Gingival Recession
Conditions
Keywords
Coronally advanced flap, gingival recession, enamel matrix protein, acellular dermal matrix, root coverage
Brief summary
The aim of this study is to compare the clinical outcomes of root coverage procedures, using coronally advanced flap in combination with acellular dermal matrix with or without enamel matrix derivatives .
Detailed description
coverage of gingival recession defects has been considered as a matter of interest for dental practitioners.subjects with a paired gingival recession defect will be selected from the patients who sought dental treatment at our department.Random allocation of the treatment sites to test (CAF+ EMD+ADM) and control (CAF + ADM) groups will be performed by a person who is external to the study and using a computerized selection of random numbers for allocation of the study groups.The parameters of the study are as following items: probing depth( PD), clinical attachment level (CAL), width of keratinized tissue (WKT), recession depth from cemento- enamel junction (RD), recession width (RW), distance between mucogingival junction and the stent (MGJ), Plaque (PI) and gingival (GI) indices and root coverage percentage (RC) and the patients will be followed up for 6 months.
Interventions
using coronally advanced flap (CAF) in combination with acellular dermal matrix (ADM) with enamel matrix derivatives (EMD).
using coronally advanced flap (CAF) in combination with acellular dermal matrix (ADM) without enamel matrix derivatives (EMD) for root coverage procedures.
Sponsors
Study design
Eligibility
Inclusion criteria
* Having no systemic disease affecting the periodontium, * No contraindication for elective surgery, * Adequate oral hygiene , * No previous surgical attempts for root coverage at the studying sites, * Vital teeth and signing a witness letter.
Exclusion criteria
* Smoking, presence of a restorations on tooth surface for test and control teeth, * Pregnancy, * Being under treatment with steroids, * Peri-apical infection, * Indication for antibiotic prophylaxis prior to dental treatments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the percentage of root coverage | at baseline, 2 and 6 months after treatment. |
Secondary
| Measure | Time frame |
|---|---|
| clinical attachment level, width of keratinized gingiva ant the position of mucco-gingival junction following root coverage procedures | 6 months after treatment |
Countries
Iran