Gingival Recession
Conditions
Brief summary
Thin gingival phenotype is one of the major causative factors of gingival recession type 1 which can result in hypersensitivity, discomfort, and compromised esthetics. This study assess the efficacy of increasing the gingival thickness from thin gingival phenotype to thick gingival phenotype in the treatment of patients suffering from gingival recession (RT1) and maintenance of results using either connective tissue graft or de-epithelized free gingival graft after non-surgical periodontal debridement compared to non-surgical periodontal debridement alone.
Detailed description
This parallel arm randomized controlled clinical trial study will include systematically free patients with thin gingival phenotype. They will be randomly allocated to three equal groups. Group A (test group, n=10) will receive non-surgical periodontal treatment and connective tissue graft using tunneling technique, Group B (test group, n=10) will receive non-surgical periodontal treatment and partially de-epithelized free gingival graft, while group C (control group, n=10) will receive non-surgical periodontal treatment only. After 3, 6 and 12 months gingival biotype will be clinically assessed (1ry outcome). This parameter will be recorded at baseline, 3, 6 and 12 months. The 2ry outcomes will include recording of recession depth, plaque index, bleeding on probing, keratinized tissue width . Postoperative pain and swelling will be recorded daily by the patient for the 1st two weeks post-surgically. Postoperative instructions and medication will be given to the patient. All readings will be carried out by a calibrated outcome assessor who will be masked. Follow-up will be performed to assess the outcomes and to ensure performing proper oral hygiene. Data collected will be tabulated and statistically analyzed.
Interventions
PROCEDUREConnective tissue graft
non-surgical periodontal treatment and connective tissue graft
PROCEDUREFree gingival graft
will receive non-surgical periodontal treatment and partially de-epithelized free gingival graft
PROCEDURENon surgical
non-surgical periodontal treatment only
Sponsors
Misr International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
the patient won't know the type of the procedures done to him The outcome assessor won't know which group he the is assessing it's results
Intervention model description
Three parallel groups
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Medically free patients (American Society of Anesthesiologists I; ASA I) * Patients diagnosed with recession (RT1) * Fair oral hygiene * Patient accepting to provides an informed consent and the follow-up
Exclusion criteria
* Carious teeth and teeth with periapical infection. * Patients diagnosed with periodontitis * Smokers * Pregnant and lactating females
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gingival phenotype change | at baseline 3,6 and 12 months | determination of the change in gingival thickness in mm using periodontal probe |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Keratinized tissue width | at baseline 3,6 and 12 months | determination of Keratinized tissue width in mm using periodontal probe |
| Root coverage esthetic score (RES) | at baseline 3,6 and 12 months | It is a scoring system to assess the level of gingival margin (GM),marginal tissue contour (MTC),Soft tissue texture, Mucogingival alignment (MGJ),Gingival color The score is 0,1 and 3 where 0 is the minimum and 3 is the maximum |
Countries
Egypt
Contacts
Primary ContactZainab Hafez, Lecturer
Backup ContactShahinaz Al ashiry, Asso. Prof
Outcome results
None listed