To check the efficiency of two different techniques for the treatment of gum recessions

Not yet recruiting

• Conditions: class-1 gingival recession

• Registration Number: CTRI/2024/03/064509
• Lead Sponsor: Dr Shahanaz Shaik

Brief Summary

Gingival recession is the displacement of the gingival margin apical to

the cemento - enamel junction resulting in exposure of the root surface causing sensitivity and root caries.

Several procedures have been proposed for the treatment of gingival

recession in order to restore the periodontium to a healthy, efficient and aesthetic state.

Coronally advanced flap procedure is one among them, which is based on the            coronal shift of adjacent soft tissues on to the exposed root surface**.**

The conditions required to perform the coronally advanced flap are the presence of keratinized tissue of an adequate height and thickness located apical to the exposed root surface.

In order to more predictably re-establish a new connective tissue attachment over a denuded root surface, the coronally advanced flap procedure may have to be combined with the use of a barrier according to the principles of the guided tissue regeneration (GTR).

Platelet concentrates like platelet rich plasma –PRP and platelet rich fibrin-PRF, act as key mediators and promotes wound healing, tissue repair as well as tissue regeneration.

Incorporation of microsurgical loupes along with specifically designed microsurgical instruments for periodontal plastic surgery provides better illumination and adequate magnification to increase the precision of a surgeon’s surgical skill. Thus, microsurgical techniques were developed to minimize tissue trauma and allow primary wound closure in the most desirable manner.

The present study will be undertaken to compare the clinical efficacy of microsurgical and macrosurgical techniques using Coronally advanced flap and Platelet rich fibrin for  the treatment of Miller’s class I  gingival recessions.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2024-03-20
• Study Start: 2024-03-29

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 22

Inclusion Criteria

• Age group of 18-50 years.
• Subjects with Miller’s class I gingival recession.
• Patients having good systemic health.
• Teeth with no radiographic signs of bone loss.

Exclusion Criteria

• Pregnant or lactating women.
• Systemic disease affecting periodontal treatment outcome.
• Use of immunosuppressive agents.
• Patients on antibiotics or anti-inflammatory drugs in the past 3 months.
• Current and former smokers.
• History of periodontal surgery in that area in the past 6 months.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Visual analog scale (VAS)	baseline,1 month,3 months
Gingival index (GI)	baseline,1 month,3 months
Thickness of keratinized tissue (TKT)	baseline,1 month,3 months
Healing index (HI)	baseline,1 month,3 months
Height of gingival recession (HGR)	baseline,1 month,3 months
Probing depth (PD)	baseline,1 month,3 months
Width of keratinized tissue (WKT)	baseline,1 month,3 months
Clinical attachment level (CAL)	baseline,1 month,3 months

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction, overall ease of performing the surgery	baseline,1 month,3 months

Trial Locations

Locations (1)

Department of Periodontics; 🇮🇳 Belgaum, KARNATAKA, India

Department of Periodontics

🇮🇳Belgaum, KARNATAKA, India

Dr Shahanaz Shaik

Principal investigator

8074821125

sk.shahanaz21@gmail.com