The Use of Coronally Advanced Flap and Subepithelial Connective Tissue Graft With or Without Platelet Rich Fibrin in the Treatment of Miller Class I or II Gingival Recession: a Randomized Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Gingival Recession
- Sponsor
- Cairo University
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Recession Depth
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This research will be conducted in an attempt to achieve complete root coverage with physiologic probing depth and a harmonious view with the adjacent tissues using Platelet rich fibrin in conjunction with Coronally advanced flap and subepithelial connective tissue graft.
Detailed Description
The study population will be divided into 2 groups: Group 1: Patients suffering from Miller class I or II gingival recession will be treated with a coronally advanced flap in conjunction with a sub-epithelial connective tissue graft. The patients should be non-smoker, medically free and above 18 years Group 2: Patients suffering from Miller class I or II gingival recession will be treated with a coronally advanced flap in conjunction with a sub-epithelial connective tissue graft and platelet rich fibrin. the patients should meet the same inclusion criteria mentionned above.
Investigators
Sarah Elbanna
Assistant lecturer in the oral medicine and periodontology department
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Patients 18 years and older 2) Buccal recession defects classified as either Miller class I or II gingival recession.
- •Clinical indication and/or patient request for recession coverage 4) Good oral hygiene
Exclusion Criteria
- •Miller Class III and IV gingival recession. 2) Any systemic diseases or any medication. 3) Pregnancy. 4) Patients undergoing radiotherapy. 5) Handicapped and mentally retarded patients. 6) Current and former smokers as smoking is a contra-indication for plastic periodontal surgery .
- •Teeth with cervical restorations, abrasion
Outcomes
Primary Outcomes
Recession Depth
Time Frame: baseline-3 months-6 months
measured from the cemento-enamel junction to the margin of the gingiva at the mid-buccal point of the teeth at basline, 3 months and 6 months. It is recorded in millimeters (mm) with lower values mean better outcome.
Secondary Outcomes
- Post Operative Pain(after 2 weeks from surgery)
- Clinical Attachment Level(baseline-3 months-6 months)
- Recession Width(baseline-3 months-6 months)
- Root Coverage Gain(at 6 months)
- Probing Depth(baseline-3 months-6 months)
- Patient Satisfaction(questionnaire given to the patient 6 months after the surgery)
- Root Coverage Esthetic Score (RES)(6 months)
- Gingival Biotype(baseline-3 months-6 months)
- Width of Keratinized Gingiva(baseline-3 months-6 months)