Comparing two surgical techniques in the management of receding gums

Phase 3

Not yet recruiting

• Conditions: Chronic periodontitis,

• Registration Number: CTRI/2025/04/085102
• Lead Sponsor: J.K.K.Nataraja Dental College and Hospital

Brief Summary

Comparative Evaluation of the Conventional Coronally Advanced Flap versus Minimally Invasive Apical Tunnel Surgical Approach in the Treatment of Gingival Recession: A Randomized Controlled Clinical Study

Objective:

To compare the clinical outcomes of the conventional Coronally Advanced Flap (CAF) technique versus the minimally invasive Apical Tunnel Surgical (ATS) approach, both followed by the placement of Platelet Rich Fibrin (PRF), in the treatment of gingival recession.

Study Design:

- Type: Single blinded, randomized controlled split mouth design.

- Participants: 11 individuals with 22 sites exhibiting gingival recession.

- Groups:

- Group 1 (Control): Treated with CAF followed by PRF placement.

- Group 2 (Test): Treated with ATS followed by PRF placement.

Inclusion Criteria:

- Patients with Cairo’s Recession Type 1 and Recession Type 2.

- Adequate width of keratinized tissue.

- Individuals aged from 18 years age to 60 years.

- Systemically healthy individuals.

- Willingness and ability to perform adequate oral hygiene.

Exclusion Criteria:

- Tooth mobility.

- History of periodontal surgical therapy in the last 6 months.

- Pregnant and lactating women.

- Systemic diseases or systemic medications.

- History of drug hypersensitivity.

- Smoking and alcohol consumption.

- Poor oral hygiene maintenance.

Methods:

- Preoperative Assessment: Clinical parameters measured include gingival index, recession depth, width of keratinized tissue, clinical attachment level, probing depth, and mean root coverage percentage.

- Surgical Procedures:

- CAF Technique: Involves creating flaps, treating the root surface, and placing PRF.

- ATS Technique: Involves creating a tunnel through an apical hole, repositioning the gingiva, and placing PRF.

- Postoperative Care: Includes antibiotics, analgesics, and chlorhexidine mouthwash. Sutures are removed after 14 days.

Time Points for Data Collection:

- Baseline (Pre-Operative): Initial assessment of clinical parameters.

- 14 Days Post-Operative: Initial healing assessment.

- 3 Months Post-Operative: Final assessment of clinical parameters and outcomes.

Primary Outcome:

- Mean Root Coverage Percentage (MRC) at 3 months.

Secondary Outcomes:

- Changes in gingival index.

- Changes in recession depth.

- Changes in width of keratinized tissue.

- Changes in clinical attachment level.

- Changes in probing depth.

Conclusion:

The study aims to determine the efficacy of two surgical techniques (CAF and ATS) in treating gingival recession, focusing on root coverage and other clinical parameters. The results will provide valuable insights into the effectiveness and safety of these techniques in periodontal plastic surgery.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2025-04-17
• Study Start: 2025-04-28

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 22

Inclusion Criteria

• Patients with Cairo Recession Type 1 and Recession Type 2.
• Patients having adequate width of keratinized tissue greater than or equal to 2mm.
• Patients with willingness and ability to perform adequate oral hygiene.
• systemically healthy individuals.

Exclusion Criteria

• Patients with tooth mobility 2.
• Patients who received periodontal surgical therapy in last 6 months 3.
• Pregnant and lactating women.
• Patients with systemic diseases and patients under systemic medications.
• Individuals with a history of drug hypersensitivity.
• Patient who engage in smoking and alcohol consumption.
• Patients who demonstrate poor oral hygiene maintenance even after phase I therapy.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mean Root Coverage (MRC) at 3 months	Mean Root Coverage (MRC) at Baseline and at 3 months

Secondary Outcome Measures

Name	Time	Method
Gingival Index, Recession Depth, Probing depth, Clinical Attachment level, width of Keratinized tissue.	At baseline and 3 months

Trial Locations

Locations (1)

J.K.K.Nataraja Dental College and Hospital; 🇮🇳 Namakkal, TAMIL NADU, India

J.K.K.Nataraja Dental College and Hospital

🇮🇳Namakkal, TAMIL NADU, India

Dr Surya A S

Principal investigator

9677755531

assurya.tvm@gmail.com