Gingival Recession
Conditions
Brief summary
The goal of this study type: clinical trial\] is to learn the effect of Botulinum Toxin \_A injection in treatment of RT1andRT2 Gingival recession in lower anterior teeth . Primary outcome is keratinzed tissue width. Researchers will compare Coronally Advanced flap with De-epithelized free gingival graft and Botulinum toxin-A injection in Mentalis muscle with coronally advanced flap with De-epithelized free gingival graft alone . The outcome will be measured at baseline, after 3 months and after 6 mobths \_medical history * 3 mm horizontal incisions, then two vertical incisions * deepitheliztion of anatomical papillae * superficial and deep incisions * harvesting DFGG * Suturing * BOTOX injection
Interventions
PROCEDUREBotulinum toxin-A injection
Botulinum toxin-A Injection Mentalis muscle in lower anterior teeth
PROCEDURECoronally advanced flap
Coronally Advanced Flap andDe-epithelized Free Gingival 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 No maximum
Healthy volunteers
No
Inclusion criteria
* Single or multiple RT1, RT2 GR patient * patients ≥18 years * systemically healthy, full mouth plaque score, full mouth bleeding score ≤ 15% after phase I therapy * clinical indication and/or patient request for recession coverage * well motivated patients, maintaining oral hygiene throughout study
Exclusion criteria
* Pregnant or lactating women * Smokers' patients * Teeth with cervical restorations/abrasion. * Patients had a systemic condition affect blood components and healing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Keratinized tissue width | Measured at baseline ,3months ,6 months |
Outcome results
None listed