Evaluation of the Efficacy of the Modified Free Gingival Graft Technique
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Modified Free Gingival Graft , Connective Tissue Graft
- Sponsor
- Universidad de Especialidades Espiritu Santo
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- To evaluate the long-term efficacy of the modified free gingival graft technique on root coverage.
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Gingival recessions can be defined as the exposure of the root surface after an apical migration of the gingival margin in relation to the cemento-enamel junction. Gingival recessions affect both younger and older populations. Various surveys revealed that 88% of people ≥65 years of age and 50% of people between 18 and 64 years of age have ≥1 site with gingival recession. Gingival recessions can occur due to anatomical, pathological factors or trauma and will result in a loss of attachment.
Investigators
Antonio Lanata Flores
Assistant Professor
Universidad de Especialidades Espiritu Santo
Eligibility Criteria
Inclusion Criteria
- •Patients with at least two or less localized recession in mandibular incisors
- •Cairo type 1 recession
- •Patients who have good plaque control of less than 20%
- •Patients between 18-64 years old
Exclusion Criteria
- •Systemically compromised patients
- •Smoker patients
- •Pregnant women, breastfeeding or use of oral contraceptives
- •Patients who are taking medication that may affect healing and coagulation
- •Previous periodontal surgeries in the RG area
- •Patients with periodontal disease
- •Patients who have undergone chemotherapy and radiotherapy
Outcomes
Primary Outcomes
To evaluate the long-term efficacy of the modified free gingival graft technique on root coverage.
Time Frame: From enrollment to the end of treatment at 12 months, evaluating at 7 days, 14 days, at the first month and after that every 3 months.
This technique is a modified version of the Free gingival graft, which is a surgery that attempts to improve the height of the keratinized tissue, as well as augment the thickness of the gingival phenotype. This modified version is based on a connective pedicle flap is flipped from its apical origin to cover the exposed root surface prior to the positioning of the Free gingival Graft. The rationale behind the approach is to improve the revascularization of the graft.