Comparison of macro and microsurgery techniques to increase keratinized tissue width using free gingival graft. Other disorders of gingiva and edentulous alveolar ridge
Conditions
Interventions
Intervention 1: In the control group, in order to prepare the recipient area, a periosteal bed without muscle attachment and with a suitable size will be provided through sharp dissection, so that usi
The template is transferred to the graft donor area, the margin of which is marked by shallow incisions. A 1-1.5 mm thick graft containing epithelium and a thin layer of connective tissue is then harv
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: At least 18 years old Need to increase the keratinized tissue width (keratinized tissue less than 2 mm or attached gingiva less than 1 mm) Probing depth less than 3 mm in the teeth of the surgical site Full Mouth Plaque Score (FMPS)<20% Full Mouth Bleeding Score (FMBS)<20%
Exclusion criteria
Exclusion criteria: Heavy smokers A systemic problem that negatively affects wound healing, such as diabetes or taking medications such as high-dose steroids Radiotherapy or immunosuppressive therapies that interfere with surgical wound healing. Pregnant or lactating patients History of periodontal surgery in the desired area during life Patients who do not attend follow-up sessions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dimensional changes (percentage of shrinkage) of free gingival graft using macro and microsurgery techniques. Timepoint: 1 month and 3 months after surgery. Method of measurement: From each patient before surgery, immediately after surgery, and in follow-ups one month and three months after surgery, standard clinical photographs (perpendicular to the target area, under the same light and magnification, with a probe in the image For calibration of Image J measurement software) from the surgical area in order to record the color and texture characteristics of the graft during the baseline and follow-ups of 1 and 3 months will be prepared using Canon 800D camera and ring flash. Dimensions will be measured using Image J software and the percentage of tissue shrinkage will be calculated using the following formula: Baseline graft area- Graft area at follow up session divided to Baseline graft area. | — |
Secondary
| Measure | Time frame |
|---|---|
| Keratinized tissue width. Timepoint: One month and three months after surgery. Method of measurement: UNC-15 Probe.;Color match. Timepoint: One month and three months after surgery. Method of measurement: Using Adobe Photoshop software and Brightness parameters.;Root Coverage Esthetic Score. Timepoint: One month and three months after surgery. Method of measurement: Examination by a periodontist and scoring.;Landry’s Healing Index. Timepoint: The second week and the first month after surgery. Method of measurement: Examination by a periodontist and scoring.;Surgical duration. Timepoint: Day of surgery. Method of measurement: Stopwatch.;Pain and discomfort. Timepoint: The first 14 days after surgery. Method of measurement: Numeric Pain Scale (NPS).;Bleeding. Timepoint: The first 14 days after surgery. Method of measurement: Questionnaire.;Swelling. Timepoint: The first 14 days after surgery. Method of measurement: Questionnaire.;Patient satisfaction with aesthetic results. Timepoint: Three months after surgery. Method of measurement: Numeric Pain Scale (NPS). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactGhazal Morshedzadeh Tehrani
Tehran University of Medical Sciences
Outcome results
None listed