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Comparison of techniques for removing the surface layer of palatal gum grafts used in gum tissue augmentation

Histological Comparison of Residual Epithelial Tissue Following Three De-epithelialization Techniques Used for Connective Tissue Graft Harvesting

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Interventional
Source
TCTR
Registry ID
TCTR20251027009
Enrollment
33
Registered
2025-10-27
Start date
2025-11-03
Completion date
Unknown
Last updated
2026-10-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients required gingival augmentation using de-epithelialization palatal tissue Connective Tissue/Transplantation Epithelium/Surgery Palate Histological techniques Gingival Recession/Surgery

Interventions

De-epithelialization was performed intraorally using a back-action periodontal surgical chisel that was new and unused at the start of the study, with horizontal mesiodistal strokes until a uniformly
Intraoral technique with back-action chisel,Intraoral technique with diamond bur,Extraoral technique with scalpel blade

Sponsors

the Faculty of Dentistry, Chulalongkorn University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Healthy adults aged at least 18 years 2. American Society of Anesthesiologists (ASA) status I or II 3. Undergoing periodontal or implant-related surgical procedures involving the harvesting of a free gingival graft or connective tissue graft from the palatal region, in which the area of the upper first and second molars is available for use as the intended study site

Exclusion criteria

Exclusion criteria: 1. Presence of systemic diseases affecting healing such as uncontrolled diabetes (HbA1c > 7.0) 2. Intake of drugs known to interfere with periodontal tissue health and healing 3. Pregnant women or nursing mother 4. Current smokers

Design outcomes

Primary

MeasureTime frame
Presence of residual epithelium at the end of the intervention (after histological process) The presence or absence of residual epithelium in the analyzed histological section.—

Secondary

MeasureTime frame
Percentage of residual epithelial area at the end of the intervention (after histological process) cumulative area of residual epithelial tissue divided by the total tissue area, expressed as a percentage ,Percentage of residual epithelial surface at the end of the intervention (after histological process) cumulative width of residual epithelial surface divided by the total width of the de-epithelialized tissue surface, expressed as a percentage—

Countries

Thailand

Contacts

Public ContactWichaya Wisitrasameewong

* Faculty of Dentistry, Chulalongkorn University

Wichaya.w@chula.ac.th02218 8849

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Oct 17, 2026