Gingival Recession
Conditions
Keywords
Root coverage, Periodontal plastic surgery
Brief summary
The aim of the present randomized controlled clinical study is to compare the efficacy of subepithelial connective tissue graft harvested from the maxillary retromolar tubeosity area and L-PRF membranes in the treatment of RT1 recessions by coronally advanced flap. A total of 30 patients will be recruited and randomly assigned to the test group treated with CAF+tSCTG or the control group treated with (CAF+L-PRF). For each experimental site the parameters of gingival recession (GR), pocket depth (PD), clinical attachment level (CAL), keratinized gingiva width (KT) and gingival thickness (GT) will be analyzed at baseline (T0) and at 12 months after the surgical procedure (T1). In addition, was also evaluated the different morbidity of the two surgical techniques, using the VAS scale values recorded in the first 2 weeks following surgery. It was checked the Patient Related Esthetic Score and Dentine hypersensivite reduction.
Interventions
Coronally advanced flap and subepithelial connective tissue graft harvested from the maxillary tuberosity area.
Coronally advanced flap and L-PRF membranes
Sponsors
Study design
Eligibility
Inclusion criteria
* Presence of a class RT1 recession; * age \> 18 years; * systemic health conditions that do not affect the periodontium; * Non smoker; * FMPS and FMBS values \< 20% before the surgical procedure; * absence of implants or subgingival restorations in the sites to be treated; * presence of adequate tissue distal to the last maxillary molar.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gingival thickness | 12 months | Gingival tissue thickness 2 mm apical to the recession |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Keratinized tissue height | 12 months | Distance between gingival margin and Mucogingival Junction |
| Gingival recession | 12 months | Distance from cementoenamel junction and gingival margin |
| Complete root coverage | 12 months | Percentage of experimental sites that achieved complete root surface coverage. |
| Clinical attachment level | 12 months | Distance between cementoenamel junction(CEJ) and depth of the pocket |
| Pocket depth | 12 months | Distance between gingival margin and bottom of the pocket |
Countries
Italy