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Comparison of Graft Quality and Patient Morbidity Following Palatal Harvesting.

Not Applicable
Completed
Conditions
Palate; Wound
Gingival Recession
Registration Number
NCT03584906
Lead Sponsor
University of Milan
Brief Summary

The purpose of this study is to compare four different connective tissue graft harvesting technique in terms of graft quality and patient post-operative morbidity

Detailed Description

The primary aim is to compare 4 different connective tissue graft harvesting techniques in terms of morbidity and in terms of quality of the graft.

The secondary aim is to evaluate the outcome of gingival recessions treated with grafts obtained from different harvesting approaches, in terms of mean root coverage, complete root coverage, keratinized tissue gain, clinical attachment level gain and gingival thickness

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • 18 years of age or greater,
  • Patients with no reported systemic diseases,
  • Healthy periodontium or demonstrating stable periodontal condition following conventional periodontal therapy,
  • Full mouth plaque score (FMPS) and full mouth bleeding score (FMBS) of < 15%,
  • Clinical indication for periodontal plastic surgery utilizing CTG to treat either a single or a maximum of two recession defects (Miller class I, II) around natural teeth
  • No history of previous palatal harvesting
Exclusion Criteria
  • Pregnancy
  • Systemic condition that generally precludes surgical therapy or that could influence the outcome of therapy (e.g. Diabetes with HbA1c > 7%, INR > 3 etc.)
  • Non-compensated systemic disease
  • Poor oral hygiene with full mouth plaque score (FMPS) and full mouth bleeding score (FMBS) > 20% at baseline
  • Inadequate endodontic treatment or tooth mobility at the site of surgery
  • Radiographic evidence of bone loss

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Patient morbidity (VAS)14 days

Patient post-operative pain measured using a VAS scale

Mean root coverage (mRC)6 months

mRC measured as a percentage

Secondary Outcome Measures
NameTimeMethod
Keratinized tissue (KT) gain6 months

KT gain measured in mm

Painkillers consumption14 days

Painkiller consumption expressed in mg

Root coverage Esthetic Score (RES)6 months

RES measured using numeric values from 0 to 10

Clinical attachment level (CAL) gain6 months

CAL gain measured in mm

Gingival thickness (GT)6 months

CAL gain measured in mm

Patient willingness for retreatment14 days

Patient willingness for retreatment (related to graft harvesting), if necessary, expressed as "yes" or "no"

Trial Locations

Locations (2)

University of Milan

🇮🇹

Milan, Italy

Studio Odontoiatrico

🇮🇹

Piacenza, Italy

University of Milan
🇮🇹Milan, Italy

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