Clinical Evaluation Comparing Tunneled Coronally Advanced Flap and Modified Coronally Advanced Tunnel With Connective Tissue Graft for Managing Single Gum Recession

N/ANot Yet RecruitingNCT07239180

Cairo University24 enrolled

Overview

The technique under investigation aims to provide effective root coverage while offering the advantage of being less invasive.

Limited RCTs have been found in the literature comparing the root coverage capacity of the tunneled coronally advanced flap versus modified coronally advanced tunnel combined with connective tissue graft in single RT2 defects. So, this trial aims to fill this gap of knowledge.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Single Recession Defects (RT2)

Interventions

Modified Coronally Advanced Tunnel with Connective Tissue GraftPROCEDURE

Modified coronally advanced tunnel with connective tissue graft without vertical releasing incisions

Tunneled Coronally Advance Flap with Connective Tissue GraftPROCEDURE

Tunneled coronally advance flap with connective tissue graft with one vertical releasing incision

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with single RT2 gingival recession defect ≥ 2 mm * Age \>18 years old. * Systemically healthy patients with no contraindications for periodontal surgeries. * Gingival and plaque index less than 20%. * No previous surgeries at the defect site. * Accepts 6 months follow-up period (compliant patients). Exclusion Criteria: * RT1 gingival recession. * Smokers \>10 cigarettes a day a contraindicating for any plastic periodontal surgery. * Poor oral hygiene. * Active periodontitis patients. * Patients on medications causing gingival enlargement. * Pregnancy. * Teeth mobility ≥ 1 mm. * Patients using fixed or removable orthodontic appliances. * Restoration and/or periapical radiolucency at the defect site.

Outcomes

Primary Outcomes

Gingival Recession Depth (GRD)

Measuring gingival recession depth (GRD) using UNC Periodontal probe in millimeter (mm)

Time frame: 6 months

Secondary Outcomes

The Percentage of Mean Root Coverage (MRC %)

Measuring the percentage of mean root coverage (MRC %) using UNC Periodontal Probe in percentage (%)

Time frame: 6 months

Complete Root Coverage (CRC)

Measuring the complete root coverage (CRC) visually (Yes/No)

Time frame: 6 months

Root Coverage Esthetic Score (RES)

Measuring the root coverage esthetic score (RES) visually with score (0 "minimum" - 10 "maximum")

Time frame: 6 months

The Distance between the contact point and the top of the papilla (DCP)

Measuring the distance between the contact point and the top of the papilla (DCP) using UNC periodontal probe in millimeter (mm)

Time frame: 6 months

Gingival Recession Width (RW)

Measuring the gingival recession width (RW) using UNC periodontal probe in Millimeter (mm)

Time frame: 6 months

Probing Pocket Depth (PPD)

Measuring the probing pocket depth (PPD) using UNC periodontal probe in Millimeter (mm)

Time frame: 6 months

Clinical Attachment Level (CAL)

Measuring the clinical attachment level (CAL) using UNC periodontal probe in Millimeter (mm)

Central Contacts

Khaled Hashem Kamal, Masters Degree

CONTACT

00201281033350 khaled.hashem@dentistry.cu.edu.eg

Data from ClinicalTrials.gov

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