Laser-Assisted Minimally Invasive Esthetic Crown Lengthening Using Flapless vs. Tunneled Flap Approach

N/AEnrolling By InvitationNCT07649226

Alexandria University45 enrolled

Overview

Crown lengthening surgery is one of the most commonly performed periodontal procedures. Multiple techniques have been used throughout the years to overcome the postoperative pain and adverse outcomes that may be associated with surgical crown lengthening. One of the most popular choices among clinicians is using different types of lasers in different techniques to overcome those adverse effects. Treatment effectiveness can be monitored non-invasively through salivary levels of Leukocyte Esterase enzyme and the stability clinical outcomes.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Altered Passive Eruption of Teeth

Interventions

laser assissted crown lengthening

Eligibility

Sex: ALLMin age: 21 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients with an excessive gingival display of at least 3 mm 2. Age \>21 years 3. At least six anterior maxillary teeth requiring ECL 4. Healthy periodontal status, indicated by a full-mouth plaque index and bleeding on probing index scores of \<15%. 5. Patients with thick gingival phenotype Exclusion Criteria: 1. Treatment sites with probing depths more than 3 mm 2. Patients with a history of smoking 3. Patients with a history of mucogingival surgery in the intended treatment area 4. Systemic conditions that could hinder tissue healing (e.g., uncontrolled diabetes and autoimmune diseases) 5. Patients undergoing active orthodontic treatment 6. Presence of any cause of excessive gingival display other than altered passive eruption

Outcomes

Primary Outcomes

leukocyte esterase enzyme assessment using Periomonitor

Periomonitor strips will be used to detect the amount of leukocyte esterase enzyme in saliva

Time frame: 1 month

Clinical outcome stability

Clinical outcome stability will be assessed by measuring the length of the crown and interdental papillae immediately postoperatively, 1 week postoperatively, 1 month postoperatively, 3 months postoperatively and 6 months postoperatively.

Time frame: 6 months

PROM

Binary questionnaire (Yes/No) questions will be asked.

Time frame: 1 week

Secondary Outcomes

Marginal bone loss evaluated using CBCT