Inverted T-shape Free Gingival Graft for Treatment of RT2 / RT3 Gingival Recession Defects
- Conditions
- Gingival Recession
- Interventions
- Procedure: Inverted T shape Free Gingival GraftProcedure: Free Gingival Graft
- Registration Number
- NCT06615687
- Lead Sponsor
- Cairo University
- Brief Summary
The aim of this study is to compare the use of T-inverted shape Free Gingival Graft with Free Gingival Graft for improving the clinical attachment, gain partial root coverage, and improve Keratinized tissue width in recession type 2 /recession type 3 gingival recession defects .
Research question : In patients with RT2 / RT3 mandibular defects will the use of inverted T-shape free gingival graft differ from free gingival graft in Recession depth?
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 34
- Patients with RT2/RT3 gingival recession.
- Indication for FGG treatment at mandibular incisor area (i.e., difficulty or discomfort during oral hygiene; gingival margin mobility; high muscle attachment and/or frenum pull; shallow vestibule and gingival recession.
- KT width (KTW) < 2 mm.
- Ages 18-40 years old.
- Patients with healthy systemic condition (Brightman. 1994).
- Gingival and plaque index <10.
- Good oral hygiene (Wiesner et al. 2010).
- Accepts 6 months follow-up period (cooperative patients)
- Smokers.
- Poor oral hygiene.
- Patient with a physical disability that hinders the upkeep of good oral hygiene measures.
- Intake of any medications known to affect gingival homeostasis or to interfere with wound healing.
- Pregnant or lactating women.
- RT1 gingival recession.
- Caries or non-carious cervical lesions at recipient sites.
- Severely malpositioned teeth.
- Teeth with residual probing depth ≥ 4 mm.
- Mobility ≥ 1 mm.
- Pervious periodontal surgery within the last 6 months before the start of the trial.
- Patients with active periodontal disease. -
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Inverted T -Shape Free Gingival Graft Inverted T shape Free Gingival Graft - Free Gingival Graft Free Gingival Graft -
- Primary Outcome Measures
Name Time Method Recession depth. baseline, 1 month , 3 months and 6 months Will be measured as the distance from the CEJ to the most apical extension of the gingival margin.
- Secondary Outcome Measures
Name Time Method Width of keratinized gingiva . baseline, 1 month , 3 months and 6 months Will be measured from the MGJ to the free gingival margin. The MGJ will be identified using the roll technique.
Recession width baseline, 1 month , 3 months and 6 months Will be measured as the distance from mesial and distal papillae along the CEJ
Gingival thickness baseline, 1 month , 3 months and 6 months An endodontic file and a 3 mm diameter silicon disc stop will be used to measure gingival thickness 2mm apical to the gingival border. The file will be inserted into the soft tissue with mild pressure, perpendicular to the mucosal surface, until a firm surface is felt. The silicon disc stop will be then pressed against the soft tissue, with the coronal border covering the soft tissue boundary.GT will be measured 2 mm apical from the gingival margin
Root coverage esthetic score baseline, 1 month , 3 months and 6 months The RES system evaluated five variables 6 months following surgery: GM, marginal tissue contour (MTC), soft tissue texture (STT), MGJ alignment, and gingival color (GC). The clinical esthetic evaluation performed without magnification. Zero, 3, or 6 points were used for the evaluation of the position of the gingival margin, whereas a score of 0 or 1 point was used for each of the other variables.
The Distance between the contact point and the top of the papilla (DCP). baseline, 1 month , 3 months and 6 months Measured as the distance between contact point and the tip of the papilla (DCP) in mms using UNC periodontal probe .
Probing Depth baseline, 1 month , 3 months and 6 months The assessment of probing depth will be measured from the gingival margin to the bottom of the sulcus using a periodontal probe, rounded to the nearest millimeter.
Gingival Index baseline, 1 month , 3 months and 6 months 0 Normal gingiva.
1. Mild inflammation.
2. Moderate inflammation.
3. Severe inflammation.Plaque Index baseline, 1 month , 3 months and 6 months 0 No plaque in the gingival area.
* 1 A film of plaque adhering to the free gingival margin and adjacent area of the tooth. The plaque may only be recognized by running a probe across the tooth surface.
* 2 Moderate accumulation of soft deposits within the gingival pocket, on the gingival margin and/or adjacent tooth surface, which can be seen by the naked eye.
* 3 Abundance of soft matter within the gingival pocket and/or on the gingival margin and adjacent tooth surface.
Trial Locations
- Locations (1)
Faculty of Dentistry, Cairo university
🇪🇬Cairo, Egypt