Gingival Recession
Conditions
Keywords
gingival recession
Brief summary
The aim of this study was to evaluate the effect of two root-conditioning agents used in conjunction with subepithelial connective graft technique on root coverage outcomes. One is citric acid plus tetracycline and the other is antimicrobial photodynamic therapy.
Detailed description
Citric acid plus tetracycline has properties of root surface decontamination, surface demineralization and exposure of collagen fibers. Antimicrobial photodynamic therapy has been widely used in Periodontics to obtain reduction of periodontopathogenic bacteria with absence of systemic side effects and minimal bacterial resistance. Also, it has properties of root demineralization and exposure of collagen fibers. These properties may enhance root coverage in procedures of subepithelial connective graft.
Interventions
Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with scaling and root planing
Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with citric acid plus tetracycline
Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with antimicrobial photodynamic therapy
Sponsors
Study design
Masking description
The outcome assessor did not have access to patient's records
Intervention model description
Interventions in different patients
Eligibility
Inclusion criteria
* Gingival recession - Miller's class I or II (2 to 5 mm of height) at least in one tooth * Indication of root coverage by dentin hypersensitivity or esthetic
Exclusion criteria
* Smokers * Pregnancy * Systemic medication use that could impair wound healing or surgery procedure * Systemic diseases as diabetes, uncontrolled hypertension, coagulation diseases, kidney diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total root coverage measured with a periodontal probe in mm | one year | Distance from cemento-enamel junction to gingival margin = 0 mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Keratinized mucosa width measured with a periodontal probe in mm | one year | Ideal if keratinized mucosa width \> 5mm |
| Dentin hypersensitivity measured by applying an air jet on teeth and patient fills up a visual analogue scale | one year | Ideal if scale = 0 |
Countries
Brazil