxism
* Bleeding index\> 30% and number of pockets\> 5mm greater than 10

Where it's running

  • Clinica Odontoiatrica Giorgio Vogel
    Milan, Mi, Italy
    Recruiting

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.