This study aims to compare the use of microneedling alone versus with hyaluronic acid or i-PRF in conjunction with microneedling in peri-implant mucosa in the esthetic zone to test the superior increase in gingival thickness.
Patients with delayed implants placed in the maxillary esthetic region in correct positioning and angulation
Patients with peri-implant gingival thickness ≤ 1 mm
Patients with healthy gingiva and who can maintain good oral hygiene around implants
Marginal bone loss ≤ 2 mm
Patients with peri-implantitis or periodontitis
Patients with systemic conditions or diseases impairing healing or soft tissue metabolism
Pregnant or lactating females