Gingival Recession
Conditions
Brief summary
To assess the efficacy of minimally invasive Vestibular Incision Subperiosteal Tunnel Access (VISTA) with collagen membrane and Advanced Platelet-rich Fibrin (A-PRF) in the treatment of multiple buccal gingival recession type 1(RT1) Cairo Classification.
Interventions
PROCEDUREvestibular incision sub periosteal tunnel access ( VISTA) technique.
In comparison between the two groups, the first group uses collagen membrane and the other group uses advanced PRF using the same surgical technique (VISTA)
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* (18-50) years old with at least 2 sites with gingival recession type (RT1) Cairo Classification (GR with no interdental attachment loss). The interdental CEJ is not detectable clinically on the labial surfaces of the teeth. * Recession in the maxillary anterior region ≥1 mm of attached gingiva, pocket depth (PD) of \<3 mm, recession depth (RD) ≥2 mm, and gingival index (GI) score ≤1. * Systemically healthy, willing individuals with good oral hygiene and without contraindications for surgical interventions
Exclusion criteria
* the presence of severe systematic diseases or immunodeficiency and contraindicated with surgical interventions. * Allergies to medicaments used in the treatment process. * Patients with removable or fixed dentures. * Patients with cervical abrasion, direct and indirect restorations involving the cervical areas of the maxillary anterior. * Participants with smoking, tobacco chewing, and alcohol consumption. * The presence of high frenal attachment and participants who had previously undergone any periodontal surgical procedure or regenerative therapy in the past 1 year at the same site of the planned treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean of root coverage | baseline, and 6 months | was measured by the following formula:. Mean root coverage formula: (pre-operative recession depth - post-operative recession depth)/(pre-operative recession depth ) ×100 |
| Measuring the recession width in millimeter | baseline, 3 months and 6 months | self-report assessment by using the UNC-15 Periodontal Probe, measured at the level of Cemento-Enamel Junction CEJ. |
| Measuring the recession depth in millimeter | baseline, 3 months and 6 months | self-report assessment by using the UNC-15 Periodontal Probe, measured from the cemento-enamel junction CEJ to the free gingival junction. |
| Measuring the width of keratinized gingiva in millimeter | baseline, 3 months and 6 months | self-report assessment by using the UNC-15 Periodontal Probe. measured from the free gingiva margin to the mucogingival junction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measuring the probing depth | baseline, 3 months and 6 months | self-report assessment by using the UNC-15 Periodontal Probe. Measured from the free gingival margin to the base of the sulcus. |
| Measuring the plaque index | baseline, 3 months and 6 months | According to Silness and Leo, this index determines the thickness of the plaque along the gingival margin. possible score range from 0 (no plaque) to 1 ( thin plaque located at gingival margin only detected by periodontal probe), 2 ( moderate plaque thickness detected by naked eye located at gingival margin), and 3 ( abundant plaque thickness at gingival margin and interproximal area) |
| Measuring the gingival index | baseline, 3 months and 6 months | According to Silness and Leo, this index determines the description of the gingiva of examined teeth. possible score range from 0 (normal gingiva) to 1 (mild inflammation; slight erythema; no bleeding.) / 2 (moderate inflammation; erythema and bleeding on probing) or 3 (severe inflammation; severe erythema, swelling, and spontaneous bleeding). |
| Clinical attachment level | baseline, 3 months and 6 months | self-report assessment by using the UNC-15 Periodontal Probe, measured from the cemento-enamel junction to the base of the pocket. |
Countries
Egypt
Outcome results
None listed