Gingival Recession
Conditions
Brief summary
The goal of the present study is to compare the amount of root coverage resulting from subepithelial connective tissue graft and acellular dermal matrix associated with tunnel technique among patients suffering from multiple gingival recession.
Detailed description
Acellular dermal matrix with Tunnel technique will offers great advantages for patients with multiple gingival recession as regards decrease surgical time, Post-Operative pain and root coverage, clinical attachment level, width of Keratinized gingiva, gingival biotype compared to subepithelial connective tissue graft with Tunnel technique.
Interventions
BIOLOGICALAcellular Dermal Matrix
Puros Dermis is a collagenous membrane derived from solvent preserved,human dermis, works as biological scaffold for the new formation of vasculated connective tissue.
PROCEDURETunnel technique with the subepithelial connective tissue graft
Tunnel prepared with the placement of subepithelial connective tissue graft harvested from the palate
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Subjects with facial multiple gingival recession defects classified as either class I or II defects according to Miller's classification (Miller 1985). * Subjects aged between 18 - 60 years old. * Patients should be free from any systemic disease that may affect normal healing of tissue, and predictable outcome. * Patients with good oral hygiene.
Exclusion criteria
* Current and former smokers. * Pregnant females. * Subjects received any periodontal therapy for minimum of 6 months prior to the study. * Subjects taking drugs known to interfere with wound healing. * Subjects with unacceptable oral hygiene with plaque index \>2. * Teeth with non-carious cervical lesions (NCCL), cervical caries and malalignment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| patient Satisfaction . | 1 year | measured by VAS scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| root coverage | 1 year | measured by periodontal probe |
| Clinical Attachment Level | 1 year | measured by periodontal probe |
| Width of Keratinized Tissue | 1 year | measured by periodontal probe |
| Gingival Bio-type | 1 year | measured by endodontics file |
Outcome results
None listed