Clinical trial NCT06366022: Evaluation of the Treatment of Multiple Gingival Recession Using Modified Coronally Advanced Tunnel With Subepithelial Connective Tissue Graft Depending on the Positioning of the Graft
Official title: Evaluation of the Treatment of Multiple Gingival Recession Using Modified Coronally Advanced Tunnel With Subepithelial Connective Tissue Graft Depending on the Positioning of the Graft
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Gingival Recession
Keywords: tunneling technique
Lead sponsor: Medical University of Warsaw
Sponsor class: OTHER
First posted: 2024-04-15
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Microsurgical coronally advanced tunnel procedures using subepithelial connective tissue grafts (sCTG) are predictable for healing of multiple adjacent type 1 and 2 gingival recessions (RT1 and RT2). In order to reduce patient morbidity and enhance periodontal wound healing with sCTG can be used. The aim of this study is to compare the results of the modified tunneling technique with subepithelial connective tissue graft in gingival recessions placed with the inner side towards the flap cover graft and the outer side towards the flap cover graft.

Detailed description: Condition or disease:Multiple Gingival Recession

Intervention/treatment:

Device: Modified coronally advanced tunnel with connective tissue graft placed with inner side towards the flap Device: Modified coronally advanced tunnel with subepithelial connective tissue graft with the outer side towards the flap Phase :Not Applicable

Eligibility criteria: Inclusion Criteria:

* Age ≥ 18 years
* Bilateral multiple gingival recessions in homologous teeth in the same arch.

Exclusion Criteria:

* Full-mouth plaque index ≥ 20% (Ainamo \& Bay 1975)
* Full-mouth sulcus bleeding index ≥ 15% (Mühlemann \& Son 1971)
* Smoking
* Systemic diseases with compromised healing potential of infectious diseases
* Drugs affecting periodontal health / healing
* Pregnant and lactating females
* Previous periodontal surgery in the area

Primary outcomes:
measure: Clinical attachment level (CAL)
timeFrame: Time Frame: 6 months after surgery
measure: Recession height (RH)
timeFrame: Time Frame: 6 months after surgery
measure: Recession width (RW)
timeFrame: Time Frame: 6 months after surgery
measure: Width of keratinized tissue (KTW)
timeFrame: Time Frame: 6 months after surgery
measure: Thickness of keratinized tissue (GT
timeFrame: Time Frame: 6 months after surgery
measure: Average recession coverage (ARC)
timeFrame: Time Frame: 6 months after surgery
measure: Complete recession coverage
timeFrame: Time Frame: 6 months after surgery
Secondary outcomes:
measure: Probing pocket depth (PPD)
timeFrame: Time Frame: 6 months after surgery
measure: Root coverage esthetic score (RES)
timeFrame: Time Frame: 6 months after surgery
measure: Post surgical pain and swelling
timeFrame: Time Frame:, 7 and 14 days after surgery
measure: Patient's satisfaction with treatment
timeFrame: Time Frame: 6 months after surgery ]
Other outcomes:
Locations:
city: Warsaw
country: Poland
facility: Department of Periodontology and Oral Mucosa Diseases, Medical University of Warsaw
state: MAzowsze
Study officials:
affiliation: Department of Periodontology and Oral Mucosa Diseases, Medical University of Warsaw
name: Bartłomiej Górski, PhD
role: PRINCIPAL_INVESTIGATOR
References: