Inverted T-shape Free Gingival Graft Versus Free Gingival Graft for Treatment of RT2/RT3 Gingival Recession Defects : a Randomized Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Gingival Recession
- Sponsor
- Cairo University
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Recession depth.
- Status
- Not yet recruiting
- Last Updated
- last year
Overview
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?
Investigators
Dina Galal Fouad Mohamed Hafeez
Principal investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •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 \<
- •Good oral hygiene (Wiesner et al. 2010).
- •Accepts 6 months follow-up period (cooperative patients)
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Recession depth.
Time Frame: 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 Outcomes
- Width of keratinized gingiva .(baseline, 1 month , 3 months and 6 months)
- Recession width(baseline, 1 month , 3 months and 6 months)
- Gingival thickness(baseline, 1 month , 3 months and 6 months)
- Root coverage esthetic score(baseline, 1 month , 3 months and 6 months)
- The Distance between the contact point and the top of the papilla (DCP).(baseline, 1 month , 3 months and 6 months)
- Probing Depth(baseline, 1 month , 3 months and 6 months)
- Gingival Index(baseline, 1 month , 3 months and 6 months)
- Plaque Index(baseline, 1 month , 3 months and 6 months)