Treatment of Multiple Gingival Recession Defects Using a Xenogenic Acellular Dermal Matrix Compared to Connective Tissue Graft: a Randomized Controlled Clinical Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Gingival Recession
- Sponsor
- Centre Hospitalier Universitaire de Nice
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- Percentage of Root coverage
- Status
- Completed
- Last Updated
- last month
Overview
Brief Summary
Limitation of donor site and significant postoperative morbidity are often described in connective tissue graft harvesting. We want to show if mucoderm used in tunnel technique to recover miller class I and II recessions defects could be an alternative to connective tissue graft.
Detailed Description
Connective tissue graft harvested from the palate does not always have sufficient size to cover multiple recession defects. Moreover, connective tissue graft shows significant postoperative morbidity to treat generalized multiple gingival recessions. The goal of this study is to show if Mucoderm could be considered has a substitute of connective tissue graft in the coverage of gingival recession defects.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients \> 45 years, postmenopausal women (ie with amenorrhea for more than a year).
- •Subject with bilateral Miller class I or II recessions defects
- •non smoking patients
- •patients having read and understood the information note on the study and signed the informed consent form.
- •patients affiliated to the social security system.
Exclusion Criteria
- •Patient with absolute contra-indication for dental surgery: valvular heart disease at risk of infectious endocarditis, recent myocardal (≤ 12 months), organ transplants, recent placement of a coronary stent (≤ 12 months), transient ischemic attacks recurrent, cardiovascular instability, uncontrolled epilepsy, rheumatic fever.
- •Patient with metabolic bone disease (Paget's disease, osteomalacia, osteogenesis imperfecta)
- •Patient with an ASA score ≥
- •Patient with absolute contra-indication to dental surgery
- •Patient with severe hematologic disease
- •Patient with I or type II diabetes
- •Patients with previous or current acute illness or severe chronic cardiovascular, renal, hepatic, gastrointestinal, allergic, endocrine, neuro-psychiatric, considered by the investigator to be incompatible with the conduct of the study.
- •Patients treated with retinoids, oral bisphosphonates, oral anticoagulants or anticonvulsants.
- •Patient have or have had cancer of the upper aerodigestive tract treated by radiotherapy.
- •Patient taking a steroidal or non-steroidal anti-inflammatory, anti-cancer or immunosuppressive chemotherapy in the last 6 months.
Outcomes
Primary Outcomes
Percentage of Root coverage
Time Frame: at 6 month
Comparison of Percentage of Root coverage at baseline and 6 months postoperatively
Secondary Outcomes
- postoperation pain(at day 10 postoperation)
- postoperation pain(at day 1 postoperation)
- postoperation pain(at day 2 postoperation)
- postoperation pain(at day 3 postoperation)
- postoperation pain(at day 5 postoperation)