Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Timing of free gingival grafts to increase gum tissue around lower back dental implants

Official title: Clinical Effects of Keratinized Mucosa Augmentation Around Dental Implant With Free Gingival Graft in Different Surgical Timing at Mandibular Posterior Sites

Run by The Dental Hospital of Zhejiang University School of Medicine · NCT07088172 · Data updated 2026-11-12

This trial will test whether placing a free gingival graft before implants or during the second-stage surgery gives better gum tissue width and stability for adults getting implants in the lower back jaw with less than 2 mm of keratinized gum.

More Edentulous Alveolar Ridge trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment24 (estimated)
SponsorThe Dental Hospital of Zhejiang University School of Medicine
Academic / other
Locations1 site (Hangzhou, Zhejiang)
StatusRecruiting
StartedMay 23, 2024
Main results expectedAugust 2025
Study endsJanuary 2027
Registry record updatedJuly 28, 2025
Trial IDNCT07088172 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18 years) with partial tooth loss in the lower back jaw who plan implant-supported fixed restorations and have less than 2 mm of buccal keratinized mucosa, good overall and periodontal health, and smoke no more than 10 cigarettes per day are ideal candidates.

Probably not a fit

Patients with uncontrolled metabolic disease, severe or unstable periodontal disease, heavy smokers (>10 cigarettes/day), or those needing augmentation over more than two teeth are unlikely to benefit from this protocol.

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

What this trial studies

This interventional study compares two surgical timings for free gingival grafting at mandibular posterior implant sites with insufficient buccal keratinized mucosa. One group receives the graft before implant placement and the other receives it during the second-stage implant surgery. Clinical measurements of soft- and hard-tissue stability, keratinized mucosa width, and related outcomes will be recorded over follow-up visits. Eligible patients are adults with partially edentulous mandibular posterior sites planned for implant-supported fixed restorations and buccal keratinized mucosa under 2 mm.

Why it matters

Potential benefit: If successful, the procedure timing that provides better gum stability could improve long-term implant health, comfort, and ease of oral hygiene for patients.

How similar studies have gone: Free gingival grafting is an established method to increase keratinized mucosa and has shown clinical success, though direct comparisons of graft timing (before versus during second-stage surgery) are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years, gender unrestricted;
* partially edentulous in the mandible posterior area, planned for implant-supported fixed restoration;
* Buccal keratinized mucosa width at the implant site is less than 2mm, with the transplantation area not exceeding 2 teeth;
* No soft tissue augmentation performed at the site prior to surgery;
* Overall health is good, with no systemic diseases that may affect bone metabolism or wound healing;
* Good periodontal condition, no progressive alveolar bone resorption, no periodontal abscess;
* Smoking ≤ 10 cigarettes per day.

Exclusion Criteria:

* Uncontrolled metabolic diseases;
* Severe periodontal disease, with unstable periodontal condition;
* Smoking \> 10 cigarettes per day;
* Unwilling to participate in the follow-up of this study;
* Other conditions that do not meet the requirements for implant treatment.

Where it's running

  • The Stomatology Hospital, Zhejiang University School of Medicine
    Hangzhou, Zhejiang, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.