A study of the gums and orthodontic tooth movement after a connective tissue graft

Not Applicable

• Conditions: Gingival diseases in patients with thin gingival biotype and treated by orthodontics; Oral Health

• Registration Number: ISRCTN42398071
• Lead Sponsor: Tishreen University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-08-02
• Last Update Posted: 15 August 2022
• Study Completion: 2022-12-01

Recruitment & Eligibility

• Status: Ongoing
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

1. Aged between 15-40 years old
2. Crowding in the lower anterior teeth (4-6 mm)
3. Thin gingival biotype (less than 1 mm)
4. Non-smoking
5. No general diseases
6. Good oral hygiene
7. No problem with gingival recession

Exclusion Criteria

1. Children (under 15 years old) and old age
2. Crowding in the lower anterior teeth (more than 6 mm)
3. Thick gingival biotype
4. Smoking
5. General diseases
6. Bad oral hygiene
7. Periodontitis

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> 1. Acceleration of the orthodontal movement assessed by Little's irregularity index before and every month after the connective tissue graft until the end of the orthodontic treatment<br> 2. Gingival thickness assessed by an endodontic spreader before and after the treatment<br> 3. Width of the attached gingiva assessed by William's prober before and after the treatment<br>

Secondary Outcome Measures

Name	Time	Method
<br> Gingival parameters measured using the root coverage esthetic score (RES) before and after the treatment:<br> 1. GM (gingival margin): zero points = failure of root coverage (gingival margin apical or equal to the baseline recession); 3 points = partial root coverage; 6 points = complete root cover<br> 2. MTC (marginal tissue contour): zero points = irregular gingival margin (does not follow the CEJ); 1 point = proper marginal contour/scalloped gingival margin (follows the CEJ)<br> 3. STT (soft tissue texture): zero points = scar formation and/or keloid-like appearance; 1 point = absence of scar or keloid formation<br> 4. MGJ (mucogingival junction): zero points = MGJ not aligned with the MGJ of adjacent teeth; 1 point = MGJ aligned with the MGJ of adjacent teeth<br>