Influence of Flap Position Following FibReORS

University of Turin, Italy16 enrolled

Overview

There is lack of data in literature on keratinized tissue increase after FibReORS in relation to primary flap position. This study has been designed as a split-mouth randomized trial to assess the influence of flap position after FibReORS. 16 patients were recruited and treated. The placement of the flap 2 mm apically to the bone crest instead at the bone level would be a viable approach to increase KT width without delaying wound healing. The extent of post-operative discomfort/pain was not influenced by primary flap position.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Periodontitis Periodontal Diseases

Interventions

FibReORS with apically positioned flap (apical position)PROCEDURE

Periodontal surgery including flap elevation. root surface scaling, bone remodeling and suture of the flap at 2 mm subcrestal position

FibReORS with apically positioned flap (crestal position)PROCEDURE

Periodontal surgery including flap elevation. root surface scaling, bone remodeling and suture of the flap at either a crestal position

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1\) diagnosis of severe chronic periodontitis (corresponding to grade III or IV according to the actual classification); 2) good general health; 3) full-mouth plaque score (FMPS) and full-mouth bleeding score (FMBS) \< 20%; 4) at least two contralateral sextants with residual PDs of \> 5 mm and persisting bleeding on probing (BoP) at posterior natural teeth 3 months after the completion of cause-related therapy Exclusion Criteria: 1\) pregnancy and lactation; 2) smoking \> 10 cigarettes/day; 3) intake of antibiotics in the previous 6 months. In addition, teeth with degree II or III mobility, horizontal bone loss higher than 1/3 of the root length or designed as abutment for prosthetic rehabilitation were also excluded from the study.

Locations (1)

C.I.R. Dental School. Università di Torino

Torino, TO, Italy

Outcomes

Primary Outcomes

Amount of soft tissue re-growth after FibReORS

The amount of regrowth is calculated from the position of the tissue at the end of the surgery

Time frame: 6 months

Secondary Outcomes

Amount of KT increase after FibReORS

The amount of KT increase is calculated from the position of the tissue at the end of the surgery

Time frame: 6 months

Data from ClinicalTrials.gov

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