Comparative Study Between Hydroxyapetite Nanoparticles and Tricalcium Phosphate Nanoparticles Loaded on Platelet Rich Fibrin Membranes for Treatment of Gingival Recession
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 主要终点
- Recession width
研究概览
简要总结
The aim of the present study was to compare between nanocrystalline hydroxyapatite and tricalcium phosphate carried on PRP membrane in treatment of Miller's class 1 gingival recession in human.
详细描述
gingival recession (GR) is apical movement of the gingival margin beyond the cement-enamel junction. The use of free gingival grafts, sliding pedicle grafts, subepithelial connective tissue grafts, envelope or tunnelling techniques, the use of acellular dermal, connective tissue allografts, guided tissue regeneration, Platelet rich fibrin (PRF), and coronally advanced flap (CAF) are the surgical methods that have been developed to treat gingival recession. For treatments of intrabony defects, a synthetic nanocrystalline hydroxyapatite (NcHA) bone graft has been introduced. Osteoconductivity, bioresorbability, and close contact are benefits of NcHA material. Critical size defects showed quick healing when the NcHA was utilised as a bone graft alternative. NcHA binds to bone and increases osteoblast activity to promote bone regeneration. A promising bone replacement material, tricalcium phosphate (TCP) is known for its strong bioactivity and resorbable qualities. Tricalcium phosphate (TCP) is one of the most popular and effective artificial bone substitutes. It is osteoinductive as well as osteoconductive. These characteristics enable full bone defects regeneration together with its cell-mediated resorption. In this study, we compared between nanocrystalline hydroxyapatite and tricalcium phosphate carried on PRP membrane in treatment of Miller's class 1 gingival recession in human.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 45 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients with good systemic health and no contraindication for periodontal surgery.
- •Patients who are able to maintain good oral hygiene.
- •Gingival thickness for the site selected should be ≥1mm.
- •The height of keratinized gingiva (HKG) for the site selected should be ≥1 mm (HKG is the distance between the most apical point of the gingival margin and the mucogingival junction).
排除标准
- •Active infectious diseases (hepatitis, tuberculosis, HIV, etc....).
- •Medically compromised patients.
- •Patients taking medications known to cause gingival enlargement.
- •Pregnant patients and smokers.
- •Previous mucogingival surgery at the defect.
- •Restorations or caries in the area to be treated and non vital tooth.
- •Teeth which are tilted or rotated.
结局指标
主要结局
Recession width
时间窗: 6 months
measurement of Recession width
Recession height
时间窗: 6 months
measurement recession height
Height of the keratinized tissue
时间窗: 6 months
measurement of Height of the keratinized tissue
Percentage of root coverage
时间窗: 6 months
It is calculated after 1, 3, 6 months as \[RH preoperative - RH postoperative\]/RH preoperative) x 100%.
Radiographic assessment
时间窗: 6 months
measurement of buccal bone gain
次要结局
- Probing pocket depth(6 months)
- Clinical attachment level(6 months)
研究者
Enas Elgendy
Prof. of Oral Medicine and Periodontology
October 6 University
