Periosteal Pedicle Flap Versus Subepithelial Connective Tissue Graft in Management of Gingival Recession

Not Applicable

Not yet recruiting

• Conditions: Gingival Recession
• Interventions: Procedure: SCTG followed by coronally postionting flap; Procedure: periosteal flap followed by coronally postionting flap

• Registration Number: NCT06529640
• Lead Sponsor: Assiut University

Brief Summary

Gingival recession is defined as the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction (CEJ).Various surgical procedures including repositioned flaps as well as autogenous and other type grafts have been used in the treatment of gingival recession.The present gold standard technique is the bilaminar technique using the subepithelial connective tissue graft (SCTG) which provides for long-term stability but also increases tissue morbidity.Hence, a suitable alternative technique - the periosteal pedicle flap (PPF) - has been practiced, which is less invasive, does not require a second surgical site, and provides a graft of adequate dimensions.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-07
• Study First Submitted: 2024-07-26
• Study First Submitted QC: 2024-07-29
• Last Update Submitted: 2024-07-29
• Study First Posted: 2024-07-31
• Last Update Posted: 2024-07-31
• Study Start: 2024-08-01
• Primary Completion: 2024-11-01
• Study Completion: 2024-11-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

• Patients with one or more Miller's Class 1 and Class II buccal recessions demonstrating ≤20% of plaque and bleeding scores, respectively, after Phase I therapy.
• age from 18 th 60 years.

Exclusion Criteria

• Smokers
• patients with malposed or crowded teeth
• pregnant and lactating women
• patients using medications that could affect the periodontal status

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Subepothelial connective tissue graft (SCTG) group	SCTG followed by coronally postionting flap	Subepithelial connective tissue graft from palate then coronally positioning flap to cover root recession
Periosteal pedicle flap (PPF) group	periosteal flap followed by coronally postionting flap	periosteal flap elevation and repositioning to the root then coronally positioning flap to cover root recession

Primary Outcome Measures

Name	Time	Method
the percentage of root coverage (%RC)	at base line, 1 month and 3 months after treatment	to measure the coverage percentage of root recession by UNC periodontal probe Preoperative recession depth - Postoperative recession depth /Preoperative recession depth x 100

Secondary Outcome Measures

Name	Time	Method
recession depth	at base line, 1 month and 3 months after treatment	to measure vertical recession by UNC periodontal probe from cemento-enamel junction (CEJ) to the gingival margin.
keratinized tissue gain	at base line, 1 month and 3 months after treatment	measure the gain in keratinized gingivaby UNC periodontal probe from the most apical point of the gingival margin to the mucogingival junction (MGJ) at the middle buccal point.
clinical attachment gain	at base line, 1 month and 3 months after treatment	to measure the periodontal attachment gain after treatment by UNC periodontal probe subtracting the sulcus depth from the distance between the free gingival margin and the mucogingival junction.
recession width	at base line, 1 month and 3 months after treatment	to measure horizontal recession by UNC periodontal probe the distance between the CEJ and the gingival margin