Condition: Atrophic Edentulous Maxilla · Zygomatic Implants · Dental Implant · Sponsor: Future University in Egypt
Background and Rationale The rehabilitation of the severely atrophied maxilla utilizing zygomatic implants is a highly predictable and effective treatment modality. However, managing the peri-implant soft tissue in these complex cases remains a significant clinical challenge. Because zygomatic implants frequently emerge through thin, non-keratinized, and mobile alveolar mucosa rather than thick, attached gingiva, the peri-implant environment is highly susceptible to complications. Inadequate soft tissue thickness can lead to mucosal recession, exposure of the implant collar, plaque accumulation, and ultimately peri-implantitis, which threatens the long-term success of the prosthesis. To mitigate these risks and achieve an optimal permucosal seal, soft tissue augmentation is often required. Vascularized soft tissue grafts are preferred in these compromised anatomical sites due to their robust blood supply and enhanced healing capacity. The Buccal Fat Pad (BFP) flap is a well-documented and frequently utilized technique for this purpose; however, its volume can be unpredictable, and it may be unavailable due to prior surgeries or anatomical deficiencies. Therefore, evaluating robust alternatives, such as the Palatal Pedicle Flap (PPF)-which utilizes the thick, keratinized palatal mucosa-is critical for optimizing surgical outcomes. Study Design and Methodology This study is structured as a prospective, randomized controlled clinical trial utilizing a split-mouth design. The s…
This description comes directly from the study's public registry record.
waleed fathy associate professor of oral and maxillofacial surgery at FUE, associate professor of oral an · +20 10 06614712 · waleed.fathy@fue.edu.eg
aya magdy lecturer of oral and maxillofacial surgery at FUE, LECTURER · 00201000252400 · Aya.magdy@fue.edu.eg
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| Future University in Egypt | Cairo, New Cairo, Egypt | Recruiting |
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Source record: clinicaltrials.gov/study/NCT07574606