Attachment Loss, Periodontal, Gingival Recession, Localized, Sensitivity, Tooth
Conditions
Brief summary
The primary purpose of this study is to compare the root coverage rate of the gingival unit-shaped connective tissue graft, obtained by intraoral de-epithelization, with the traditional de-epithelialized free gingival graft in localized recessions of anterior and premolar teeth. In addition, it is aimed to compare the postoperative gingival thickness between the two techniques. The secondary aim is to search the effects of both techniques on periodontal parameters and to evaluate patient-centered outcomes.
Interventions
In both groups, connective tissue graft with a trapezoidal flap design will be applied to the recession area.
Sponsors
Kutahya Health Sciences University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1. American Society of Anesthesiologists physical status class 1 and 2 patients,healthy patients 2. Nonsmokers 3. Periodontally healthy patients 4. Localized gingival recessions (Miller I, II, and Cairo I recessions with a depth of recession of at least 2 mm) in anterior and premolar teeth
Exclusion criteria
1. Medically compromised patients, especially uncontrolled diabetes 2. Pregnancy, lactation, or suspicion of pregnancy, 3. Poor oral hygiene 4. Recessions associated with caries or restoration
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Root coverage percentage | Postoperative 6th month | The comparison of the postoperative recession depth to the initial recession depth |
| Gingival thickness | Preoperative and postoperative 6th month | Gingival thickness in the mid-buccal of the recession defect measured with an endodontic spreader and digital recordings |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical attachment loss | Preoperative and postoperative 6th month | Clinical attachment loss measured at the mid-buccal of the recession defect |
| Keratinized gingiva width | Preoperative and postoperative 6th month | Mid-buccal gingival width measured with a periodontal probe |
| Recession width | Preoperative and postoperative 6th month | Recession width measured at the cemento-enamel junction |
| Pain perception | Postoperative 1st week | Visual analog scale where higher scores mean a worse outcome and has a minimum value of 0 and a maximum value of 10 |
| Bleeding related to the procedure | Postoperative 1st week | Bleeding evaluated by a dichotomous index |
| Vestibular depth | Preoperative and postoperative 6th month | The distance from the gingival margin to the greatest concavity of the mucosal fold |
| Probing depth | Preoperative and postoperative 6th month | Probing depth measured at the mid-buccal of the recession defect |
Countries
Turkey (Türkiye)
Outcome results
None listed