Gingival Recession
Conditions
Brief summary
The present study will be conducted as a randomized controlled clinical study to assess to evaluate the effect of minimally invasive VISTA with fascia lata allograft in the treatment of gingival recession
Interventions
OTHERVestibular incision sub-periosteal tunnel access + fascia lata
The vestibular incision sub-periosteal tunnel access (VISTA) technique for all groups will be done and the patients will receive VISTA techniques with fascia lata
OTHERVestibular incision sub-periosteal tunnel access + subepithelial connective tissue graft
The vestibular incision sub-periosteal tunnel access (VISTA) technique for all groups will be done and the patients will receive VISTA techniques with subepithelial connective tissue graft CTG
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Presence of gingival recession type 1 (RT1) Cairo classification (6) * Gingival recession depth ≥ 2 mm. * Gingival thickness for the site selected should be ≥1mm. * The height of keratinized gingiva (HKG) for the site selected should be ≥2 mm (HKG is the distance between the most apical point of the gingival margin and the mucogingival junction). * Optimal compliance as evidenced by no missed treatment appointments and a positive attitude toward oral hygiene.
Exclusion criteria
* Presence of any systemic disease that could influence the outcome of the therapy. * Presence of any risk factor e.g.; smoker, pregnant and lactating patients. * Previous history of periodontal surgical treatment in quadrant selected for the study. * Restorations or caries in the area to be treated and non-vital tooth. * Teeth which are tilted or rotated. * Patients taking medications known to cause gingival enlargement.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in Gingival recession depth | 2 weeks, 3 months, 6 months | will be measured at the mid-buccal aspect of the tooth from the (CEJ) to the most apical point of the gingival margin (GM). |
| change in Gingival recession width (GRW) | 2 weeks, 3 months, 6 months | it will be measured at the mesiodistal direction of the GM at the level of CEJ |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in Keratinized tissue width (KTW) | 2 weeks, 3 months, 6 months | will be measured as the distance between the GM and the mucogingival junction (MGJ) |
| change in Clinical attachment loss (CAL) | 2 weeks, 3 months, 6 months | will be measured at the mid-buccal aspect of the tooth from CEJ to the bottom of the sulcus. |
| change in Probing depth (PD) | 2 weeks, 3 months, 6 months | it will be measured from the GM to the bottom of the sulcus. |
| change in Gingival thickness (GT) | 2 weeks, 3 months, 6 months | it will be measured at the mid-buccal aspect of a treated tooth on the long axis, 3 mm apically from the GM using K-file 25 ISO with a silicon marker driven perpendicularly to the gingival surface after application of local anesthesia. |
| change in Recession esthetic score (RES) | 2 weeks, 3 months, 6 months | it evaluates five outcome variables (GM level, marginal tissue contour, soft tissue texture, MGJ alignment, and gingival color) leading to a final score ranging from 0 to 10 points. |
| change in Percentage of root coverage (RC) | 2 weeks, 3 months, 6 months | it will be calculated at 3 and 6 months post- operative by the following formula: (GRD baseline - GRD 3/6 months)/GRD baseline × 100% |
Countries
Egypt
Outcome results
None listed