Modified Connective Tissue Graft Wall With Wing Technique for Posterior Teeth

Study Overview
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Brief Summary
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The investigators reported here the application of usage modified connective tissue graft wall technique for posterior teeth. The treatment outcomes suggested the efficacy of the used technique in treating recession defects accompanied by infrabony defects in molars.

Detailed Description
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Gingival recession is defined as the apical migration of the gingival margin leaving the root surface denuded. Treatment of Class III and IV defects and achievement good of results seems to be quite difficult due to the advanced loss of the soft and hard tissues supporting the affected teeth. Furthermore, partial to total loss of the interproximal papilla is one of the main challenges that contribute for achieving higher levels of esthetics especially in anterior zone. In such a case, conventional techniques of root coverage results usually in poor prognosis.

Official Title
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Modified Connective Tissue Graft Wall With Wing Technique for Posterior Teeth in Treating One Wall Vertical Bone Defects With Class III Gingival Recession: A 12 Months Follow up

Conditions
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Recession

Intervention / Treatment
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* Procedure: Modified connective tissue graft wall with wing technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: recession defects in posterior teeth vertical infrabony defects in relation to the same recession defect Exclusion Criteria: smokers suystemic diseases pregnency and lactating mothers

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 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: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: bone graft and collagen barrier<br>peridoontal regeneration using bone graft and collagen barrier as treatment of vertical bony defects with recession defect | Procedure: Modified connective tissue graft wall with wing technique<br>* the usage of bone graft and collagen barrier to treat recession defects accompanied vertical bony defcets in posterior teeth<br>* Other names: bone graft and collagen barrier;|
| Experimental: Modified connective tissue graft wall with wing technique<br>peridoontal regeneration using bone graft and modified connective tissue graft wall with wing as treatment of vertical bony defects with recession defect | Procedure: Modified connective tissue graft wall with wing technique<br>* the usage of bone graft and collagen barrier to treat recession defects accompanied vertical bony defcets in posterior teeth<br>* Other names: bone graft and collagen barrier;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| recession defect dimensions | measurment of recession defect depth and width | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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connective tissue wall technique, modified connective tissue wall technique with a wing, recession defects in posterior teeth, recession defects with infrabony defects