Gingival Recession
Conditions
Keywords
gingival recessions, platelet rich fibrin, root coverage
Brief summary
This prospective clinical study aims to evaluate and compare the effectiveness of coronally advanced flap (CAF) and tunnel techniques, both combined with platelet-rich fibrin (PRF), in the treatment of multiple Miller Class I-II gingival recessions. Eleven participants with bilateral defects will be treated using a split-mouth design. Periodontal parameters will be assessed at baseline, 3 months, and 6 months.
Detailed description
The objective of this prospective clinical trial is to compare two mucogingival surgical techniques-coronally advanced flap (CAF) and tunnel technique-used in combination with platelet-rich fibrin (PRF) for treating multiple Miller Class I-II gingival recessions. Eleven systemically healthy participants with bilateral gingival recessions will be enrolled. CAF+PRF will be applied on one side, and Tunnel+PRF on the contralateral side. Clinical parameters including plaque index, gingival index, bleeding on probing, probing depth, clinical attachment level, recession height and width, and keratinized tissue height will be recorded at baseline, 3 months, and 6 months. Root coverage outcomes and clinical attachment gain will be analyzed.
Interventions
PROCEDURECAF with PRF
Coronally advanced flap technique will be performed to reposition the gingival margin coronally. Platelet-rich fibrin (PRF) membranes will be placed over the exposed root surfaces and stabilized with sutures.
PROCEDURETunnel with PRF
A tunnel or subgingival pouch will be created using microsurgical instruments without vertical incisions. Platelet-rich fibrin (PRF) membranes will be inserted into the tunnel and the gingival tissue will be advanced coronally and sutured to cover the recession.
Sponsors
Pamukkale University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Masking description
The clinical examiner who recorded the outcome measures was blinded to the type of surgical technique applied on each side.
Intervention model description
Split-mouth randomized design. Each participant receives both interventions, one per side of the mouth.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 18 years or older * Systemically healthy individuals * Presence of bilateral Miller Class I-II multiple gingival recessions * Good oral hygiene and willingness to follow instructions * Signed informed consent
Exclusion criteria
* Use of tobacco or smoking * Pregnancy or lactation * Presence of systemic diseases affecting periodontal health * Use of medications that may affect healing (e.g., corticosteroids) * Periodontal surgery in the same area within the last 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Recession Height (RH) | Baseline and 6 Months | Recession height will be measured in millimeters from the cementoenamel junction to the gingival margin using a periodontal probe at baseline and 6 months postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Clinical Attachment Level (CAL) | Baseline, 3 Months, and 6 Months | Clinical attachment level will be measured in millimeters using a periodontal probe to assess periodontal healing at different time points. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactNecati Zavrak, RA
Backup ContactGizem Torumtay Cin, Assoc. Prof. Dr.
Outcome results
None listed