REZESSIONSDECKUNG
Conditions
Interventions
Group 1: Root coverage by subepithelial connective tissue graft from a more superficial layer of the hard palate
Group 2: Root coverage by subepithelial connective tissue graft from a deeper layer of
Sponsors
Goethe-Universität Frankfurt | Campus Niederrad Zentrum der Zahn-, Mund- und Kieferheilkunde Carolinum Zahnärztliches Universitäts-Institut gGmbH
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: • Male and female, systemically healthy patients, at least 18 years of age, presenting six adjacent buccal gingival recession defects in the lower jaw (at least one of these with a depth = 2mm) requiring surgical intervention. • Masticatory mucosa of the palate between canine and first molar has to be 2.5 mm thick • Patients should be treatment naïve with regard to root coverage procedures. Pre-treatment should include therapy of gingivitis, if necessary, instructions in non-traumatic oral hygiene and reconstruction of the cemento-enamel junction with adhesive dental restorations in case of cervical abrasion, erosion, caries or in case of pre-existing insufficient cervical fillings. • Periodontal health (no active periodontal disease) including the ability to achieve good oral hygiene and control gingivitis with full-mouth plaque score (FMPS) and full-mouth bleeding score (FMBS) = 25%. • No medication known to interfere with periodontal tissue health or healing. • No contraindication for elective periodontal plastic surgery. • Non-smokers. • No pregnancy. • Ability to understand study procedures and to comply with them for the entire duration of the study. Ability and willingness to give written informed consent.
Exclusion criteria
Exclusion criteria: • Persistence of uncorrected gingival trauma from tooth brushing. • Interdental attachment loss greater than 1mm. • Presence of severe tooth malpositioning, rotation or extrusion. • Presence of any kind of indirect dental restoration involving the buccal structures of the cemento-enamel junction. • Presence of active caries lesions or any evidence of acute or chronic pulpal pathology involving the surrounding periodontal tissues. • Participation in another clinical trial, inability or unwillingness to give written informed consent or any other non-fulfilment of any of the above-mentioned inclusion criteria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Digital measurements at baseline, intra-operatively, during initial healing and at 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Histological and immunohistochemical evaluation | — |
Countries
Germany
Contacts
Public ContactSophia M. Abraha
Praxis Hürzeler/Zuhr
Outcome results
None listed