Gingival Recession, Localized
Conditions
Brief summary
Present study aims to reveal the effects of cyanoacrylate application at the recipient bed and the donor site in free gingival graft surgery on the healing parameters and patient-based outcomes.
Interventions
PROCEDUREFree gingival graft
1.5-2 x 5 x 10 mm size epithelialized graft harvested from the palate is stabilized in the mandibular anterior single-tooth recession region
PROCEDURECyanoacrylate
N-Butyl-Cyanoacryle is applied to stabilize the graft to the recipient bed and to coat the donor site wound
PROCEDURESuture
The graft is stabilized with 6/0 polyvinylidene fluoride suture to the recipient bed
Sponsors
Biruni University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Single-tooth gingival recession in the anterior mandibular region * Pain with chewing or oral hygiene practice * Ongoing recession
Exclusion criteria
* Systemic disease * Smoking * Pregnancy / lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Re-epithelization | one week after the surgery | Donor site re-epithelization: hydrogen-peroxide is applied to the donor area with the help of an injector, and it is recorded as complete when no foaming occurs |
| Post-operative pain | 1st week | Visual analogue scale (VAS) (0-10), self-reported outcome 0 - no pain (min.) 10 - unbearable (max.) |
| Oral health impact profile (OHIP-14) | Baseline | The patients are asked to fill provided OHIP-14 forms Questionnaire about satisfaction related to oral health, scored as 0-4 (never - always) 14 questions in total 0 (min.) - 56 (max.) Lower scores represent higher oral health related life quality |
| Graft dimensions | 1st month | Mesio-distal (horizontal) and apico-coronal (vertical) width of the graft is measured with a periodontal probe, rounding to the nearest mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Paresthesia / hyperesthesia in the donor site | 1st month | The patient marks the visual analogue scale (0-10) after rubbing the donor site with a periodontal probe (to give a reference, symmetrical area is rubbed first) 0 - Paresthesia / hyperesthesia, 10 - no sensation difference with the reference area |
| Color harmony | 1st week | Color harmony between the graft and the neighboring keratinized tissue at the recipient site, examiner gives a score ranging 0-10 0 - completely different tone/color of the graft; 10 - no detectible tone difference |
| Mucosal thickness | In the beginning of the surgery (baseline) | 15 endodontic reamer is inserted to the palatal mucosa 5 mm apical of the gingival margin of the second premolar; under local anesthesia |
Countries
Turkey (Türkiye)
Outcome results
None listed