Recession, Gingival
Conditions
Brief summary
The aim of this study is to evaluate reduction of recession depth using lateral closed tunnel technique versus CAF technique using connective tissue graft in single RT2 gingival recession cases.
Interventions
PROCEDURELaterally Closed Tunnel with CTG
A novel minimally invasive surgical approach laterally closed tunnel technique (LCT) has been recently introduced for the management of isolated gingival recession. The laterally closed tunnel technique ensures predictability by tunneling and mobilization of flap for graft coverage.
PROCEDURECAF with CTG
Gold standard surgical technique
Sponsors
British University In Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Single RT2 buccal gingival recession ≥ 2 mm in the esthetic zone (Gingival recession associated with loss of inter-proximal attachment. The amount of interproximal attachment loss (measured from the interproximal CEJ to the depth of the interproximal pocket) was less than or equal to the buccal attachment loss (measured from the buccal CEJ to the depth of the buccal pocket) * Patients with good oral hygiene * Medically free patients * No signs of active periodontal disease (with no site showing probing depth \> 4 mm and full-mouth bleeding score (FMBS) 20% (measured at four sites per tooth). * Palate with sufficient thickness to accommodate soft tissue defect.
Exclusion criteria
* Smokers * Pregnancy * Severe gag reflex * Non-carious cervical lesion * History of mucogingival or periodontal surgery at the experimental site * History of medication that can affect periodontal healing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in recession depth | 6 Months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Probing Depth | 6 months | — |
| Clinical Attachment Level | 6 months | will be measured by a periodontal probe |
| Post-operative pain assessed by VAS Scale | 2 week | Pain score reported by the patient directly through Visual Analogue Scale score (between 0 and 10, 0: no pain, 1: minimal pain 5: moderate pain, 10: severe pain) |
| Gingival Thickness | 6 months | — |
| Percentage of complete root coverage by williams periodontal probe | 6 months | Preoperative vertical recession - Postoperative vertical recession/preoperative vertical recession) x 100 |
| Width of Keratinized Tissue | 6 months | — |
Outcome results
None listed