Treating Receding Gums: A Comparison of Two Surgical Techniques Using Gum Tissue Grafts

Phase 2

Not yet recruiting

• Conditions: Individuals with gingival recessions will be recruited

• Registration Number: CTRI/2025/04/084878
• Lead Sponsor: SELF

Brief Summary

Gingival recession is a condition where the denudation of root surfaces occurs due to the relocation of the gingival margin apical to the cement-enamel junction (CEJ), leading to root hypersensitivity and aesthetic problems.

AIM OF THE STUDY The aim of present study is to evaluate and compare soft tissue parameters and root coverage using de epithelized gingival unit graft (d-GUG) along with modified bridge flap technique and de epithelized gingival unit graft (d-GUG) alone in Gingival Recession.

OBJECTIVES OF THE STUDY: To evaluate the root coverage by using de-epithelialized gingival unit graft with modified bridge flap technique. To evaluate the root coverage by using de-epithelialized gingival unit graft alone.

GROUP I (TEST): 15 sites will be treated by de epithelized gingival unit graft (d-GUG) along with modified bridge flap technique.

GROUP II (CONTROL): 15 sites will be treated by de epithelized gingival unit graft (d-GUG) alone.

Following clinical parameters will be measured using University of North Carolina (UNC) – 15 and assessed at baseline, 1 month and 3 months. Customized acrylic stents for each patient, with grooves corresponding to mid buccal surface of defects will be made to ensure accurate readings. Recession depth (RD) – the distance between cementoenamel junction (CEJ) and most apical portion of the gingival   margin. Recession width (RW) – width of recession defect at the level of CEJ. Probing depth (PD) – distance from the gingival margin to bottom of the gingival sulcus. Thickness of keratinized tissue (KTT) – determined at a distance of 1.5 mm apical to gingival margin using short anesthesia needle and rubber disc stopper.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-07-30
• Last Update Posted: 2025-11-04

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

Individuals from 18 to 50 years Single/two adjacent teeth with miller’s class I or class II gingival recession defects Teeth with identifiable Cemento Enamel Junction (CEJ) Nonsmoker.

Exclusion Criteria

Prominent root surface Presence of anatomic factors such as shallow vestibule/inadequate keratinized gingiva or aberrant frenum which might impair passive coronal positioning of the flap Presence of non-carious cervical lesions or root caries Pregnant patients Patients with systemic conditions.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To evaluate the root coverage by using de-epithelialized gingival unit graft with modified bridge flap technique	To evaluate the root coverage by using de-epithelialized gingival unit graft with modified bridge flap technique | To evaluate the root coverage by using de-epithelialized gingival unit graft alone | To compare the outcome of both the techniques at baseline 4 weeks and 12 weeks
To evaluate the root coverage by using de-epithelialized gingival unit graft alone	To evaluate the root coverage by using de-epithelialized gingival unit graft with modified bridge flap technique | To evaluate the root coverage by using de-epithelialized gingival unit graft alone | To compare the outcome of both the techniques at baseline 4 weeks and 12 weeks
To compare the outcome of both the techniques	To evaluate the root coverage by using de-epithelialized gingival unit graft with modified bridge flap technique | To evaluate the root coverage by using de-epithelialized gingival unit graft alone | To compare the outcome of both the techniques at baseline 4 weeks and 12 weeks

Trial Locations

Locations (1)

Kamineni Institute of Dental Sciences; 🇮🇳 Nalgonda, TELANGANA, India

Kamineni Institute of Dental Sciences

🇮🇳Nalgonda, TELANGANA, India

Dr Talari Satwika

Principal investigator

7816066143

satwikatalari7@gmail.com