The present study will be conducted as a randomized controlled clinical study to assess to evaluate the effect of minimally invasive VISTA with fascia lata allograft in the treatment of gingival recession
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
The vestibular incision sub-periosteal tunnel access (VISTA) technique for all groups will be done and the patients will receive VISTA techniques with fascia lata
The vestibular incision sub-periosteal tunnel access (VISTA) technique for all groups will be done and the patients will receive VISTA techniques with subepithelial connective tissue graft CTG
Kafr El-sheikh University
Kafr Elsheikh, Egypt
change in Gingival recession depth
will be measured at the mid-buccal aspect of the tooth from the (CEJ) to the most apical point of the gingival margin (GM).
Time frame: 2 weeks, 3 months, 6 months
change in Gingival recession width (GRW)
it will be measured at the mesiodistal direction of the GM at the level of CEJ
Time frame: 2 weeks, 3 months, 6 months
change in Keratinized tissue width (KTW)
will be measured as the distance between the GM and the mucogingival junction (MGJ)
Time frame: 2 weeks, 3 months, 6 months
change in Clinical attachment loss (CAL)
will be measured at the mid-buccal aspect of the tooth from CEJ to the bottom of the sulcus.
Time frame: 2 weeks, 3 months, 6 months
change in Probing depth (PD)
it will be measured from the GM to the bottom of the sulcus.
Time frame: 2 weeks, 3 months, 6 months
change in Gingival thickness (GT)
it will be measured at the mid-buccal aspect of a treated tooth on the long axis, 3 mm apically from the GM using K-file 25 ISO with a silicon marker driven perpendicularly to the gingival surface after application of local anesthesia.
Time frame: 2 weeks, 3 months, 6 months
change in Recession esthetic score (RES)
it evaluates five outcome variables (GM level, marginal tissue contour, soft tissue texture, MGJ alignment, and gingival color) leading to a final score ranging from 0 to 10 points.
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Time frame: 2 weeks, 3 months, 6 months
change in Percentage of root coverage (RC)
it will be calculated at 3 and 6 months post- operative by the following formula: (GRD baseline - GRD 3/6 months)/GRD baseline × 100%
Time frame: 2 weeks, 3 months, 6 months