Free Gingival Graft Versus Connective Tissue Graft

Study Overview
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Brief Summary
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This study wil compare FGG and CTG for recession coverage in the anterior mandibula.

Official Title
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Efficacy of Free Gingival Graft Versus Connective Tissue Graft in the Treatment of Gingival Recessions at the Lower Incisors: a RCT

Conditions
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Gingival Recession, Gingival Recession, Localized

Intervention / Treatment
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* Procedure: Free gingival graft
* Procedure: Connective tissue graft


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ASA type I and II subjects Localized Gingival Recessions Recessions Cairo RT I-II-III FMPS < 10% FMBS< 10% <10 cigs/ day No contra-indication against oral surgical interventions Patient is able to give inform consent Exclusion Criteria: Infection (local or systemic). Each infection will be evaluated prior to study procedure for suitability. Patients with gingivitis or local infection (fracture, apical reaction) will undergo a dental treatment prior to entering the study. In case of systemic infection, the evaluation will be based on medical anamneses, and if necessary will be referred to relevant medical tests. ASA type > II Current pregnancy or breastfeeding women Alcoholism or chronically drug abuse Smokers, ≳ 10 cigarettes per day Immunocompromised patients Uncontrolled diabetes Untreated periodontitis History of previous periodontal surgery (mucogingival or other) on the teeth to be included Presence of severe tooth malposition, rotation or significant version of the tooth to be treated Conditions or circumstances, in the opinion of the investigator, which would prevent completion of study participation or interfere with analysis of study results, such as history of no-compliance or unreliability

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized, controlled trial
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Free gingival graft<br>Free gingival graft will be conducted. | Procedure: Free gingival graft<br>* A free gingival graft will be carried out for recession treatment.<br>|
| Active Comparator: Connective tissue graft<br>The recession will be treated with the pouch technique using a connective tissue graft. | Procedure: Connective tissue graft<br>* The pouch technique with a connective tissue graft will be carried out for recession treatment.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Digital mean root coverage | Defined as the percentage of root coverage in the mid-buccal aspect, taking baseline as a reference. Measured by dividing the mean surface (in mm²) of the root covered by the procedure by the mean surface (in mm²) of root exposed at baseline. | Baseline, 3 months, 6 months and up to 10 years after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Gingival recession, Free gingival graft, Connective tissue graft