Management of Miller Class I & II Gingival Recession

Not Applicable

• Conditions: Gingival Recession

• Registration Number: NCT03767309
• Lead Sponsor: Halla Gamal Mohammed Esmail

Brief Summary

Management of Miller class I \& II gingival recession using coronally advanced flap combined with conventional de-epithelialized free gingival graft versus coronally advanced flap combined with abrasive de-epithelized connective tissue graft Null hypothesis: In patients with Miller class I and II gingival recession, there is no difference between coronally advanced flap with conventional de-epithelialized free gingival graft and coronally advanced flap with abrasive de-epithelized connective tissue graft in recession depth reduction.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-11-29
• Status Verified: 2018-12
• Study First Submitted QC: 2018-12-05
• Study First Posted: 2018-12-06
• Last Update Submitted: 2019-01-16
• Last Update Posted: 2019-01-17
• Study Start: 2019-02-01
• Primary Completion: 2020-01-01
• Study Completion: 2020-12-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Age ≥ 18 years.
• Systemically healthy patients.
• Miller's Class I and II recession defects with recession depth ≥ 2mm.
• Presence of identifiable cemento-enamel junction (CEJ).
• Clinical indication and/or patient request for recession coverage.
• Smoking ≤ 10 cigarettes/day.
• Cooperative patients able and accept to come for follow up appointments.

Exclusion Criteria

• Pregnant females.
• Smoking ˃ 10 cigarettes/day.
• Contraindication for periodontal surgery.
• Patients with poor oral hygiene.
• Recession defects associated with caries or restoration as well as
• Teeth with evidence of a pulpal pathology
• Molar teeth

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Direct Post-operative pain	7 days	Directly will be evaluated post-surgically with Visual Analogue Scale with numbers from 0 to 10 that given to the patients at 7 days follow-up visits.
Indirect Post-operative pain	7 days	Indirectly will be evaluated on the basis of the mean consumption of analgesics

Secondary Outcome Measures

Name	Time	Method
Surgical chair time	at the time of surgery	measured by Stop watch
Complete Root Coverage	6 months	CRC evaluated in patients by single operator clinically using a periodontal probe. Root coverage was deemed complete when the gingival margin is at or above the level of CEJ
Recession depth.	6 months	Measured from the CEJ to the most apical extension of the gingival margin
Gingival Recession Width	6 months	measured at the level of the CEJ.
Root Coverage Esthetic Score	6 months	The RES system evaluates five variables 6 months following surgery
Width Of Keratinized Gingiva	6 months	Measured from the gingival margin to the mucogingival line
Gingival thickness	6 months	It will be measured by penetrating the gingiva mid-buccally in the attached gingiva, half way between mucogingival junction and free gingival groove with the periodontal probe after giving local anesthesia to measure the thickness of gingival tissues.