Comparison of Using Collagen Membrane and A-PRF Using VISTA Technique in Gingival Recession Treatment
- Conditions
- Gingival Recession
- Interventions
- Procedure: vestibular incision sub periosteal tunnel access ( VISTA) technique.
- Registration Number
- NCT06357351
- Lead Sponsor
- Mansoura University
- Brief Summary
To assess the efficacy of minimally invasive Vestibular Incision Subperiosteal Tunnel Access (VISTA) with collagen membrane and Advanced Platelet-rich Fibrin (A-PRF) in the treatment of multiple buccal gingival recession type 1(RT1) Cairo Classification.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 24
- (18-50) years old with at least 2 sites with gingival recession type (RT1) Cairo Classification (GR with no interdental attachment loss). The interdental CEJ is not detectable clinically on the labial surfaces of the teeth.
- Recession in the maxillary anterior region ≥1 mm of attached gingiva, pocket depth (PD) of <3 mm, recession depth (RD) ≥2 mm, and gingival index (GI) score ≤1.
- Systemically healthy, willing individuals with good oral hygiene and without contraindications for surgical interventions
- the presence of severe systematic diseases or immunodeficiency and contraindicated with surgical interventions.
- Allergies to medicaments used in the treatment process.
- Patients with removable or fixed dentures.
- Patients with cervical abrasion, direct and indirect restorations involving the cervical areas of the maxillary anterior.
- Participants with smoking, tobacco chewing, and alcohol consumption.
- The presence of high frenal attachment and participants who had previously undergone any periodontal surgical procedure or regenerative therapy in the past 1 year at the same site of the planned treatment.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description VISTA technique and advanced platelet rich fibrin vestibular incision sub periosteal tunnel access ( VISTA) technique. Participants undergo periodontal surgery using the vestibular incision sub-periosteal tunnel access technique (VISTA) and advanced platelet-rich fibrin (A-PRF). VISTA technique and collagen membrane vestibular incision sub periosteal tunnel access ( VISTA) technique. Participants undergo periodontal surgery using the vestibular incision sub-periosteal tunnel access technique (VISTA) and collagen membrane.
- Primary Outcome Measures
Name Time Method Measuring the recession width in millimeter baseline, 3 months and 6 months self-report assessment by using the UNC-15 Periodontal Probe, measured at the level of Cemento-Enamel Junction CEJ.
Measuring the recession depth in millimeter baseline, 3 months and 6 months self-report assessment by using the UNC-15 Periodontal Probe, measured from the cemento-enamel junction CEJ to the free gingival junction.
Measuring the width of keratinized gingiva in millimeter baseline, 3 months and 6 months self-report assessment by using the UNC-15 Periodontal Probe. measured from the free gingiva margin to the mucogingival junction.
Mean of root coverage baseline, and 6 months was measured by the following formula:. Mean root coverage formula: (pre-operative recession depth - post-operative recession depth)/(pre-operative recession depth ) ×100
- Secondary Outcome Measures
Name Time Method Measuring the probing depth baseline, 3 months and 6 months self-report assessment by using the UNC-15 Periodontal Probe. Measured from the free gingival margin to the base of the sulcus.
Measuring the plaque index baseline, 3 months and 6 months According to Silness and Leo, this index determines the thickness of the plaque along the gingival margin. possible score range from 0 (no plaque) to 1 ( thin plaque located at gingival margin only detected by periodontal probe), 2 ( moderate plaque thickness detected by naked eye located at gingival margin), and 3 ( abundant plaque thickness at gingival margin and interproximal area)
Measuring the gingival index baseline, 3 months and 6 months According to Silness and Leo, this index determines the description of the gingiva of examined teeth. possible score range from 0 (normal gingiva) to 1 (mild inflammation; slight erythema; no bleeding.) / 2 (moderate inflammation; erythema and bleeding on probing) or 3 (severe inflammation; severe erythema, swelling, and spontaneous bleeding).
Clinical attachment level baseline, 3 months and 6 months self-report assessment by using the UNC-15 Periodontal Probe, measured from the cemento-enamel junction to the base of the pocket.
Trial Locations
- Locations (1)
Mansoura university
🇪🇬Mansoura, Egypt