Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial
Objectives: The objective of this study was to evaluate the efficacy of injectable hyaluronic acid (HA) combined with microneedling (MN) in augmenting peri-implant soft tissue. Materials and Methods: Sixty-five patients were enrolled and divided into two groups. Group 1 received MN alone, while Grou...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Journal of Indian Society of Periodontology |
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| Online Access: | https://journals.lww.com/10.4103/jisp.jisp_158_24 |
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| author | Pranjali Vijaykumar Bawankar Prabhnoor Tuli Abhay P. Kolte Rajashri Abhay Kolte |
| author_facet | Pranjali Vijaykumar Bawankar Prabhnoor Tuli Abhay P. Kolte Rajashri Abhay Kolte |
| author_sort | Pranjali Vijaykumar Bawankar |
| collection | DOAJ |
| description | Objectives:
The objective of this study was to evaluate the efficacy of injectable hyaluronic acid (HA) combined with microneedling (MN) in augmenting peri-implant soft tissue.
Materials and Methods:
Sixty-five patients were enrolled and divided into two groups. Group 1 received MN alone, while Group 2 received HA following MN on the peri-implant mucosa. Various parameters – including the plaque index (PI), gingival index (GI), peri-implant probing depth, clinical attachment levels, Sulcus Bleeding Index, mucosal thickness (MT), keratinized tissue width (KTW), interproximal width (IPW), and papillary recession height (PRH) – were evaluated at baseline, 3 months, and 6 months postoperatively. Patient-reported outcome measures were assessed to gauge treatment effectiveness and patient satisfaction.
Results:
Group 2 patients exhibited reduced PI, GI, SBI, PIPD, and CAL compared to Group 1. Both groups showed a significant increase in MT and KTW after 6 months; MT increased to 1.03 ± 0.11 mm in Group 1 and 2.48 ± 0.45 mm in Group 2, while KTW increased to 2.44 ± 0.84 mm in Group 1 and 4.34 ± 1.02 mm in Group 2. In addition, the mean PRH was 1.67 ± 0.32 mm in Group 1 and 0.88 ± 0.25 mm in Group 2, with a mean IPW of 2.19 ± 0.52 mm in Group 1 and 0.90 ± 0.16 mm in Group 2.
Conclusion:
HA combined with MN leads to increased MT and KTW, reduced inflammation, and improved papillary fill. Thus, HA with MN may serve as an effective short-term implant maintenance modality, assisting clinicians in achieving peri-implant soft tissue regeneration. |
| format | Article |
| id | doaj-art-e340481c46ca4494acca74306d503d59 |
| institution | OA Journals |
| issn | 0972-124X 0975-1580 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj-art-e340481c46ca4494acca74306d503d592025-08-20T02:27:31ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X0975-15802024-11-0128664365010.4103/jisp.jisp_158_24Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trialPranjali Vijaykumar BawankarPrabhnoor TuliAbhay P. KolteRajashri Abhay KolteObjectives: The objective of this study was to evaluate the efficacy of injectable hyaluronic acid (HA) combined with microneedling (MN) in augmenting peri-implant soft tissue. Materials and Methods: Sixty-five patients were enrolled and divided into two groups. Group 1 received MN alone, while Group 2 received HA following MN on the peri-implant mucosa. Various parameters – including the plaque index (PI), gingival index (GI), peri-implant probing depth, clinical attachment levels, Sulcus Bleeding Index, mucosal thickness (MT), keratinized tissue width (KTW), interproximal width (IPW), and papillary recession height (PRH) – were evaluated at baseline, 3 months, and 6 months postoperatively. Patient-reported outcome measures were assessed to gauge treatment effectiveness and patient satisfaction. Results: Group 2 patients exhibited reduced PI, GI, SBI, PIPD, and CAL compared to Group 1. Both groups showed a significant increase in MT and KTW after 6 months; MT increased to 1.03 ± 0.11 mm in Group 1 and 2.48 ± 0.45 mm in Group 2, while KTW increased to 2.44 ± 0.84 mm in Group 1 and 4.34 ± 1.02 mm in Group 2. In addition, the mean PRH was 1.67 ± 0.32 mm in Group 1 and 0.88 ± 0.25 mm in Group 2, with a mean IPW of 2.19 ± 0.52 mm in Group 1 and 0.90 ± 0.16 mm in Group 2. Conclusion: HA combined with MN leads to increased MT and KTW, reduced inflammation, and improved papillary fill. Thus, HA with MN may serve as an effective short-term implant maintenance modality, assisting clinicians in achieving peri-implant soft tissue regeneration.https://journals.lww.com/10.4103/jisp.jisp_158_24hyaluronic acidmicroneedlingsoft tissue regeneration |
| spellingShingle | Pranjali Vijaykumar Bawankar Prabhnoor Tuli Abhay P. Kolte Rajashri Abhay Kolte Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial Journal of Indian Society of Periodontology hyaluronic acid microneedling soft tissue regeneration |
| title | Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial |
| title_full | Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial |
| title_fullStr | Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial |
| title_full_unstemmed | Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial |
| title_short | Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial |
| title_sort | evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri implant soft tissues a randomized controlled trial |
| topic | hyaluronic acid microneedling soft tissue regeneration |
| url | https://journals.lww.com/10.4103/jisp.jisp_158_24 |
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