Regression analysis in a recent systematic review showed significantly greater mRC and CRC values when modifications are done to the TUN procedure to achieve more coronal advancement of the flap, coronal advancement also helps in covering the underlying graft for better recession coverage outcomes (Tavelli et al., 2018), limited data is present on the possible influence of a covered or partially uncovered graft. However, it has been suggested that minimal exposure of the CTG may aid not only in achieving CRC but also a harmonious gingival margin (John et al., 2015; Rasperini et al., 2011).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
26
Modified laterally stretched technique with a connective tissue graft.
Cairo University
Cairo, Egypt
Recession depth reduction.
Measured as the difference between the recession gingival depth at different follow up intervals and the baseline.
Time frame: 1 year
Mean root coverage
(Preoperative vertical recession - Postoperative vertical recession/preoperative vertical recession) x 100
Time frame: 1 year
Recession depth
Measured as the distance between the free gingival margin and the cemento-enamel junction .
Time frame: 1 year
Recession width
Measured as the distance between the between the mesial gingival margin and distal gingival margin
Time frame: 1 year
Soft tissue thickness
The measurement of Gingival tissue thickness is performed 2 mm apical from the gingival margin.
Time frame: 1 year
Keratinized tissue width
Measured as the distance between the gingival margin and the muco-gingival junction.
Time frame: 1 year
Esthetics (RES) score
A system used to evaluate five variables 6 months gingival margin (GM), marginal tissue contour (MTC), soft tissue texture (STT), MGJ alignment, and gingival color (GC).
Time frame: 1 year
patient satisfaction
A 3-item questionnaire is asked, and the patients shall use a 7-point answer scale. The answers were given on a 7-point scale ranging from 1 'not at all'' to 7 ''very likely''.
Time frame: 1 year
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