Single Recession Defects (RT2)
Conditions
Keywords
Single Recession defects (RT2), TCAF, MCAT, Clinical performance, Root Coverage, Gingival Recession
Brief summary
The technique under investigation aims to provide effective root coverage while offering the advantage of being less invasive.
Detailed description
Limited RCTs have been found in the literature comparing the root coverage capacity of the tunneled coronally advanced flap versus modified coronally advanced tunnel combined with connective tissue graft in single RT2 defects. So, this trial aims to fill this gap of knowledge.
Interventions
Modified coronally advanced tunnel with connective tissue graft without vertical releasing incisions
PROCEDURETunneled Coronally Advance Flap with Connective Tissue Graft
Tunneled coronally advance flap with connective tissue graft with one vertical releasing incision
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with single RT2 gingival recession defect ≥ 2 mm * Age \>18 years old. * Systemically healthy patients with no contraindications for periodontal surgeries. * Gingival and plaque index less than 20%. * No previous surgeries at the defect site. * Accepts 6 months follow-up period (compliant patients).
Exclusion criteria
* RT1 gingival recession. * Smokers \>10 cigarettes a day a contraindicating for any plastic periodontal surgery. * Poor oral hygiene. * Active periodontitis patients. * Patients on medications causing gingival enlargement. * Pregnancy. * Teeth mobility ≥ 1 mm. * Patients using fixed or removable orthodontic appliances. * Restoration and/or periapical radiolucency at the defect site.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gingival Recession Depth (GRD) | 6 months | Measuring gingival recession depth (GRD) using UNC Periodontal probe in millimeter (mm) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Probing Pocket Depth (PPD) | 6 months | Measuring the probing pocket depth (PPD) using UNC periodontal probe in Millimeter (mm) |
| Clinical Attachment Level (CAL) | 6 months | Measuring the clinical attachment level (CAL) using UNC periodontal probe in Millimeter (mm) |
| The Percentage of Mean Root Coverage (MRC %) | 6 months | Measuring the percentage of mean root coverage (MRC %) using UNC Periodontal Probe in percentage (%) |
| Complete Root Coverage (CRC) | 6 months | Measuring the complete root coverage (CRC) visually (Yes/No) |
| Root Coverage Esthetic Score (RES) | 6 months | Measuring the root coverage esthetic score (RES) visually with score (0 minimum - 10 maximum) |
| Gingival Recession Width (RW) | 6 months | Measuring the gingival recession width (RW) using UNC periodontal probe in Millimeter (mm) |
| Gingival Index (GI) | 6 months | Measuring the gingival index (GI) using UNC periodontal probe with score (0 minimum - 3 maximum) |
| Plaque Index (PI) | 6 months | Measuring the plaque index (PI) using UNC periodontal probe with score (0 minimum - 3 maximum) |
| Keratinized Tissue Width (KTW) | 6 months | Measuring the keratinized tissue width (KTW) using UNC periodontal probe in Millimeter (mm) |
| Gingival Thickness (GT) | 6 months | Measuring the gingival thickness (GT) using endodontic file in Millimeter (mm) |
| Postoperative Patient Satisfaction (Visual Analogue Scale) | 6 months | Measuring the postoperative patient satisfaction (Visual Analogue Scale) using Patient's questionnaire with score (0 minimum -10 maximum) |
| The Distance between the contact point and the top of the papilla (DCP) | 6 months | Measuring the distance between the contact point and the top of the papilla (DCP) using UNC periodontal probe in millimeter (mm) |
Contacts
Primary ContactKhaled Hashem Kamal, Masters Degree
Outcome results
None listed