Gingival Recession
Conditions
Keywords
Gingival Recession, Coronally advanced flap, Periodontal regeneration
Brief summary
The purpose of this study is to evaluate the reduction of gingival recession of single Miller Class I and II defects treated by coronally advanced flap with subepithelial porcine collagen matrix graft and / or enamel matrix proteins.
Interventions
Coronally advanced flap associated to Xenogenous collagen matrix graft (mucograft) for the treatment of gingival recessions Miller Class I or II.
Coronally advanced flap associated to Enamel Matrix Derivative (Emdogain) for the treatment of gingival recessions Miller Class I or II.
Coronally advanced flap for the treatment of gingival recessions Miller Class I or II.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years. * Presence of at least one Class I or II Miller gingival recession ≥ 2.5 mm in maxillary canines or premolars with identifiable cementum-enamel junction (CEJ) and without deep non-carious cervical lesions (\< 0.5 mm): A +(Pini-Prato et al. 2010). * Aesthetic complaint and/or presence of dentin hypersensitivity to air stimulus. * Full-mouth visible plaque index ≤ 20% (Ainamo & Bay 1975). * Full-mouth sulcus bleeding index ≤ 20% (Mühlemann & Son 1971).
Exclusion criteria
* Smoking. * Pregnancy. * Presence of systemic disorders (diabetes, hypertension, heart disease or any other condition that could contraindicate periodontal surgery). * Use of medications (immunosuppressants, phenytoin or anything else that might affect mucosal healing and repair). * Previous periodontal surgery in the area.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recession Reduction | 6 months | Measured as a difference between gingival margin between gingival recession depth at baseline and gingival recession at 6 months follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complete root coverage | 6 months | Assessed as percentage of sites with complete root coverage |
Other
| Measure | Time frame | Description |
|---|---|---|
| Keratinized tissue thickness | 6 months | Measured at a midpoint between gingival margin and mucogingival junction using a endodontic spreader pierced perpendicular and through the soft tissue |
Countries
Brazil