Gingival Recession, Localized
Conditions
Brief summary
This study was conducted to assess the evaluation of micro and Macro surgical approach in the treatment of grade II gingival recessions using the laterally repositioned flap
Detailed description
In this study total, 30 patients were selected The patients initially received a comprehensive periodontal examination and complete plaque control program including oral hygiene to eliminate habits related to the aetiology of recession. Scaling, root planning and occlusal adjustments were done The patients were randomly assigned and divided into two groups. Group A and Group B. Patients with miller class II were treated with a laterally repositioned flap to obtain root coverage using conventional macrosurgical approach (15patients) and microsurgical approach(15patients) The clinical parameters evaluated were height of gingival recession relative clinical attachment level which was measured as the distance from a fixed point in a stent to the bottom of the pocket and gingival biotype at baseline, 3 months and 6 months period
Interventions
PROCEDUREroot coverage
Group A: After administration of local anaesthesia using ophthalmic microsurgical knives a V-shaped incision was made in the gingival recession area. the gingiva was removed .the adjacent partial thickness pedicle flap was reflected from the donor area .the pedicle flap was then covered over the recipient site. then secured with 6-0 absorbable sling suture without tension. the surgical procedure was done with seilar microscope 40X magnification. Group B: After administration of local anaesthesia using 15 no blade a V-shaped incision was made in the gingival recession area . gingiva was removed .the adjacent partial thickness pedicle flap was reflected from the donor area .the pedicle flap was then covered over the recipient site. then carefully secured with 4-0 absorbable sling suture
Sponsors
Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The patients will be equally divided into two test groups. Group A and Group B after phase I therapy. the group A patients will be treated with laterally repositioned flap to obtain root coverage using microsurgical approach. The group B patients will be treated with laterally repositioned flap to obtain root coverage using macrosurgical approach
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Age 20-50 yrs * ClassII gingival recession * Vital teeth that were free from caries or inadequate restorations * Sufficient width of attached gingiva
Exclusion criteria
* Any systemic diseases and smokers * ClassI,III&IV gingival recession * Abnormal frenal attachments * Interdental bone loss with tooth mobility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| vertical depth of recession | Change in level of gingival margin from baseline to 6 months. | The height of gingival recession: From cementoenamel junction to the free gingival margin. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| horizontal width of recession | Change in horizontal dimension of gingival margin from baseline to 6 months. | The width of gingival recession: Horizontal dimension of gingival defect at the level of Cementoenamel junction.. |
Countries
India
Outcome results
None listed