Management of Miller Class I & II Gingival Recession

Halla Gamal Mohammed Esmail20 enrolled

Overview

Management of Miller class I \& II gingival recession using coronally advanced flap combined with conventional de-epithelialized free gingival graft versus coronally advanced flap combined with abrasive de-epithelized connective tissue graft Null hypothesis: In patients with Miller class I and II gingival recession, there is no difference between coronally advanced flap with conventional de-epithelialized free gingival graft and coronally advanced flap with abrasive de-epithelized connective tissue graft in recession depth reduction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Gingival Recession

Interventions

coronally advanced flap with abrasive de-epithelized graft.PROCEDURE

SCTG will be harvested from the palate by abrasive de-epithelialization of palatal graft involves removing the epithelium of the selected area with a high-speed hand piece and diamond bur

coronally advanced flap with de-epithelized graft.PROCEDURE

SCTG will be harvested from the palate by abrasive de-epithelialization of palatal graft involves removing the epithelium of the selected area with a blade

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 years. * Systemically healthy patients. * Miller's Class I and II recession defects with recession depth ≥ 2mm. * Presence of identifiable cemento-enamel junction (CEJ). * Clinical indication and/or patient request for recession coverage. * Smoking ≤ 10 cigarettes/day. * Cooperative patients able and accept to come for follow up appointments. Exclusion Criteria: * Pregnant females. * Smoking ˃ 10 cigarettes/day. * Contraindication for periodontal surgery. * Patients with poor oral hygiene. * Recession defects associated with caries or restoration as well as * Teeth with evidence of a pulpal pathology * Molar teeth

Outcomes

Primary Outcomes

Direct Post-operative pain

Directly will be evaluated post-surgically with Visual Analogue Scale with numbers from 0 to 10 that given to the patients at 7 days follow-up visits.

Time frame: 7 days

Indirect Post-operative pain

Indirectly will be evaluated on the basis of the mean consumption of analgesics

Time frame: 7 days

Secondary Outcomes

Complete Root Coverage

CRC evaluated in patients by single operator clinically using a periodontal probe. Root coverage was deemed complete when the gingival margin is at or above the level of CEJ

Time frame: 6 months

Recession depth.

Measured from the CEJ to the most apical extension of the gingival margin

Time frame: 6 months

Gingival Recession Width

measured at the level of the CEJ.

Time frame: 6 months

Width Of Keratinized Gingiva

Measured from the gingival margin to the mucogingival line

Time frame: 6 months

Root Coverage Esthetic Score

The RES system evaluates five variables 6 months following surgery

Time frame: 6 months

Gingival thickness

It will be measured by penetrating the gingiva mid-buccally in the attached gingiva, half way between mucogingival junction and free gingival groove with the periodontal probe after giving local anesthesia to measure the thickness of gingival tissues.

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.