CAF With or Without CTG for the Treatment of Single Maxillary Gingival Recession With NCCL

University of Florence30 enrolled

Overview

This studies evaluate the efficacy of the coronally advanced flap (CAF) with or without connective tissue graft (CTG) for the treatment of single maxillary recession associated to non carious cervical lesion (NCCL).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Gingival Recession

Interventions

CAFPROCEDURE

After the cementum enamel junction (CEJ) was restorated, a split thickness flap was raised, coronally advanced and sutured to cover the recession

CAF + CTGPROCEDURE

After the cementum enamel junction (CEJ) was restorated, a split thickness flap was raised. Then a connective tissue graft was harvested from the palate and sutured over the exposed root. Finally the flap was coronally advanced and sutured to cover the recession

Eligibility

Sex: ALLMin age: 18 YearsMax age: 99 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥18 years * No systemic diseases or pregnancy. * Self-reported smoking ≤ 10 cigarettes/day. * Full-mouth plaque score (FMPS) and full-mouth bleeding score (FMBS) ≤ 10% (measured at four sites per tooth). * Presence of single RT1 buccal gingival recessions ≥ 2 mm of depth located in the anterior area of the upper jaw (central and lateral incisors, canine, first and second pre-molars, first molar) and associated with aesthetic complains and or dental sensitivity. * Presence of NCCL associated with recession * No history of mucogingival or periodontal surgery at experimental sites. Exclusion Criteria: * Prosthetic crown at experimental teeth. * Gingival recessions presenting minimal amount (\< 1mm) of apico-coronal keratinized tissue (KT) extension apical to recession area.

Outcomes

Primary Outcomes

Recession Reduction

Difference between gingival recession at 12 months and baseline, measured with a periodontal probe.

Time frame: At 12 months

Complete Root Coverage (CRC)

Absence or presence of gingival recession at 12 months follow-up.

Time frame: At 12 months

Secondary Outcomes

Root coverage Esthetic Score (RES)

Overall esthetic score from 0 to 10 evaluated by the blinded examiner. Higher values represent a better outcome. (Pini-Prato et al. 2011)

Time frame: At 12 months

Gingival Thickness (GT)

Gingival thickness in mm, measured with an endodontic file and a digital caliper.

Time frame: Baseline - 12 months

Keratinized Tissue (KT)

Width of the keratinized gingiva measured in mm from the gingival margin to the muco-gingival-junction using a periodontal probe

Time frame: Baseline - 6 and 12 months

KTgain

Gain of Keratinized Tissue measured as the difference between KT at 12 months and KT baseline

Time frame: At 12 months

Gingival Recesión (REC)

The distance between the reconstructed cementum enamel junction and the gingival margin measured in mm with a periodontal probe

Time frame: Baseline - 6 and 12 months

Root sensitivity

Toot sensitivity reported by the patient present or absent

Data from ClinicalTrials.gov

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