Clinical Effectiveness of Coronally Advanced Flap With Papillary Extended Connective Tissue Graft Versus Connective Tissue Graft in Miller Class III Recession: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 34
- 主要终点
- Recession Depth in mm
研究概览
简要总结
34 patients with Miller class III will be included in this study, where 17 participants will be treated with connective tissue graft with coronally advanced flap (control group) and 17 participants will be treated with a papillary extended connective tissue graft with coronally advanced flap (test group) and followed up for 6 months.
详细描述
Each patient will be inspected to check if the patient fits for the eligibility criteria. If the patient meets the standards, phase I therapy for periodontal plastic procedures will be performed including thorough supragingival scaling and subgingival debridement. Preservation of appropriate plaque control (both mechanical and chemical) by the patient will be executed as well.
Surgical procedures:
It will be done by the principal investigator.
CTG harvesting:
A measurement of the approximate length and width of the graft required will be taken. A CTG will be harvested from the palate using single incision technique as described by Kumar et al. (2013) as follows:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients 18 years or older. Periodontally and systemically healthy. Buccal recession defects classified as Miller class III. Presence of identifiable CEJ (Zucchelli et al., 2010). Clinical indication and/or patient demand for recession coverage. O'Leary index less than 20% (O'Leary et al., 1972).
排除标准
- •Miller class I, II or IV recession defects. Pregnant females. Smokers as smoking is contraindicated at any plastic periodontal surgery (Khuller, 2009).
- •Handicapped and mentally retarded patients. Teeth with cervical restorations or abrasion. Taking medication known to affect periodontal healing. Previous periodontal surgery on the involved site.
结局指标
主要结局
Recession Depth in mm
时间窗: 6 months
The vertical amount of root exposed will be measured using a UNC-15 periodontal probe
次要结局
- Width of keratinized gingiva in mm(6 months)
- Patient satisfaction (Kim et al. 2014)(6 months)
- Recession Width in mm(6 months)
- Probing depth in mm(6 months)
- Gingival thickness in mm(6 months)
- Root coverage esthetic score (Cairo et al. 2009)(6 months)
研究者
Manar El-Zanaty
Assistant Lecturer
Cairo University