Gingival recession is defined as the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction (CEJ).Various surgical procedures including repositioned flaps as well as autogenous and other type grafts have been used in the treatment of gingival recession.The present gold standard technique is the bilaminar technique using the subepithelial connective tissue graft (SCTG) which provides for long-term stability but also increases tissue morbidity.Hence, a suitable alternative technique - the periosteal pedicle flap (PPF) - has been practiced, which is less invasive, does not require a second surgical site, and provides a graft of adequate dimensions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
10
The SCTG will be harvested from the palate followed by coronally postionting flap
he periosteal pedicle graft obtained is then turned over the exposed root surface then followed by coronally postionting flap
the percentage of root coverage (%RC)
to measure the coverage percentage of root recession by UNC periodontal probe Preoperative recession depth - Postoperative recession depth /Preoperative recession depth x 100
Time frame: at base line, 1 month and 3 months after treatment
recession depth
to measure vertical recession by UNC periodontal probe from cemento-enamel junction (CEJ) to the gingival margin.
Time frame: at base line, 1 month and 3 months after treatment
recession width
to measure horizontal recession by UNC periodontal probe the distance between the CEJ and the gingival margin
Time frame: at base line, 1 month and 3 months after treatment
clinical attachment gain
to measure the periodontal attachment gain after treatment by UNC periodontal probe subtracting the sulcus depth from the distance between the free gingival margin and the mucogingival junction.
Time frame: at base line, 1 month and 3 months after treatment
keratinized tissue gain
measure the gain in keratinized gingivaby UNC periodontal probe from the most apical point of the gingival margin to the mucogingival junction (MGJ) at the middle buccal point.
Time frame: at base line, 1 month and 3 months after treatment
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