Gingival Recession
Conditions
Brief summary
Regression analysis in a recent systematic review showed significantly greater mRC and CRC values when modifications are done to the TUN procedure to achieve more coronal advancement of the flap, coronal advancement also helps in covering the underlying graft for better recession coverage outcomes (Tavelli et al., 2018), limited data is present on the possible influence of a covered or partially uncovered graft. However, it has been suggested that minimal exposure of the CTG may aid not only in achieving CRC but also a harmonious gingival margin (John et al., 2015; Rasperini et al., 2011).
Interventions
PROCEDUREModified laterally stretched technique with a connective tissue graft.
Modified laterally stretched technique with a connective tissue graft.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Single or multiple RT2 gingival recession site/sites in the lower anterior teeth. * Age \>/= 18 years. * Patients with healthy or treated periodontal conditions. * Patients willing to participate in the study. * Absence of uncontrolled medical conditions. * Full mouth plaque score \</= 20% (O'Leary 1972). * Full mouth bleeding score \<20% (Ainamo and Bay 1975). * Patients with aesthetic concerns.
Exclusion criteria
* Pregnant or lactating females. * deep recession sites more than 5 mm * Tobacco smoking. * Uncontrolled medical conditions. * Uncooperative patients or unable to complete the study. * Patients treated with any medication known to cause gingival hyperplasia. * No occlusal interferences.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recession depth reduction. | 1 year | Measured as the difference between the recession gingival depth at different follow up intervals and the baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recession depth | 1 year | Measured as the distance between the free gingival margin and the cemento-enamel junction . |
| Recession width | 1 year | Measured as the distance between the between the mesial gingival margin and distal gingival margin |
| Soft tissue thickness | 1 year | The measurement of Gingival tissue thickness is performed 2 mm apical from the gingival margin. |
| Mean root coverage | 1 year | (Preoperative vertical recession - Postoperative vertical recession/preoperative vertical recession) x 100 |
| Esthetics (RES) score | 1 year | A system used to evaluate five variables 6 months gingival margin (GM), marginal tissue contour (MTC), soft tissue texture (STT), MGJ alignment, and gingival color (GC). |
| patient satisfaction | 1 year | A 3-item questionnaire is asked, and the patients shall use a 7-point answer scale. The answers were given on a 7-point scale ranging from 1 'not at all'' to 7 ''very likely''. |
| Keratinized tissue width | 1 year | Measured as the distance between the gingival margin and the muco-gingival junction. |
Countries
Egypt
Outcome results
None listed