Gingival Recession
Conditions
Keywords
gingival recession, Zuchellis technique,, placental membrane
Brief summary
Aim of the study was to evaluate the clinical efficacy of placental membrane with coronally advanced flap in covering single and multiple Miller's class I and II gingival recession defects.
Detailed description
STUDY DESIGN A total number of 60 teeth in 15 subjects were selected. Patients with bilateral Miller's class I and II gingival recession defects in the maxillary or mandibular anterior and premolar region were selected and divided into two groups using a split mouth design. GroupI (Control) -30 recession defects treated with coronally advanced flap alone, using Zucchelli's technique. Group II (Test) - 30 recession defects treated with coronally advanced flap, using Zucchelli's technique along with placental membrane. . CLINICAL PARAMETERS: 1. Probing Pocket Depth(PPD) 2. Clinical Attachment Level(CAL) 3. Height of Gingival Recession(HGR) 4. Width of Gingival Recession(WGR) 5. Width of Keratinized Gingiva(WKG) The clinical parameters were assessed & recorded on 0 day, 90th day and 180th day
Interventions
recession coverage done using Zuchellis technique
recession coverage done using Zuchellis technique with placental membrane
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients within the age group 23 to 55 years 2. Bilateral, upper or lower, Miller's class I and Class II gingival recession defects confined to the anterior and premolar region. 3. Presence of identifiable cemento-enamel junction 4. Presence of keratinized tissue apical to the exposed root
Exclusion criteria
1. Systemic complications 2. Occlusal interferences 3. Any contraindication for periodontal surgery and taking medication which are known to interfere with periodontal tissue health or healing 4. Previous periodontal surgery on the involved site 5. Smokers 6. Pregnant and lactating mothers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Height of Gingival recession | 6 months | The height of gingival recession was measured from the cemento-enamel junction to the gingival margin using Williams periodontal probe |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical attachment level | Baseline and 6 months | Clinical attachment level is measured as the distance between a fixed point on the crown such as cementoenamel junction to the base of the pocket using williams periodontal probe |
| Width of Keratinized Gingiva | Baseline and 6 months | It is measured as the distance from the gingival margin to the mucogingival junction using williams periodontal probe |