Gingival Recession, Localized
Conditions
Brief summary
the main goal of this clinical trial is to evaluate the effect of sticky bone with coronally advanced flap in management of gingival recession in comparison to coronally advanced flap alone
Interventions
using coronally advanced flap alone in treating gingival recession
using sticky bone with coronally advanced flap in treating the gingival recession
Sponsors
Study design
Eligibility
Inclusion criteria
1. Selected patients of both sexes with age range 25-45 years old. 2. Patients are systemically healthy based on questionnaire dental modification of Cornell index. 3. O'Leary index (1972) is less than 10% (the surgical therapy is not initiated until the patient reaches the 10% level or less of plaque accumulation). 4. Buccal recession defects are classified RT1 according to Cairo's classification (2011). 5. Clinical indication and/or patient request for recession coverage.
Exclusion criteria
1. Pregnant female. 2. Smokers. 3. Patients with special needs or with any mental problems. 4. All patients are using any kind of medications that could interfere with healing of periodontal tissues. Such as chemotherapy and radiotherapy. 5. Teeth with carious lesions. 6. Rotated and extruded teeth. 7. Patient undergone any prior periodontal surgery in the relevant region within year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| recession depth | changes in millimeters from base line up to 6 months | is measured from CEJ to the gingival margin in millimeters. |
| thickness of keratinized gingiva | changes in biotype in millimeters from base line to follow up after 6 months | thickness of the keratinized gingiva in the faciolingual direction (gingival biotype) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recession Width | changes in millimeters from base line to follow up after 6 months | the widest point from the mesial gingival margin to the distal gingival margin in millimeters |
| the height of keratinized gingiva | changes in millimeters from base line up to 6 months | the distance from the mucogingival junction to the gingival margin |
| percentage of root coverage | changes in percentile from base line up to 6 months | it is the \[pre-operative gingival recession depth - post-operative recession depth\]/ \[preoperative recession depth\] \* 100% |
| Probing pocket depth | changes in millimeters from base line up to 6 months | the distance from the gingival margin to base of pocket. |
Countries
Egypt