Laser-Assisted Minimally Invasive Esthetic Crown Lengthening Using Flapless vs. Tunneled Flap Approach (Randomized Controlled Clinical Trial)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Enrolling By Invitation
- Sponsor
- Alexandria University
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- leukocyte esterase enzyme assessment using Periomonitor
Study Overview
Brief Summary
Crown lengthening surgery is one of the most commonly performed periodontal procedures. Multiple techniques have been used throughout the years to overcome the postoperative pain and adverse outcomes that may be associated with surgical crown lengthening. One of the most popular choices among clinicians is using different types of lasers in different techniques to overcome those adverse effects. Treatment effectiveness can be monitored non-invasively through salivary levels of Leukocyte Esterase enzyme and the stability clinical outcomes.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 21 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients with an excessive gingival display of at least 3 mm
- •Age >21 years
- •At least six anterior maxillary teeth requiring ECL
- •Healthy periodontal status, indicated by a full-mouth plaque index and bleeding on probing index scores of <15%.
- •Patients with thick gingival phenotype
Exclusion Criteria
- •Treatment sites with probing depths more than 3 mm
- •Patients with a history of smoking
- •Patients with a history of mucogingival surgery in the intended treatment area
- •Systemic conditions that could hinder tissue healing (e.g., uncontrolled diabetes and autoimmune diseases)
- •Patients undergoing active orthodontic treatment
- •Presence of any cause of excessive gingival display other than altered passive eruption
Arms & Interventions
conventional surgical crown lenhthening
gold standard of treatment
Intervention: surgical esthetic crown lengthening (Procedure)
Laser assissted flapless approach
Intervention: laser assissted crown lengthening (Procedure)
Tunneled flap approach
Intervention: Laser-assisted tunneled flap approach (Procedure)
Outcomes
Primary Outcomes
leukocyte esterase enzyme assessment using Periomonitor
Time Frame: 1 month
Periomonitor strips will be used to detect the amount of leukocyte esterase enzyme in saliva
Clinical outcome stability
Time Frame: 6 months
Clinical outcome stability will be assessed by measuring the length of the crown and interdental papillae immediately postoperatively, 1 week postoperatively, 1 month postoperatively, 3 months postoperatively and 6 months postoperatively.
PROM
Time Frame: 1 week
Binary questionnaire (Yes/No) questions will be asked.
Secondary Outcomes
- Marginal bone loss evaluated using CBCT(6 months)