Comparative Evaluation of Vestibular Incision Subperiosteal Tunnel Access With Advanced Platelet-rich Fibrin and Collagen Membrane in the Treatment of Gingival Recession Defects
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Gingival Recession
- Sponsor
- Mansoura University
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Measuring the recession width in millimeter
- Status
- Active, not recruiting
- Last Updated
- 2 years ago
Overview
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.
Investigators
Marwa Abdelfattah Elkhamisy
Master candidate
Mansoura University
Eligibility Criteria
Inclusion Criteria
- •(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 ≤
- •Systemically healthy, willing individuals with good oral hygiene and without contraindications for surgical interventions
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Measuring the recession width in millimeter
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 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 Outcomes
- Measuring the probing depth(baseline, 3 months and 6 months)
- Measuring the plaque index(baseline, 3 months and 6 months)
- Measuring the gingival index(baseline, 3 months and 6 months)
- Clinical attachment level(baseline, 3 months and 6 months)