Modified Free Gingival Graft , Connective Tissue Graft
Conditions
Keywords
Gingival Recession, Surgical Flaps, Connective Tissue
Brief summary
Gingival recessions can be defined as the exposure of the root surface after an apical migration of the gingival margin in relation to the cemento-enamel junction. Gingival recessions affect both younger and older populations. Various surveys revealed that 88% of people ≥65 years of age and 50% of people between 18 and 64 years of age have ≥1 site with gingival recession. Gingival recessions can occur due to anatomical, pathological factors or trauma and will result in a loss of attachment.
Interventions
PROCEDUREmucogingigval surgery
Is a form of mucogingival surgery that attempts to improve the height of the keratinized tissue (KT), as well as augment the thickness of the gingival phenotype to facilitate meticulous oral hygiene.
Sponsors
Universidad de Especialidades Espiritu Santo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
The participants will not know which technique is being used to treat gingival recession. The investigator will not be informed which cover up treatment was performed in the gingival recession. The outcomes assessor will not be informed of which procedures were performed on the participants.
Intervention model description
Randomized clinical trial will performed in 30 patient with RT1 gingival recessions at mandibular incisors
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients with at least two or less localized recession in mandibular incisors * Cairo type 1 recession * Patients who have good plaque control of less than 20% * Patients between 18-64 years old
Exclusion criteria
* Systemically compromised patients * Smoker patients * Pregnant women, breastfeeding or use of oral contraceptives * Patients who are taking medication that may affect healing and coagulation * Previous periodontal surgeries in the RG area * Patients with periodontal disease * Patients who have undergone chemotherapy and radiotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the long-term efficacy of the modified free gingival graft technique on root coverage. | From enrollment to the end of treatment at 12 months, evaluating at 7 days, 14 days, at the first month and after that every 3 months. | This technique is a modified version of the Free gingival graft, which is a surgery that attempts to improve the height of the keratinized tissue, as well as augment the thickness of the gingival phenotype. This modified version is based on a connective pedicle flap is flipped from its apical origin to cover the exposed root surface prior to the positioning of the Free gingival Graft. The rationale behind the approach is to improve the revascularization of the graft. |
Countries
Ecuador
Outcome results
None listed