Vestibular Incision Subperiosteal Tunnel Access (VISTA) Technique Versus Coronally Advanced Flap (CAF) Combined With a Connective Tissue Graft for the Treatment of Maxillary Gingival Recessions

Not Applicable

Not yet recruiting

• Conditions: Gingival Recessions

• Registration Number: NCT06755294
• Lead Sponsor: Universitat Internacional de Catalunya

Brief Summary

Gingival recession (GR) is a common oral health problem that causes sensitivity, esthetic concerns and hygiene problems. Successful root coverage can be achieved by various surgical techniques. The VISTA technique may overcome some of the limitations of other techniques and present equal results to techniques that are considered the "Gold Standard" in this area of periodontology.

The objective of the research is to study the VISTA technique in terms of complete root coverage, % root coverage, gingival thickness gain, bleeding on probing, keratinized gingival width, PROMS, vestibular depth and esthetic results.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-12
• Study First Submitted: 2024-12-23
• Study First Submitted QC: 2024-12-23
• Last Update Submitted: 2024-12-23
• Study First Posted: 2025-01-01
• Last Update Posted: 2025-01-01
• Study Start: 2025-01-15
• Primary Completion: 2026-01-15
• Study Completion: 2026-06-15

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Healthy adults: men and women between 18 and 75 years of age.
• Accepts and signs informed consent.
• Systemically healthy patients with periodontal health or controlled periodontitis.
• Presence of at least two maxillary Cairo Type I or II (RT1/2) recessions > 2 mm deep on buccal aspect.
• Plaque index ≤20%
• No previous periodontal surgeries performed.
• Presence of the cementoenamel junction (CEJ), a 1 mm step in the CEJ and/or presence of root abrasion, but with an identifiable CEJ will be accepted.

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Exclusion Criteria

• Smoker of 10 ≥ cigarettes per day.
• Contraindications to periodontal surgery.
• Medications that affect the gingiva or their healing.
• Active orthodontic treatment.
• Pregnant women
• Caries or restorations in the area to be treated.
• Patients who cannot follow the post-surgical medication adequately

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Recession reduction (RR)	3 months and 6 months after the surgery	Measured with a periodontal probe and with a STL file

Secondary Outcome Measures

Name	Time	Method
mean root coverage (% RC)	3 and 6 months after the surgery
PPD	Baseline, 3 and 6 months after the surgery	distance from the gingival margin to the base of the gingival sulcus
CAL	Baseline, 3 and 6 months after the surgery	distance from the LAC to the base of the gingival sulcus
KTW	Baseline, 3 and 6 months after the surgery	distance from the gingival margin to the mucogingival line (MGL
Gingival thickness	Baseline, 3 and 6 months after the surgery	distance from the most external part of the gingiva to the buccal plate
Complete root coverage	3 and 6 months after the surgery