Periosteal Pedicle Flap Versus Subepithelial Connective Tissue Graft in Management of Gingival Recession

Can a Periosteal Pedicle Flap Replace the Subepithelial Connective Tissue Graft in the Management of Gingival Recession? Randomized Controlled Clinical Trial

Status

Not yet recruiting

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06529640

Enrollment

Registered

2024-07-31

Start date

2024-08-01

Completion date

2024-11-01

Last updated

2024-07-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gingival Recession

Brief summary

Gingival recession is defined as the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction (CEJ).Various surgical procedures including repositioned flaps as well as autogenous and other type grafts have been used in the treatment of gingival recession.The present gold standard technique is the bilaminar technique using the subepithelial connective tissue graft (SCTG) which provides for long-term stability but also increases tissue morbidity.Hence, a suitable alternative technique - the periosteal pedicle flap (PPF) - has been practiced, which is less invasive, does not require a second surgical site, and provides a graft of adequate dimensions.

Interventions

PROCEDURESCTG followed by coronally postionting flap

The SCTG will be harvested from the palate followed by coronally postionting flap

PROCEDUREperiosteal flap followed by coronally postionting flap

he periosteal pedicle graft obtained is then turned over the exposed root surface then followed by coronally postionting flap

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 60 Years

Healthy volunteers

Inclusion criteria

* Patients with one or more Miller's Class 1 and Class II buccal recessions demonstrating ≤20% of plaque and bleeding scores, respectively, after Phase I therapy. * age from 18 th 60 years.

Exclusion criteria

* Smokers * patients with malposed or crowded teeth * pregnant and lactating women * patients using medications that could affect the periodontal status

Design outcomes

Primary

Measure	Time frame	Description
the percentage of root coverage (%RC)	at base line, 1 month and 3 months after treatment	to measure the coverage percentage of root recession by UNC periodontal probe Preoperative recession depth - Postoperative recession depth /Preoperative recession depth x 100

Secondary

Measure	Time frame	Description
recession depth	at base line, 1 month and 3 months after treatment	to measure vertical recession by UNC periodontal probe from cemento-enamel junction (CEJ) to the gingival margin.
recession width	at base line, 1 month and 3 months after treatment	to measure horizontal recession by UNC periodontal probe the distance between the CEJ and the gingival margin
clinical attachment gain	at base line, 1 month and 3 months after treatment	to measure the periodontal attachment gain after treatment by UNC periodontal probe subtracting the sulcus depth from the distance between the free gingival margin and the mucogingival junction.
keratinized tissue gain	at base line, 1 month and 3 months after treatment	measure the gain in keratinized gingivaby UNC periodontal probe from the most apical point of the gingival margin to the mucogingival junction (MGJ) at the middle buccal point.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026