The purpose of this study is to compare four different connective tissue graft harvesting technique in terms of graft quality and patient post-operative morbidity
The primary aim is to compare 4 different connective tissue graft harvesting techniques in terms of morbidity and in terms of quality of the graft. The secondary aim is to evaluate the outcome of gingival recessions treated with grafts obtained from different harvesting approaches, in terms of mean root coverage, complete root coverage, keratinized tissue gain, clinical attachment level gain and gingival thickness
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
An epithelialized graft is harvested from the superficial palate and then extraorally de-epithelialized in order to obtain a connective tissue graft
A connective tissue graft is harvested from the palate after reflecting a primary palatal flap
A connective tissue graft is harvested from the palate after reflecting a primary palatal flap
University of Milan
Milan, Italy
Studio Odontoiatrico
Piacenza, Italy
Patient morbidity (VAS)
Patient post-operative pain measured using a VAS scale
Time frame: 14 days
Mean root coverage (mRC)
mRC measured as a percentage
Time frame: 6 months
Clinical attachment level (CAL) gain
CAL gain measured in mm
Time frame: 6 months
Gingival thickness (GT)
CAL gain measured in mm
Time frame: 6 months
Patient willingness for retreatment
Patient willingness for retreatment (related to graft harvesting), if necessary, expressed as "yes" or "no"
Time frame: 14 days
Painkillers consumption
Painkiller consumption expressed in mg
Time frame: 14 days
Root coverage Esthetic Score (RES)
RES measured using numeric values from 0 to 10
Time frame: 6 months
Keratinized tissue (KT) gain
KT gain measured in mm
Time frame: 6 months
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An epithelialized graft is harvested from the maxillary tuberosity and then extraorally de-epithelialized in order to obtain a connective tissue graft
A single or multiple gingival recession is treated with a coronally advanced flap and a connective tissue graft