This case series will evaluate the effectiveness of injectable hyaluronic acid combined with polynucleotides as an adjunct to coronally advanced flap and connective tissue graft in patients with RT II gingival recession. Twelve patients will be included and followed for 6 months. Clinical outcomes will include percentage of root coverage, clinical attachment level gain, gingival thickness, probing depth, width of keratinized tissue, post-operative pain, and patient aesthetic satisfaction.
Patients with RT II gingival recession will be treated using a coronally advanced flap combined with a de-epithelialized connective tissue graft. Approximately 1-2 mL of a hyaluronic acid and polynucleotide mixture will be applied to the graft before suturing. Patients will be followed for 6 months. Clinical measurements will include recession depth and width, percentage of root coverage, clinical attachment level, gingival thickness, probing depth, keratinized tissue width, post-operative pain, and patient esthetic satisfaction.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
A coronally advanced flap will be performed with a de-epithelialized connective tissue graft. Approximately 1-2 mL of a hyaluronic acid and polynucleotide mixture will be applied to the graft before suturing
Faculty of Dentistry, Cairo University
Cairo, Egypt
Percentage of Root Coverage
Percentage of root coverage will be calculated using the following formula: (Initial Recession Depth - Post-Treatment Recession Depth) / Initial Recession Depth × 100.
Time frame: Baseline, 1 month, 3 months, and 6 months
Clinical Attachment Level (CAL) Gain
Clinical attachment level will be measured in millimetres using a UNC-15 periodontal probe
Time frame: Baseline, 3 months, and 6 months
Recession Depth
Gingival recession depth will be measured in millimeters using a UNC-15 periodontal probe
Time frame: Baseline, 3 months, and 6 months
Recession Width
Gingival recession width will be measured in millimeters using a UNC-15 periodontal probe.
Time frame: Baseline, 3 months, and 6 months
Gingival Thickness
Gingival thickness will be measured in millimeters using an endodontic file
Time frame: Baseline, 3 months, and 6 months
Probing Depth
Probing depth will be measured in millimeters using a UNC-15 periodontal probe.
Time frame: Baseline, 3 months, and 6 months
Width of Keratinized Tissue
Keratinized tissue width will be measured in millimeters using a UNC-15 periodontal probe
Time frame: Baseline, 3 months, and 6 months
Post-Operative Pain
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Post-operative pain will be assessed using a Visual Analogue Scale (VAS) questionnaire, with scores ranging from 1 to 10
Time frame: 1 week post-surgery
Patient Esthetic Satisfaction
Patient esthetic satisfaction will be assessed using a Visual Analogue Scale (VAS) questionnaire, with scores ranging from 1 to 10
Time frame: 3 months and 6 months