Gingival Recession
Conditions
Brief summary
Research is to compare and evaluate the clinical outcomes of the Connective tissue graft wall technique with modified coronally advanced flap to improve root coverage and clinical attachment levels in Miller's class III and IV gingival recession.
Detailed description
Research is to compare and evaluate the clinical outcomes of the Connective tissue graft wall technique with modified coronally advanced flap to improve root coverage and clinical attachment levels in Miller's class III and IV gingival recession. The objectives is to assess the probing pocket depth reduction, clinical attachment level gain, patient esthetic evaluation, complete root coverage and mean root coverage. the control group will be treated with modified coronally advanced flap with connective tissue graft and enamel matrix derivative and the study group will be treated with modified coronally advanced flap with connective tissue graft wall and enamel matrix derivative. The total number of participants included will be 24 (Control-12; Study-12) with a 6 month follow up.
Interventions
PROCEDUREConnective tissue graft wall technique
Harvested connective tissue graft will be placed over the exposed root surface like a wall to cover the gingival recession
Sponsors
Krishnadevaraya College of Dental Sciences & Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Participants aged 18-60 years * Systemically healthy individuals * Participants with Miller's Class III and IV or Cairo's RT3 gingival recession in maxillary and mandibular anteriors. * Participants with Nordland and Tarnow's papillary recession of either I, II or III. * Presence of interdental PPD, CAL and recession * Radiographic evidence of interdental bone loss * No prior experience of root coverage procedures * Able to achieve good oral hygiene and control gingivitis in the whole of the dentition (FMPS \< 25% and FMBS \< 25%).
Exclusion criteria
* Grade III mobile teeth * Pathologically migrated teeth * Endodontically treated teeth * Open contacts * Pregnancy and lactating women * Participants with systemic conditions * Untreated periodontitis * Persistence of uncorrected gingival trauma from tooth brushing * Self-reported current smoking * Presence of medical contraindications to elective surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Root coverage | 6 months | Mean root coverage Cairo's RT3 gingival recession treated with MCAF + CTG wall + EMD technique is non-inferior to MCAF + CTG + EMD in terms of root coverage. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gingival health and evaluation | 6 months | clinical attachment level |
Countries
India
Contacts
Primary ContactPrabhuji MLV, MDS
Outcome results
None listed